Certification Board for Music Therapists (CBMT) Practice Exam

What is the best response for a music therapist treating a client with vascular dementia who has become more withdrawn?

1. Continue treatment using music to address agitation and combativeness

2. Discontinue treatment as the client's passivity will increase

3. Remove the daughter from the music therapy session immediately

4. Re-evaluate the session length and interventions used during music therapy sessions

The correct answer is: Re-evaluate the session length and interventions used during music therapy sessions

The best response in this scenario involves re-evaluating the session length and interventions used during music therapy sessions. This option is correct because it emphasizes the importance of adapting therapeutic approaches to meet the evolving needs of the client. Clients with vascular dementia may experience changes in mood, engagement, and responsiveness, so a flexible and responsive treatment plan is essential. By reassessing the interventions and their effectiveness, the music therapist can identify what resonates best with the client, potentially modifying the types of music used, the duration of sessions, or the overall approach to better engage the individual and address their withdrawal. It reflects a person-centered approach, ensuring that therapy remains relevant and supportive in light of the client's current state. Regular re-evaluation is a foundational aspect of effective therapeutic practice, particularly in cases involving cognitive decline, as it provides opportunities for adjustment that can significantly enhance the client's experience and support their well-being.