Licensed Clinical Social Worker (LCSW) Practice Exam

If a client abruptly stops attending sessions after six months of treatment, what is the social worker’s best course of action?

1. Assume the client is doing well and doesn't need support

2. Call the client to ask the reasons for the abrupt stop

3. Notify the client’s family of the situation

4. Wait for the client to reschedule

The correct answer is: Call the client to ask the reasons for the abrupt stop

The best course of action in this scenario is to reach out to the client to inquire about their reasons for abruptly stopping sessions. This approach demonstrates a commitment to the client’s well-being and reflects the principle of maintaining a therapeutic relationship. By contacting the client, the social worker can show concern, validate the client’s feelings, and possibly uncover underlying issues that may have prompted the cessation of services. This proactive strategy allows the social worker to gather information that can be critical for understanding the client’s current situation, whether it be a change in circumstances, personal challenges, or even a misunderstanding about the treatment process. By taking this step, the social worker also opens the door for potential re-engagement in therapy if the client is willing. While other options may seem like plausible approaches, they do not reflect the same level of professional responsibility and care for the client’s needs. Assuming the client is doing well ignores the complexities of mental health and the reasons for their withdrawal. Notifying the client's family without the client's consent breaches confidentiality and undermines trust. Waiting for the client to reschedule may leave the client without necessary support during a potentially vulnerable time. Therefore, directly reaching out remains the most supportive and ethical choice.