Licensed Clinical Social Worker (LCSW) Practice Exam

When treating an Asian client with depression who feels isolated, what should the social worker address first?

1. Provide therapy focused on Western techniques

2. Explore beliefs about mental illness in the client's culture

3. Encourage family involvement in treatment

4. Refer the client to a psychiatrist

The correct answer is: Explore beliefs about mental illness in the client's culture

Addressing the client's beliefs about mental illness in their culture is essential when treating an Asian client with depression who feels isolated. Cultural beliefs significantly influence how individuals perceive mental health issues, including stigma, understanding of depression, and openness to seeking help. By first exploring these beliefs, the social worker can establish a therapeutic alliance that respects the client's cultural background and fosters effective communication. Understanding the client's perspective allows the social worker to tailor interventions that are culturally relevant and sensitive. This approach helps in validating the client's feelings and can promote a safer space for discussing their depression and any associated isolation. Additionally, it creates an opportunity for the social worker to provide education about mental health that aligns with the client's cultural values, thus reducing stigma and improving engagement in treatment. Addressing beliefs about mental illness can also pave the way for discussing the role of family and community in the client's support system, fostering a more integrative and holistic approach to their treatment.