Licensed Clinical Social Worker (LCSW) Practice Exam

What is the most likely reason for a client who has experienced abuse to suddenly deny it in therapy?

1. The client is being dishonest

2. The client may be avoiding the painful subject

3. The client does not want to discuss it anymore

4. The client feels misunderstood

The correct answer is: The client may be avoiding the painful subject

A client who has experienced abuse may suddenly deny it in therapy as a way to avoid confronting the painful emotions and memories associated with that trauma. This response is often a defense mechanism; by denying the abuse, the client may be attempting to protect themselves from re-experiencing that trauma or the overwhelming feelings that come with it. This avoidance can manifest as a denial of the abuse, often due to the fear of vulnerability or the emotional toll that discussing the abuse would entail. In therapeutic settings, it's essential to recognize that clients may need to revisit traumatic experiences at their own pace. The denial may not indicate dishonesty but rather a natural response to an overwhelming and painful issue. Understanding this aspect of trauma helps therapists create a safe and supportive environment where clients can gradually address their experiences as they feel ready.