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Exposure therapy combined with coping strategies is the gold standard for panic and agoraphobia. Avoidance perpetuates symptoms, childhood exploration is not immediate, and workarounds (like shopping late) do not treat the problem. Correct answer: A.

Familism emphasizes loyalty and interdependence with family, often prioritizing collective decision-making over individual autonomy. Assimilation involves adopting dominant culture values. Cultural bias is judgment against other cultural practices. Individualism stresses self-reliance. The client’s family-centered approach is an example of familism, a key diversity concept on the LCSW exam.

Confidentiality requires a signed release of information before sharing client details with others, including spouses. Refusing without explanation may seem dismissive, while sharing verbally or through the client bypasses proper procedure. The correct and ethical approach is B, requiring written consent before disclosure.

For trauma, the phased model applies: (1) safety and stabilization, (2) trauma processing, (3) integration. Exposure therapy before stabilization can worsen symptoms. Exploring history or using psychoanalysis is premature. The exam stresses that stabilization (grounding, coping skills, safety planning) must come first, making A correct.

The symptoms indicate mania, which requires urgent psychiatric evaluation due to risks (reckless spending, unsafe behavior, hospitalization need). Relaxation and CBT may help later, but the first step is safety-focused psychiatric referral. Correct answer: A.