Exam Prep

This week our practice question explores Tarasoff and our duty to protect. Oftentimes, people struggle with questions on this topic because the subject itself feels a bit abstract. Many clinicians have read case law and studied Tarasoff in graduate school, but have not encountered these situations in clinical practice. And while it is an intimidating prospect, the likelihood of our duties being triggered under Tarasoff is thankfully low. However, the BBS still wants to ensure you know what to do in the unlikely event you find yourself in this situation.

On Friday we posted the following question on suicidal clients, and today we have the answer and rationale for you!

In this week’s practice question, we explore the subject of suicide. You will likely see several questions on this subject regardless of which exam you take. This topic can be difficult to navigate whether you are working in the clinical setting or trying to determine the best answer on an exam question. However, reviewing the audio lectures that Amanda Rowan developed teaches you how best to approach these questions on the exam. You will also be able to take this knowledge with you into your clinical practice!

The ASWB recently announced that they will be making changes to their licensing exams, to take effect January 2, 2018. First of all, don't panic! These changes are being implemented to ensure exam content is 1. relevant to current practice and 2. demonstrates both the opinions and the expertise of a diverse group of stakeholders (ASWB, 2017). We have already been getting a number of emails and calls from test takers anxious about these upcoming changes-and rightfully so, as the exam is daunting enough without the uncertainty of new material. The ASWB states, “the updates to the blueprints can generally be described as a touching up and refining of details, with only a few specific topics receiving more extensive adjustments” (ASWB, 2017). This is good news! The changes being made for the LMSW and LCSW exams are minor (the exam undergoing the greatest changes is the Advanced Generalist Exam-an exam you don’t have to worry about if you are on the path to clinical licensure!).

Last month we discussed the removal of the multiaxial system between the DSM-IV-TR and the DSM 5. This month we’ve decided to take on one of the most talked about changes to the DSM 5: the new Autism Spectrum Disorder diagnosis. This DSM 5 diagnosis represents one of the major shifts between the DSM-IV-TR and the DSM 5. The DSM 5’s Autism Spectrum Disorder diagnosis encompasses four separate DSM-IV-TR diagnoses that were previously under the category of Pervasive Developmental Disorders: Asperger’s Disorder, Childhood Disintegrative Disorder, Autism Disorder, and Pervasive Developmental Disorder NOS. These four disorders no longer exist independently and are all captured within the Autism Spectrum Disorder diagnosis. For the purposes of the exam, these changes make it a bit simpler as there are no longer four separate diagnoses to differentiate between. The change was made in hopes of greater reliability and consistency in the diagnosis of Autism Spectrum Disorder and with general agreement that these four conditions all fall within one condition with varying levels of severity.

This week we address another topic that is likely to show up on any one of the licensing exams you are preparing for, whether you're getting ready to take the LCSW, LMSW, or BSW exam: Defense Mechanisms. In each of our exam preparation programs, Amanda Rowan does an excellent job of teaching you how to distinguish between the defense mechanisms and apply the knowledge to exam questions. Here is one such question:

Recently I was on an initial coaching call with someone preparing for her LMSW exam. Sharing that this would be her second time taking the exam and worried she was alone in this, she asked “Heidi, have you worked with anyone else who has failed the test before?” I responded with a resounding “YES.” I’ve worked with many individuals who have taken the test multiple times using other study materials, then made the decision to invest in TDC, and PASSED on their next attempt.

In the previous two practice questions, we explored our mandated reporting requirements for child, elder and dependent abuse. This week, we move away from this subject and shift our focus to the topic of domestic violence. While there may be times that the circumstances of domestic violence lead to the reporting of child, elder or dependent abuse, this will not be the focus of this week’s blog. Instead, we are going to focus on self-determination and safety planning.

Last week’s MFT blog explored a complicated question on child abuse and neglect reporting. This week, we continue exploring the topic of abuse and neglect, but shift our focus to elders and dependent adults. In California, the laws regarding elder and dependent adult abuse overlap quite a bit with those for child abuse, but there are also some differences to keep in mind.