LMSW Practice Test

How might a therapist handle silence during the first group therapy session with new members?

1. Ask open-ended questions to prompt discussion

2. Announce the goals of the group

3. Perform group activities directly involving all members

4. Allow silence to assess comfort levels

The correct answer is: Ask open-ended questions to prompt discussion

While asking open-ended questions can indeed encourage involvement and prompt discussion, the most effective approach during the first group therapy session with new members often involves allowing silence to assess comfort levels. This technique can provide valuable insights into how participants are feeling within the group setting. Silence can create a space for reflection and may help members process their thoughts and feelings without immediate pressure to respond. It also allows members to observe one another and gauge the group dynamics, which can be particularly important for new members. By allowing some quiet time, the therapist can help establish a safe environment where individuals feel comfortable to share when they are ready. In contrast, while announcing the goals of the group and performing activities can structure the session, these approaches might inadvertently overwhelm new members who are still acclimating to the group dynamic. Immediate activity might push individuals who are feeling insecure or uncertain to engage before they are ready, which may not foster an effective therapeutic atmosphere.