LMSW Practice Test

What approach should a social worker take when a client is resistant to discussing a particular subject?

1. Confront the client about their resistance and insist on discussing the topic

2. Respect the client's boundaries and explore their readiness to discuss the subject

3. Refer the client to a different therapist

4. Discontinue the session to allow the client to reflect

The correct answer is: Confront the client about their resistance and insist on discussing the topic

The most appropriate approach in this situation is to respect the client's boundaries and explore their readiness to discuss the subject. Building rapport and trust is essential in the therapeutic relationship, and pushing a client to confront topics they are not ready or willing to discuss can lead to increased resistance, anxiety, and may damage the relationship. By respecting their boundaries, the social worker demonstrates empathy and support, creating an environment where the client feels safe to express themselves at their own pace. This approach allows the social worker to gently encourage the client to open up when they feel ready, fostering a more constructive and effective therapeutic process. Confrontation could alienate the client, while referral to another therapist may disrupt continuity of care and could be premature if the issue is simply one of timing or readiness. Discontinuing the session might not address the underlying issues and could leave the client feeling unsupported. Thus, exploring readiness while acknowledging the client’s comfort level is the most therapeutic and client-centered approach.