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In treating adults, when should a social worker discuss potential medication options?

  1. After establishing a therapeutic rapport.

  2. If the client shows signs of severe psychological distress.

  3. During the first session to understand client expectations.

  4. Once the client has successfully engaged in therapy.

The correct answer is: After establishing a therapeutic rapport.

Discussing potential medication options after establishing a therapeutic rapport is essential in therapy. Building rapport creates a safe and trusting environment where clients feel comfortable sharing their concerns, vulnerabilities, and preferences. This relationship is fundamental for any discussions regarding treatment, including medication, as it ensures clients are more likely to engage openly with their social worker about their experiences and needs. Establishing rapport early on allows the therapist to understand the client's history, treatment goals, and any apprehensions they may have regarding medication. This understanding can lead to a more thoughtful discussion about the appropriateness of medication and how it fits into the client's overall treatment plan. In contrast, discussing medication without first establishing rapport could lead to misunderstandings and resistance from clients, as they may feel overwhelmed or pressured. It is vital for clients to feel they are part of the decision-making process regarding their treatment. Thus, the timing and context of such discussions can significantly influence a client's willingness to consider all options, including medication.