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Behavioral activation is an evidence-based strategy for depression, encouraging engagement in rewarding activities to counteract isolation and inactivity. Childhood memory exploration and trauma processing may be important but not as an initial intervention. Long-term psychoanalysis is not considered first-line treatment. The LCSW exam tests recognition of empirically supported, practical approaches, making A correct.

Depression significantly raises suicide risk. Before beginning interventions or referrals, the social worker must assess for suicidal ideation, plan, and means. This ensures immediate safety. Only once risk is addressed can treatment planning proceed. On the LCSW exam, safety assessment always comes first.

Erikson’s Initiative vs. Guilt stage (ages 3–6) emphasizes role play, imagination, and initiative in exploring the world. Pretend play reflects development of initiative. Autonomy vs. Shame and Doubt (1–3 years) involves independence, Industry vs. Inferiority (6–12) relates to competence, and Identity vs. Role Confusion occurs in adolescence. The behavior best fits Initiative vs. Guilt.

Relapse requires immediate safety assessment, as withdrawal (alcohol, benzodiazepines) can be life-threatening. Relapse prevention and stressor exploration are important but follow after safety is addressed. Correct answer: A.

The first step is to explore barriers such as side effects, cost, or stigma. This promotes collaboration and empowers the client. Immediate reporting without exploration undermines trust. Stopping therapy or recommending alternative remedies is inappropriate. The exam highlights engagement and assessment of obstacles as the foundation for treatment planning.