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CBT with exposure and skills training is effective for social anxiety. Role-plays simulate interviews, challenge negative thoughts, and build coping skills. Homework assignments generalize skills to real settings. Option B reinforces avoidance. Option C misses core anxiety issues. Option D delays functional improvement. Structured CBT helps restore confidence and employability.

Denial is common in substance use disorders. Assessment should include patterns of use, consequences, motivation, and supports. Screening for mental health and trauma informs treatment planning. Option B is premature. Option C avoids critical issues. Option D is incomplete. Exploring denial and readiness provides the basis for motivational interviewing and recovery planning.

ADHD management requires multimodal interventions. Beyond medication, strategies include homework routines, visual schedules, task breakdowns, and parent-teacher collaboration. Skills training builds independence and reduces frustration. Option B is inadequate. Option C is punitive and ineffective. Option D overlooks academic functioning. Combining behavioral interventions with medication support yields best outcomes.

Expensive gifts compromise boundaries and risk exploitation. The social worker should decline respectfully, explain agency policy, and explore the meaning of the gift. Document the decision. Option A and C blur boundaries. Option D avoids transparency. Declining with explanation maintains professionalism and therapeutic trust.

Fatigue, weight changes, and hopelessness may signal depression or medical illness. Assessment should cover mood, suicidality, medical history, and psychosocial stressors. Referral for medical evaluation rules out thyroid or metabolic disorders. Option B is premature. Option C is too narrow. Option D neglects risks. Comprehensive assessment ensures accurate care.