Clinical Practice SWES Practice Exam

In addressing a client whose husband is a compulsive gambler, what should the social worker prioritize?

1. Involving the husband in therapy sessions

2. Focusing on the wife’s feelings and behavior

3. Providing resources for gambling support

4. Discussing the couple's financial strategies

The correct answer is: Focusing on the wife’s feelings and behavior

Focusing on the wife’s feelings and behavior is prioritized because the emotional toll of living with a compulsive gambler can be significant for the spouse. When a partner is compulsively gambling, the affected individual may experience feelings of helplessness, anxiety, anger, and loss. It is essential for the social worker to create a safe space for the wife to express her feelings and to work through the impact of her husband’s gambling on her mental and emotional well-being. This approach allows the social worker to help the wife regain a sense of control and agency in her life, which may be compromised due to her husband's gambling behavior. By prioritizing the wife's perspective, the social worker can support her in developing coping strategies and understanding the dynamics of her relationship. Simultaneously, this focus can lead to better outcomes in therapy, as addressing her feelings is foundational for any further steps regarding the husband or couple's situation. Involving the husband in therapy may not be as effective at this stage if the wife's emotional state has not been addressed. Providing resources for gambling support and discussing financial strategies are indeed important, but they may not be the most immediate priority when considering the psychological impact on the wife herself. She needs to be emotionally supported first before tackling logistical issues.