Licensed Clinical Social Worker (LCSW) Practice Exam

What is the FIRST action a social worker should take upon discovering a newly referred client is in therapy with another therapist?

1. Advise the client to discuss the change with the other therapist

2. Meet with the other therapist

3. Begin therapy sessions immediately

4. Consult with a supervisor

The correct answer is: Advise the client to discuss the change with the other therapist

When a social worker discovers that a newly referred client is currently in therapy with another therapist, the most appropriate first action is to advise the client to discuss the situation with their other therapist. This approach respects the client's existing therapeutic relationship, and it allows for transparency in communication about their therapeutic journey. Facilitating an open dialogue between the client and the other therapist can help clarify any overlapping issues, discuss the reasons for seeking a new therapist, and ensure that both therapists are informed and on the same page regarding the client's treatment. This option also promotes the client's autonomy and active participation in their therapy process. Taking action such as meeting with the other therapist might not be prudent at this stage without the client's consent, as it raises ethical considerations about confidentiality and collaborative practices. Likewise, beginning therapy sessions immediately without first addressing the client's concurrent treatment could potentially complicate the therapeutic process and may not be in the best interest of the client. Consulting with a supervisor may be a critical step later for guidance on best practices, but it is essential first to empower the client to address the issue directly with their other therapist.