Therapist Development Center Practice Exam 1

What is the FIRST action a social worker should take when a client expresses fearful intrusive thoughts affecting job performance?

1. Make a psychiatric referral.

2. Evaluate the frequency of the thoughts.

3. Teach the client thought stopping techniques.

4. Ask clarifying questions to determine the content of his thoughts.

The correct answer is: Ask clarifying questions to determine the content of his thoughts.

The first action a social worker should take when a client expresses fearful intrusive thoughts affecting job performance is to ask clarifying questions to determine the content of those thoughts. This approach is crucial because understanding the specific nature of the client's intrusive thoughts provides vital context for the social worker. It helps to identify whether these thoughts are indicative of an anxiety disorder, obsessive-compulsive disorder, or another mental health issue that may need further intervention. By engaging the client in a dialogue about the content, frequency, and triggers of these thoughts, the social worker can gain insights into how the thoughts are impacting the client’s daily life and functioning. This clarification is essential before making any referrals or implementing techniques to manage the thoughts, as it ensures that the intervention is appropriately tailored to the client's specific situation and needs. Understanding the client's perspective also establishes a stronger therapeutic alliance, which is integral for effective treatment.