Licensed Clinical Social Worker (LCSW) Practice Exam

In evaluating a client's sexual dysfunction, what should be the FIRST consideration?

1. Therapeutic techniques to enhance intimacy

2. Ruling out any medical basis for the dysfunction

3. Consulting with a physical therapist

4. Examining the client's relationship history

The correct answer is: Ruling out any medical basis for the dysfunction

When evaluating a client's sexual dysfunction, the first consideration should be to rule out any medical basis for the dysfunction. This step is crucial because sexual dysfunction can often have physiological causes, such as hormonal imbalances, medication side effects, or underlying health conditions. Identifying whether a medical issue contributes to the problem allows for a more targeted and appropriate treatment approach. If medical issues are present, addressing these directly may alleviate the dysfunction without the need for therapeutic interventions focusing on intimacy or relationship dynamics. Only after ruling out medical factors should a clinician delve into psychological or relational aspects of the issue, such as examining relationship history or employing therapeutic techniques aimed at enhancing intimacy. Ultimately, ensuring that there are no medical concerns sets a solid foundation for any further assessments or interventions.