Social Work Examination Services (SWES) Human Behavior Practice Test

What is the most appropriate technique to use with a new client who is decompensating?

1. Confrontation

2. Ego support

3. Psychoeducation

4. Cognitive restructuring

The correct answer is: Ego support

Using ego support with a new client who is decompensating is particularly appropriate because it focuses on providing reassurance, validation, and emotional support. When a client is experiencing decompensation, they may feel overwhelmed and vulnerable, making it essential to create a safe and nurturing environment. Ego support helps to stabilize the client's sense of self-esteem and promotes a feeling of being understood and accepted, which can be crucial during times of crisis. This technique allows the clinician to reflect back the client’s feelings, helping them to process their emotions and experiences without judgment. By reinforcing the client’s strengths and helping them gain a sense of control, ego support can effectively reduce anxiety and facilitate better coping mechanisms. While other techniques like confrontation, psychoeducation, and cognitive restructuring have their places in therapy, they may not be ideal in the context of a client who is decompensating. Confrontation could lead to increased defensiveness or anxiety for someone already struggling. Psychoeducation may be beneficial, but if the client is in a state of distress, they might not be able to absorb information effectively. Cognitive restructuring, which involves challenging and changing distorted thoughts, requires a level of cognitive capability that a decompensating client may not possess at the moment. Thus, focusing