LMSW Practice Test

Supportive therapy would not be used if the client is

1. able to solve problems not adversely affected by the unconscious

2. diagnosed as psychotic

3. diagnosed as a schizophrenic

4. seeking self-awareness

The correct answer is: able to solve problems not adversely affected by the unconscious

Supportive therapy is designed to help clients manage their emotional and psychological well-being, particularly in situations where they may be dealing with stress, crises, or life transitions. This form of therapy is most beneficial for individuals who might be struggling with immediate issues but are still capable of coping and maintaining basic functioning in their lives. In the context of the question, if a client is able to solve problems that are not adversely affected by unconscious processes, it suggests that they have sufficient insight, problem-solving abilities, and stability. Such clients may not require supportive therapy, as they can effectively handle their own challenges without needing additional support from the therapeutic relationship. For individuals diagnosed as psychotic or schizophrenic, supportive therapy can often be necessary because they may struggle with reality testing or have impaired functioning. Similarly, clients seeking self-awareness typically benefit from frameworks that encourage exploration and growth rather than just support. In essence, supportive therapy is less appropriate for clients who possess clear insight and problem-solving abilities, as they may not need the type of encouragement and stabilization this therapy offers.