Clinical Practice SWES Practice Exam

Which therapeutic approach is NOT typically recommended for acutely depressed clients?

1. Supportive therapy

2. Confrontational therapy

3. Behavioral therapy

4. Cognitive behavioral therapy

The correct answer is: Confrontational therapy

Confrontational therapy is not typically recommended for acutely depressed clients because it can increase feelings of distress and exacerbate their condition. When working with individuals who are experiencing acute depression, the focus should be on creating a safe, supportive environment that helps them feel understood and validated. Supportive therapy, behavioral therapy, and cognitive behavioral therapy are all approaches that aim to provide the client with support and coping strategies. Supportive therapy emphasizes empathy and encouragement, helping clients express their feelings in a non-threatening way. Behavioral therapy focuses on helping individuals engage in activities that can enhance mood and provide a sense of accomplishment. Cognitive behavioral therapy addresses negative thought patterns and works to reframe these thoughts into a more positive perspective. In contrast, confrontational therapy often involves challenging a client's thinking in a more aggressive manner, which can lead to increased resistance, feelings of inadequacy, and potentially worsen their depressed state. This approach may be more effective in other contexts, such as when addressing issues of denial or avoidance in non-depressed clients, but it is not suitable for those in acute depressive episodes.