Licensed Clinical Social Worker (LCSW) Practice Exam

During a marital therapy session, what issue should be addressed first based on the couple's complaints?

1. Communication styles between partners

2. Substance abuse

3. Each partner's work-life balance

4. Their financial management strategies

The correct answer is: Substance abuse

In marital therapy, addressing substance abuse is often prioritized because it can have profound and immediate impacts on the relationship. Substance abuse introduces significant dysfunction into the dynamics between partners, often leading to trust issues, emotional volatility, and conflict. When one or both partners struggle with substance use, it can hinder their ability to communicate effectively, manage finances, and maintain a healthy work-life balance. Furthermore, substance abuse may also pose safety concerns and contribute to further psychological and emotional distress. By addressing this issue first, the therapist can help the couple establish a foundation of stability and safety, paving the way for improvements in other areas such as communication, work-life balance, and financial management strategies. Once substance-related concerns are addressed, the therapeutic process can facilitate healing and growth in the broader aspects of the relationship.