LCSW Clinical Exam Questions AND Correct Answers
Anal Stage - ✔✔(1-3 years) Freud believed that the
primary focus of the libido was on controlling bladder
and bowel movements. Toilet training is a primary issue
with children and parents. Too much pressure can result
in an excessive need for order or cleanliness later in life,
while too little pressure from parents can lead to messy
or destructive behavior later in life.
Anti social personality Disorder - ✔✔frequent physical
fights or assaults; irresponsibility; deceitfulness;
reckless disregard for safety; impulsive behavior; lack of
remorse
Asceticism - ✔✔_______________________ is
characterized by rigor and self‐denial.
An adult uses asceticism when she refuses to eat or
sleep until a major work project is complete.
An adolescent uses _______________________ to cope
with sexual tension and desire by refusing to engage in
all pleasurable activities
,Attachment Theory - ✔✔A model for understanding
how attachment to early caregivers affects our long
term functioning
• How a caregiver responds to an infant/toddler's cues
shapes that child's view of the world.
• Used to assess the bond between mother and child.
Observing how child responds when caregiver leaves
and returns to room.
• Poor attachment leads to indiscriminate attachment
and lack of trust.
Autism Spectrum Disorder - ✔✔Persistent deficits in
social communication and social interaction across
multiple contexts, as manifested by the following,
currently or by history (examples are illustrative, not
exhaustive; see text):
Deficits in social-emotional reciprocity, ranging, for
example, from abnormal social approach and failure of
normal back-and-forth conversation; to reduced sharing
of interests, emotions, or affect; to failure to initiate or
respond to social interactions.
,Deficits in nonverbal communicative behaviors used for
social interaction, ranging, for example, from poorly
integrated verbal and nonverbal communication; to
abnormalities in eye contact and body language or
deficits in understanding and use of gestures; to a total
lack of facial expressions and nonverbal
communication.
Deficits in developing, maintaining, and understand
relationships, ranging, for example, from difficulties
adjusting behavior to suit various social contexts; to
difficulties in sharing imaginative play or in making
friends; to absence of interest in peers.
Autonomy vs. Shame and Doubt - ✔✔(18 months to 3
years) The toddler's psychosocial task during this stage
is to achieve a sense of independence over her own
body in the context of relationships with primary
caregivers. If a child experiences autonomy (in walking,
exploring, etc.), she will gain confidence and pride,
which then become ego strengths. If the child is
overcontrolled or prohibited from exploring or
becoming autonomous, she is likely to feel doubtful of
her own abilities and excessive shame.
, Avoidant Personality Disorder - ✔✔fear of being
ridiculed; social inhibition; poor self-‐ image;
preoccupation with being criticized or rejected in social
situations; avoidance of new activities; reluctance to
take personal risks; restraint in intimate relationships;
desire for social relationships; feelings of loneliness
Behavioral Therapy - ✔✔Therapy that focuses on
change of behavior through reinforcements and
punishment
• Identify the problem, monitor behavior, reinforce
desired behavior
• Good for children with behavioral problems
Borderline Personality Disorder - ✔✔unstable
relationships; alternation between idealization and
devaluation (good object-‐bad object); feelings of
emptiness; mood reactivity; angry outbursts followed
by shame/guilt; impulsivity that is self-‐ damaging;
avoidance of abandonment (real or perceived); suicidal
Anal Stage - ✔✔(1-3 years) Freud believed that the
primary focus of the libido was on controlling bladder
and bowel movements. Toilet training is a primary issue
with children and parents. Too much pressure can result
in an excessive need for order or cleanliness later in life,
while too little pressure from parents can lead to messy
or destructive behavior later in life.
Anti social personality Disorder - ✔✔frequent physical
fights or assaults; irresponsibility; deceitfulness;
reckless disregard for safety; impulsive behavior; lack of
remorse
Asceticism - ✔✔_______________________ is
characterized by rigor and self‐denial.
An adult uses asceticism when she refuses to eat or
sleep until a major work project is complete.
An adolescent uses _______________________ to cope
with sexual tension and desire by refusing to engage in
all pleasurable activities
,Attachment Theory - ✔✔A model for understanding
how attachment to early caregivers affects our long
term functioning
• How a caregiver responds to an infant/toddler's cues
shapes that child's view of the world.
• Used to assess the bond between mother and child.
Observing how child responds when caregiver leaves
and returns to room.
• Poor attachment leads to indiscriminate attachment
and lack of trust.
Autism Spectrum Disorder - ✔✔Persistent deficits in
social communication and social interaction across
multiple contexts, as manifested by the following,
currently or by history (examples are illustrative, not
exhaustive; see text):
Deficits in social-emotional reciprocity, ranging, for
example, from abnormal social approach and failure of
normal back-and-forth conversation; to reduced sharing
of interests, emotions, or affect; to failure to initiate or
respond to social interactions.
,Deficits in nonverbal communicative behaviors used for
social interaction, ranging, for example, from poorly
integrated verbal and nonverbal communication; to
abnormalities in eye contact and body language or
deficits in understanding and use of gestures; to a total
lack of facial expressions and nonverbal
communication.
Deficits in developing, maintaining, and understand
relationships, ranging, for example, from difficulties
adjusting behavior to suit various social contexts; to
difficulties in sharing imaginative play or in making
friends; to absence of interest in peers.
Autonomy vs. Shame and Doubt - ✔✔(18 months to 3
years) The toddler's psychosocial task during this stage
is to achieve a sense of independence over her own
body in the context of relationships with primary
caregivers. If a child experiences autonomy (in walking,
exploring, etc.), she will gain confidence and pride,
which then become ego strengths. If the child is
overcontrolled or prohibited from exploring or
becoming autonomous, she is likely to feel doubtful of
her own abilities and excessive shame.
, Avoidant Personality Disorder - ✔✔fear of being
ridiculed; social inhibition; poor self-‐ image;
preoccupation with being criticized or rejected in social
situations; avoidance of new activities; reluctance to
take personal risks; restraint in intimate relationships;
desire for social relationships; feelings of loneliness
Behavioral Therapy - ✔✔Therapy that focuses on
change of behavior through reinforcements and
punishment
• Identify the problem, monitor behavior, reinforce
desired behavior
• Good for children with behavioral problems
Borderline Personality Disorder - ✔✔unstable
relationships; alternation between idealization and
devaluation (good object-‐bad object); feelings of
emptiness; mood reactivity; angry outbursts followed
by shame/guilt; impulsivity that is self-‐ damaging;
avoidance of abandonment (real or perceived); suicidal
