Certification Board for Music Therapists (CBMT) Practice Exam

During a session, a music therapist notices the client is not engaging. What should the therapist's first step be?

1. Change the music to popular choices immediately

2. Assess the client's current emotional state

3. Redirect the group’s focus to another activity

4. Inquire about the client’s personal preferences

The correct answer is: Assess the client's current emotional state

The first step for the music therapist when noticing a client's lack of engagement is to assess the client's current emotional state. This approach is grounded in the therapeutic alliance and aims to understand the underlying reasons for the client's behavior. By identifying how the client feels at that moment, the therapist can tailor the session to better meet their needs and adjust interventions accordingly. Understanding the client's emotional state allows for a more responsive and empathetic approach. For instance, if a client is feeling anxious or upset, the therapist can employ soothing music or calming activities to help the client feel more comfortable and engaged. Conversely, if the client appears disinterested due to boredom, the therapist may then choose to introduce more dynamic music or activities that align with the client's interests. This strategy emphasizes a client-centered approach, which is essential in music therapy. It prioritizes the client's experiences and emotions, ensuring that interventions are appropriate and constructive based on their current state.