Therapist Development Center Practice Exam 1

Which initial step should be taken if a young adult's substance use negatively affects family dynamics?

1. Explore family boundaries

2. Address substance use behavior

3. Examine patterns of manipulation

4. Assess potential for elder abuse

The correct answer is: Address substance use behavior

When a young adult's substance use is negatively impacting family dynamics, addressing the substance use behavior should be the first initial step. Focusing on substance use directly targets the root of the problem affecting the family and can lead to insights into how this behavior plays a role in the family dynamics. By engaging with the individual about their substance use, it opens a pathway to understanding the extent of the issue and the consequences it has on both the young adult and the family as a whole. This engagement can provide clarity on how the family's interactions, support systems, and emotional well-being are influenced by the individual's behavior. Addressing substance use first allows for a more structured approach in subsequent steps, such as exploring family boundaries or examining patterns of manipulation within family members that may arise as a result of the substance use. Resolving the immediate issue of substance use can create a healthier environment for families to address deeper dynamics collaboratively.