CLT Clinical Application & Case Management 2

Question 1

A client with schizophrenia insists they do not need medication because they are 'completely fine.' Using the LEAP framework, what is the therapist's best immediate response?

Accepted Answer

Reflect the client's perspective back without challenging it

Answer

LEAP begins with Listen — reflecting the client's view without debate builds alliance before any agreement or partnership can occur.

Question 2

When a LEAP therapist uses 'strategic empathy,' they are primarily attempting to:

Accepted Answer

Validate feelings to reduce defensiveness and open dialogue

Answer

Strategic empathy communicates genuine understanding of the client's emotional experience, lowering resistance so productive conversation can follow.

Question 3

A case manager finds that a client with anosognosia has stopped attending appointments. Which LEAP-consistent approach should guide the outreach strategy?

Accepted Answer

Lead with curiosity about what the client has been experiencing

Answer

Resuming the 'Listen' phase by expressing genuine curiosity reestablishes alliance without triggering power struggles.

Question 4

During case formulation for a LEAP client, which factor most directly influences the therapist's pacing of the 'Agree' phase?

Accepted Answer

The client's current level of trust in the therapeutic relationship

Answer

Agreement in LEAP requires sufficient relational trust; moving too quickly without trust causes the client to feel manipulated.

Question 5

A LEAP therapist is working with a client who has bipolar disorder and refuses mood stabilizers during a manic phase. The most appropriate clinical goal at this stage is:

Accepted Answer

Identify one shared concern the client acknowledges regardless of diagnosis

Answer

Finding even a small area of shared concern anchors the partnership phase and keeps dialogue open without requiring full insight from the client.

(CLT) Certified Leap Therapist Practice Test

(CLT) Certified Leap Therapist Practice Test

CLT Clinical Application & Case Management 2