LMSW Practice Test

What should a social worker do if they conclude that Tony has an unacknowledged alcohol problem during couple’s counseling with Marie and Tony?

1. Encourage discussion of Tony's alcohol problem at the first appropriate moment during a joint counseling session.

2. Meet with Mary privately and form an alliance to address Tony's drinking.

3. Meet with Tony privately, confront him with the problem and offer him a referral for treatment.

4. Say nothing about the alcohol problem since this was not the reason they came into treatment.

The correct answer is: Encourage discussion of Tony's alcohol problem at the first appropriate moment during a joint counseling session.

Encouraging discussion of Tony's alcohol problem during a couples counseling session is a proactive approach that promotes open communication and addresses the underlying issues affecting both partners. This choice recognizes the importance of addressing significant concerns within the therapeutic context. Couples counseling often involves exploring relational dynamics, and issues like substance use can have a profound impact on the relationship. By bringing up the alcohol problem when appropriate, the social worker facilitates a conversation that may lead to greater awareness for both Tony and Marie about how the alcohol use affects their relationship. This approach also provides a supportive environment where both partners can express their feelings and perspectives. Addressing the issue in a joint session allows for immediate engagement and ensures that both partners are involved in the discussion, which is crucial for effective couple therapy. It can foster mutual understanding and support, rather than creating a division by taking one partner's side. This path prioritizes the couple's relationship while still bringing attention to a critical issue that needs to be addressed for progress in therapy.