Licensed Clinical Social Worker (LCSW) Practice Exam

What is the first thing a social worker should do when a client is resistant to discussing feelings?

1. Encourage the client to talk about their daily life

2. Acknowledge the client's discomfort in a supportive manner

3. Redirect the conversation to therapy goals

4. Offer the client tools to manage their discomfort

The correct answer is: Acknowledge the client's discomfort in a supportive manner

Acknowledge the client's discomfort in a supportive manner is the most appropriate initial response when a client is resistant to discussing feelings. This approach establishes a safe and trusting environment, which is crucial in therapeutic settings. By recognizing and validating the client's feelings of discomfort, the social worker demonstrates empathy and understanding. This can help to reduce any anxiety the client may be experiencing and encourage them to open up at their own pace. In situations where clients are reluctant to delve into their emotions, it’s essential to create a supportive atmosphere where they feel heard and valued. Acknowledgment can alleviate feelings of pressure, allowing clients to gradually engage more deeply in the therapeutic process when they are ready. It sets a foundation for building rapport and fosters collaboration in exploring feelings when the client feels more secure. Other strategies, such as discussing daily life, redirecting to therapy goals, or offering tools to manage discomfort, can be beneficial later in the conversation but are not optimal starting points when resistance is evident. These approaches may inadvertently sidestep the immediate emotional barrier the client is experiencing, whereas acknowledging their discomfort directly addresses their current state.