Certification Board for Music Therapists (CBMT) Practice Exam

What is the BEST action for a music therapist if a client with severe agitation engages pleasantly during assessment?

1. Assume agitation relates to specific staff

2. Conclude therapy is inappropriate

3. Recommend services based on engagement

4. Identify potential causes for the observations

The correct answer is: Identify potential causes for the observations

Identifying potential causes for the observations is an essential action for a music therapist in this scenario, as it allows for a deeper understanding of the client's behaviors and feelings. Severe agitation can often be influenced by various factors, including environmental settings, interactions with specific staff members, or underlying psychological conditions. By exploring these potential causes, the therapist can differentiate between the client's general disposition and situational triggers. This understanding is crucial in tailoring a therapy approach that is sensitive to the client's needs and promotes a more effective therapeutic environment. Additionally, recognizing the pleasant engagement during the assessment can provide valuable insights into moments of stability or enjoyment for the client, which could be leveraged in future sessions. By prioritizing the identification of causes behind the client's responses, the music therapist positions themselves to better support the client, ensuring that any interventions are grounded in a comprehensive understanding of their relationship with music and their emotional state. This approach emphasizes a client-centered practice that promotes the best outcomes in therapy.