Licensed Clinical Social Worker (LCSW) Practice Exam

What is the appropriate action for a social worker when a new client with borderline personality disorder hugs them after a session?

1. Encourage more physical affection

2. Set appropriate boundaries for the therapeutic relationship at the next session

3. Ignore the client's actions

4. Discuss the significance of the hug

The correct answer is: Set appropriate boundaries for the therapeutic relationship at the next session

Setting appropriate boundaries for the therapeutic relationship is crucial when working with clients, especially those diagnosed with borderline personality disorder (BPD). Clients with BPD often struggle with interpersonal relationships and may exhibit intense emotional responses. Establishing and maintaining clear professional boundaries helps create a safe and structured environment, allowing for effective therapeutic work. By addressing boundaries at the next session, the social worker is not only reinforcing the professional nature of the relationship but also helping the client understand and navigate their emotions and behaviors in a healthy way. This approach is necessary to help the client grasp the distinction between personal and professional interactions, preventing the development of dependency or boundary testing that may occur in the therapeutic setting. It fosters a sense of safety and predictability, which can be particularly beneficial for clients with BPD, who may experience fear of abandonment or unstable relationships. While discussing the significance of the hug might provide insights, it is essential to first establish boundaries to guide the therapeutic relationship effectively.