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Four myths about clinical social work licensing exams

July 24, 2017July 24, 2017 by Ben Caldwell

Ryan McGuire / Gratisography - licensed under Creative Commons ZeroIf you’re in the process of preparing for social work licensing exams, you may be dreading them. Those fears may be based on what you’ve heard about the exams — and what you’ve heard may not be true.

I hear complaints about clinical social work licensing exams on a regular basis. Some of the complaints have merit, but most are based on mythology. It’s as if we (quite understandably) have anxiety-based associations with our testing process, past or future, and then conjure up rational-sounding but factually baseless complaints about the process in an attempt to justify those fears.

Every person who becomes a licensed clinical social worker has to go through an examination process. While different jurisdictions organize the process differently, US states generally use the ASWB Clinical Exam. Many states also supplement that national exam with a separate exam covering areas of state law, such as state-based requirements for child abuse reporting. (If you’re in California, our new guide can help you prepare for the California Clinical Social Work Law & Ethics Exam.)

It’s okay to be anxious about the exam process on its own merits. These exams are high-stakes; if you fail, you typically have to wait several months to try again. That impacts your standing among your peers, your employment options, and potentially your income.

I still remember completing my exam for MFT licensure in California and feeling certain I had failed. In a matter of moments, I began mentally planning how I would explain the failure to my employer, and how I would do better next time. It turned out I had passed, but the memory of those anxious moments before getting my results stays with me. If I had failed, I wanted to blame someone else: How dare that test be too hard for me! It must be the test’s fault! I’m glad I didn’t take much of a walk down that road, but if I had, I would have had plenty of company. (The same myths as those listed here exist for MFT exams too.)

Once a rumor has started that serves to explain why the tests feel so frightening and why we feel so unsure of ourselves going into them, it is easy for that rumor to be perpetuated. Such stories are typically factually wrong, and they do a disservice to future test-takers by making the exams look cruel and unpredictable. But to someone who has failed a test (or worries they might), the stories offer comfort — and someone else to blame. So they live on each year.

Here are the four myths I hear about clinical social work licensing exams the most.

Myth #1: There are trick questions.

Simply put, a licensing exam that uses trick questions would not be legally defensible. Test developers go to tremendous lengths to make sure any potential exam item works well. They use several layers of review and pilot testing. If too many people miss a question, it gets flagged for even more review.

Myth #2: There is secret knowledge.

Test-prep companies make money perpetuating the mythology that they can provide you with “secrets” or other insider knowledge to help you pass the tests. Nonsense. The Association of Social Work Boards (which develops the Clinical Exam) offers a content outline that says what the exam will cover. They even offer an online practice test. They ultimately draw the information that forms the basis of their questions from the same textbooks and journal articles that graduate programs use to teach their students.

Myth #3: They attempt to assess whether you are an effective clinical social worker.

To be blunt, your licensing board does not care whether you are a great social worker or a lousy one. They only care about whether you can practice clinical social work competently enough so as to not be a danger to the public. That’s what the exams assess. Yes, ineffective social workers sometimes pass their licensing exams, and effective social workers sometimes fail. But effectiveness and potential dangerousness are two different things. If you want an outside evaluation of your quality as a CSW, look elsewhere. (Back in 2014, I examined in more detail the question of whether licensing exams lead to better quality counselors and therapists.)

Myth #4: The tests are written by people who aren’t clinical social workers.

ASWB uses licensed clinical social workers to write and review their tests. They describe the test development process here.

If you feel anxious about upcoming exams, do something about that anxiety instead of buying into the falsehoods above. That may mean simply more studying, or it may mean addressing the anxiety through meditation, therapy, or other methods. (Test-prep programs do not have secret knowledge, but if they help you feel more prepared and less anxious, they may well be worth it.) Rest assured the exam process, and those who designed it, are not out to get you or to trick you. With the right preparation, you can do well on exam day.

If you know someone else who is anxious about their clinical social work licensing exams, or even who has failed an exam, by all means, comfort them and empathize with them. Sometimes we just have bad days. But please don’t support any of the mythology above — those ideas just make the testing process look bigger, scarier, and less under your control than it really is.

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  • Exam Prep
    • California LMFT Clinical Exam Prep
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    • California LPCC Law & Ethics Exam Prep
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    • National MFT Exam Test Bank
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Basics of California Law for LMFTs, LPCCs, and LCSWs – 10th ed

Basics of California Law for LMFTs, LPCCs, and LCSWs - 10th edition front cover (c) Copyright 2023 Ben Caldwell LabsTenth edition (2023). A concise, digestible summary of vital elements of state law for master’s level therapists and mental health professionals.