Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

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When a client abruptly claims their relationship issues are resolved, what is the therapist's first course of action?

  1. Proceed with termination and help the client process their feelings

  2. Encourage the client to share more about their recent changes

  3. End the therapeutic relationship as stated by the client

  4. Discuss the previous intervention that addressed their behavior

The correct answer is: Discuss the previous intervention that addressed their behavior

In situations where a client abruptly states that their relationship issues are resolved, the therapist's primary responsibility is to ensure that the client is genuinely ready to end therapy and that all aspects of their experiences and changes are understood. Selecting to discuss the previous interventions that addressed their behavior provides an opportunity for the therapist to explore the reasons behind the client's sudden claim of resolution. By reviewing the interventions used in therapy, the therapist can assess whether the changes are indeed sustainable and whether any underlying issues remain unaddressed. This approach facilitates a deeper understanding of the client's current emotional state and offers a chance for reflection on their progress. It encourages the client to articulate their thoughts, promoting insight into whether the resolution is based on a well-thought-out change or a potentially superficial assessment of their situation. This process not only helps in validating the client’s feelings but also ensures that any necessary support or additional therapeutic work is considered before making decisions about termination or concluding therapy. It emphasizes the importance of a thorough process in therapy, validating the work that has been done while also ensuring that the client feels fully supported as they transition out of therapy, if that is indeed the next appropriate step.