Therapist Development Center Practice Exam 1

When a client arrives at a therapy session high, what should the social worker do first?

1. Refuse to see the client.

2. Confront the client's inappropriate behavior.

3. Encourage the client to attend Narcotics Anonymous.

4. Initiate a behavioral intervention to address this behavior.

The correct answer is: Confront the client's inappropriate behavior.

When a client arrives at a therapy session under the influence, it is crucial for the social worker to address the situation with sensitivity and professionalism. Confronting the client's inappropriate behavior allows the therapist to acknowledge the immediate context of the session, which is essential for maintaining a safe and productive therapeutic environment. By confronting the behavior, the therapist can open up a dialogue about the client’s substance use, helping the client recognize the impact of their current state on the therapeutic process. This approach fosters accountability while also reinforcing the therapeutic relationship. It creates an opportunity for the social worker to explore underlying issues related to substance use, including triggers and coping mechanisms, which can be vital for the client's overall treatment plan. Addressing the situation in this manner reinforces the importance of mutual respect and can lead to a greater understanding of the client’s challenges. Furthermore, it allows for the possibility of rescheduling the session appropriately if the client is unable to engage meaningfully due to their condition. This initial step lays the groundwork for effective intervention and support moving forward.