Licensed Clinical Social Worker (LCSW) Practice Exam

What should a social worker do FIRST when a client expresses the need to better manage persistent and intrusive thoughts?

1. Encourage the client to practice mindfulness

2. Ask the client to describe the content of his thoughts

3. Suggest journaling as a coping mechanism

4. Refer the client to a support group

The correct answer is: Ask the client to describe the content of his thoughts

When a client expresses the need to better manage persistent and intrusive thoughts, the first step for the social worker should be to ask the client to describe the content of those thoughts. This approach allows the social worker to gain a deeper understanding of the specific nature and impact of the thoughts on the client’s life. By engaging the client in this discussion, the social worker can assess the severity, triggers, and context of these thoughts, which is crucial for developing an appropriate treatment plan. Understanding the content of intrusive thoughts can help identify any underlying issues, such as anxiety, depression, or trauma, and it opens the door for more targeted interventions. It also serves to build rapport and trust between the social worker and the client, as it shows genuine interest in the client’s experiences and challenges. The other options, while potentially beneficial strategies in the therapeutic process, may not be appropriate as the initial step. Encouraging mindfulness or suggesting journaling may be useful coping mechanisms, but without first understanding the specific thoughts that are troubling the client, these strategies may not be as effective. Referring the client to a support group could also be helpful in the long run, but it typically comes after a thorough assessment and understanding of the client's needs. Therefore, gleaning more information