Licensed Clinical Social Worker (LCSW) Practice Exam

If a client expresses feeling depressed despite having a seemingly perfect life, what should the social worker do first?

1. Recommend a support group

2. Clarify what the client means by depression

3. Suggest engaging in new activities

4. Schedule weekly therapy sessions

The correct answer is: Clarify what the client means by depression

Focusing on clarifying what the client means by depression is a critical first step in understanding their emotional state, especially given the disconnect between their external circumstances and internal feelings. This approach allows the social worker to gather detailed information about the client's experiences, thoughts, and emotions related to their depression. Understanding the client's definition of their feelings and the context surrounding their depression can help identify underlying issues, such as unresolved trauma, relational problems, or existential concerns that might not be immediately apparent. By engaging the client in this way, the social worker can establish a therapeutic alliance centered on empathy and validation, which is vital for effective intervention. Once the social worker has a clearer understanding of the client's perspective, they can better determine the most appropriate interventions, whether that involves exploring deeper emotional issues, recommending activities, or connecting the client with support systems. Identifying the nuances of the client's situation is fundamental to tailoring a therapeutic approach that meets their unique needs.