California Law and Ethics Practice Exam

What is one of the first actions a therapist should take if a client is severely depressed and considering suicide?

1. Refer the client to a psychiatrist for medication

2. Discuss the client’s feelings in-depth

3. Refer the client to a physician to rule out physical issues

4. Encourage the client to reach out to friends

The correct answer is: Refer the client to a physician to rule out physical issues

In the context of a client who is severely depressed and considering suicide, it is crucial for a therapist to first ensure the safety and well-being of the client. Referring the client to a physician to rule out any physical issues is a proactive approach because physical health can significantly impact mental health. Conditions such as thyroid disorders or neurological issues can mimic or exacerbate symptoms of depression. By addressing potential physical health concerns, a therapist can ensure that the client receives comprehensive care that includes both medical and mental health support. Evaluating physical health is an essential step before diving deeper into mental health discussions or therapeutic interventions. If there are underlying medical issues contributing to the client's depressive symptoms, treating those may alleviate some of the psychological distress, making it easier for the client to engage in therapy effectively. Establishing this foundation is critical in a situation where the risk of suicide is present, as it allows for a more nuanced understanding of the client's overall condition.