Licensed Clinical Social Worker (LCSW) Practice Exam

In cases where a client is diagnosed with generalized anxiety disorder, what should the social worker's initial focus be during treatment?

1. Building a strong therapeutic relationship

2. Identifying obstacles that hindered earlier treatment efforts

3. Discussing anxiety management techniques

4. Introducing mindfulness practices

The correct answer is: Identifying obstacles that hindered earlier treatment efforts

The initial focus for a social worker treating a client with generalized anxiety disorder should ideally be to build a strong therapeutic relationship. Establishing trust and rapport is vital in the therapeutic process, particularly for clients experiencing anxiety. A solid therapeutic alliance provides a safe space where clients can express their feelings and thoughts without fear of judgment, which in turn can enhance treatment effectiveness. While identifying obstacles that hindered earlier treatment efforts can be important at some stage of therapy, it is not typically the first focus when beginning treatment for anxiety. The social worker's primary goal should be to ensure that the client feels comfortable and supported, facilitating an environment conducive to exploring their anxiety and the factors contributing to it. Once a strong therapeutic relationship is established, the social worker can then work with the client to identify past obstacles and move into discussing management techniques and practices that might help alleviate anxiety symptoms.