Therapist Development Center Practice Exam 1

In the context of addressing a family with a son exhibiting problematic behavior, prioritizing substance abuse is crucial because it often serves as a foundational issue that can exacerbate or contribute to various other behavioral problems. Substance abuse can lead to changes in mood, aggression, and the ability to function socially or emotionally, impacting not just the individual but the entire family dynamic. Addressing substance abuse first allows the social worker to create a safety net for the son, as well as the family members affected by his behavior. When substance abuse is present, it can cloud judgment and impede rational decision-making, making it imperative to address this problem to stabilize the situation. Once the substance use issue is dealt with, the social worker can better evaluate other underlying issues, such as control and manipulation, enmeshed boundaries, or even elder abuse, as they may become more apparent when substance-related distortions are removed. Reflecting on the other issues mentioned, while control and manipulation, enmeshed boundaries, and possible elder abuse are also important, they may be symptoms or secondary problems arising from substance abuse. Addressing substance abuse tends to provide a clearer pathway to understanding and resolving those additional dynamics within the family.