Licensed Clinical Social Worker (LCSW) Practice Exam

What should a social worker focus on with a client who has recently experienced trauma and exhibits signs of depression?

1. Discuss coping strategies for loss of interest

2. Explore the client's social relationships

3. Assess the potential for self-harm

4. Refer for group therapy

The correct answer is: Assess the potential for self-harm

Focusing on assessing the potential for self-harm is a crucial priority when working with clients who have recently experienced trauma and exhibit signs of depression. Trauma can significantly increase the risk of self-harming behaviors, as individuals may feel overwhelmed by their emotional pain, helplessness, or hopelessness. By assessing self-harm potential, the social worker can determine the client's immediate safety needs, which is a fundamental responsibility in clinical practice. Addressing self-harm risk not only allows the practitioner to ensure the client's safety but also can guide further interventions. If the assessment uncovers thoughts or plans for self-harm, this can lead to emergency interventions or more intensive treatment options, ensuring that the client receives the appropriate level of care. Engaging in an open dialogue about these feelings creates a safe space for the client to communicate their struggles, which can be therapeutic in itself. On the other hand, while discussing coping strategies for loss of interest and exploring social relationships are important aspects of treatment, they may not be the immediate focus when there is a risk of self-harm. Referring for group therapy may also be beneficial but should be addressed after ensuring the client's immediate safety.