Licensed Clinical Social Worker (LCSW) Practice Exam

When a client with kleptomania expresses guilt but is unsure why they steal, what should the social worker do FIRST?

1. Discuss the legal implications of stealing

2. Explore the feelings behind the behavior

3. Suggest they keep a diary of their actions

4. Encourage the client to seek a support group

The correct answer is: Explore the feelings behind the behavior

When a client with kleptomania expresses guilt but is unsure why they steal, prioritizing the exploration of feelings behind their behavior is essential for effective intervention. This approach aligns with the principles of person-centered therapy, which emphasizes understanding the client's emotions and motivations as a step towards healing. It helps the social worker gain insight into the underlying issues that may contribute to the kleptomania, such as emotional distress, feelings of inadequacy, or situations triggering the urge to steal. Fostering a safe space for the client to openly discuss their emotions can facilitate self-discovery. Understanding the emotions tied to their actions can lead to deeper insights into the compulsion to steal, and normalize their feelings of guilt, enhancing the therapeutic rapport. This exploration can also lay the groundwork for developing coping strategies and interventions tailored to their needs, ultimately driving toward behavioral change. Engaging in this reflective process first is crucial before delving into solutions like keeping a diary, discussing legal implications, or seeking external support options.