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What Is Problem-Solving Therapy?

Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." She has a Master's degree in psychology.

Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania.

Verywell / Madelyn Goodnight

Problem-Solving Therapy Techniques

How effective is problem-solving therapy, things to consider, how to get started.

Problem-solving therapy is a brief intervention that provides people with the tools they need to identify and solve problems that arise from big and small life stressors. It aims to improve your overall quality of life and reduce the negative impact of psychological and physical illness.

Problem-solving therapy can be used to treat depression , among other conditions. It can be administered by a doctor or mental health professional and may be combined with other treatment approaches.

At a Glance

Problem-solving therapy is a short-term treatment used to help people who are experiencing depression, stress, PTSD, self-harm, suicidal ideation, and other mental health problems develop the tools they need to deal with challenges. This approach teaches people to identify problems, generate solutions, and implement those solutions. Let's take a closer look at how problem-solving therapy can help people be more resilient and adaptive in the face of stress.

Problem-solving therapy is based on a model that takes into account the importance of real-life problem-solving. In other words, the key to managing the impact of stressful life events is to know how to address issues as they arise. Problem-solving therapy is very practical in its approach and is only concerned with the present, rather than delving into your past.

This form of therapy can take place one-on-one or in a group format and may be offered in person or online via telehealth . Sessions can be anywhere from 30 minutes to two hours long. 

Key Components

There are two major components that make up the problem-solving therapy framework:

• Applying a positive problem-solving orientation to your life
• Using problem-solving skills

A positive problem-solving orientation means viewing things in an optimistic light, embracing self-efficacy , and accepting the idea that problems are a normal part of life. Problem-solving skills are behaviors that you can rely on to help you navigate conflict, even during times of stress. This includes skills like:

• Knowing how to identify a problem
• Defining the problem in a helpful way
• Trying to understand the problem more deeply
• Setting goals related to the problem
• Generating alternative, creative solutions to the problem
• Choosing the best course of action
• Implementing the choice you have made
• Evaluating the outcome to determine next steps

Problem-solving therapy is all about training you to become adaptive in your life so that you will start to see problems as challenges to be solved instead of insurmountable obstacles. It also means that you will recognize the action that is required to engage in effective problem-solving techniques.

Planful Problem-Solving

One problem-solving technique, called planful problem-solving, involves following a series of steps to fix issues in a healthy, constructive way:

• Problem definition and formulation : This step involves identifying the real-life problem that needs to be solved and formulating it in a way that allows you to generate potential solutions.
• Generation of alternative solutions : This stage involves coming up with various potential solutions to the problem at hand. The goal in this step is to brainstorm options to creatively address the life stressor in ways that you may not have previously considered.
• Decision-making strategies : This stage involves discussing different strategies for making decisions as well as identifying obstacles that may get in the way of solving the problem at hand.
• Solution implementation and verification : This stage involves implementing a chosen solution and then verifying whether it was effective in addressing the problem.

Other Techniques

Other techniques your therapist may go over include:

• Problem-solving multitasking , which helps you learn to think clearly and solve problems effectively even during times of stress
• Stop, slow down, think, and act (SSTA) , which is meant to encourage you to become more emotionally mindful when faced with conflict
• Healthy thinking and imagery , which teaches you how to embrace more positive self-talk while problem-solving

What Problem-Solving Therapy Can Help With

Problem-solving therapy addresses life stress issues and focuses on helping you find solutions to concrete issues. This approach can be applied to problems associated with various psychological and physiological symptoms.

Mental Health Issues

Problem-solving therapy may help address mental health issues, like:

• Chronic stress due to accumulating minor issues
• Complications associated with traumatic brain injury (TBI)
• Emotional distress
• Post-traumatic stress disorder (PTSD)
• Problems associated with a chronic disease like cancer, heart disease, or diabetes
• Self-harm and feelings of hopelessness
• Substance use
• Suicidal ideation

Specific Life Challenges

This form of therapy is also helpful for dealing with specific life problems, such as:

• Death of a loved one
• Dissatisfaction at work
• Everyday life stressors
• Family problems
• Financial difficulties
• Relationship conflicts

Your doctor or mental healthcare professional will be able to advise whether problem-solving therapy could be helpful for your particular issue. In general, if you are struggling with specific, concrete problems that you are having trouble finding solutions for, problem-solving therapy could be helpful for you.

Benefits of Problem-Solving Therapy

The skills learned in problem-solving therapy can be helpful for managing all areas of your life. These can include:

• Being able to identify which stressors trigger your negative emotions (e.g., sadness, anger)
• Confidence that you can handle problems that you face
• Having a systematic approach on how to deal with life's problems
• Having a toolbox of strategies to solve the issues you face
• Increased confidence to find creative solutions
• Knowing how to identify which barriers will impede your progress
• Knowing how to manage emotions when they arise
• Reduced avoidance and increased action-taking
• The ability to accept life problems that can't be solved
• The ability to make effective decisions
• The development of patience (realizing that not all problems have a "quick fix")

Problem-solving therapy can help people feel more empowered to deal with the problems they face in their lives. Rather than feeling overwhelmed when stressors begin to take a toll, this therapy introduces new coping skills that can boost self-efficacy and resilience .

Other Types of Therapy

Other similar types of therapy include cognitive-behavioral therapy (CBT) and solution-focused brief therapy (SFBT) . While these therapies work to change thinking and behaviors, they work a bit differently. Both CBT and SFBT are less structured than problem-solving therapy and may focus on broader issues. CBT focuses on identifying and changing maladaptive thoughts, and SFBT works to help people look for solutions and build self-efficacy based on strengths.

This form of therapy was initially developed to help people combat stress through effective problem-solving, and it was later adapted to address clinical depression specifically. Today, much of the research on problem-solving therapy deals with its effectiveness in treating depression.

Problem-solving therapy has been shown to help depression in: 

• Older adults
• People coping with serious illnesses like cancer

Problem-solving therapy also appears to be effective as a brief treatment for depression, offering benefits in as little as six to eight sessions with a therapist or another healthcare professional. This may make it a good option for someone unable to commit to a lengthier treatment for depression.

Problem-solving therapy is not a good fit for everyone. It may not be effective at addressing issues that don't have clear solutions, like seeking meaning or purpose in life. Problem-solving therapy is also intended to treat specific problems, not general habits or thought patterns .

In general, it's also important to remember that problem-solving therapy is not a primary treatment for mental disorders. If you are living with the symptoms of a serious mental illness such as bipolar disorder or schizophrenia , you may need additional treatment with evidence-based approaches for your particular concern.

Problem-solving therapy is best aimed at someone who has a mental or physical issue that is being treated separately, but who also has life issues that go along with that problem that has yet to be addressed.

For example, it could help if you can't clean your house or pay your bills because of your depression, or if a cancer diagnosis is interfering with your quality of life.

Your doctor may be able to recommend therapists in your area who utilize this approach, or they may offer it themselves as part of their practice. You can also search for a problem-solving therapist with help from the American Psychological Association’s (APA) Society of Clinical Psychology .

If receiving problem-solving therapy from a doctor or mental healthcare professional is not an option for you, you could also consider implementing it as a self-help strategy using a workbook designed to help you learn problem-solving skills on your own.

During your first session, your therapist may spend some time explaining their process and approach. They may ask you to identify the problem you’re currently facing, and they’ll likely discuss your goals for therapy .

Keep In Mind

Problem-solving therapy may be a short-term intervention that's focused on solving a specific issue in your life. If you need further help with something more pervasive, it can also become a longer-term treatment option.

Get Help Now

We've tried, tested, and written unbiased reviews of the best online therapy programs including Talkspace, BetterHelp, and ReGain. Find out which option is the best for you.

Shang P, Cao X, You S, Feng X, Li N, Jia Y. Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials .  Aging Clin Exp Res . 2021;33(6):1465-1475. doi:10.1007/s40520-020-01672-3

Cuijpers P, Wit L de, Kleiboer A, Karyotaki E, Ebert DD. Problem-solving therapy for adult depression: An updated meta-analysis . Eur Psychiatry . 2018;48(1):27-37. doi:10.1016/j.eurpsy.2017.11.006

Nezu AM, Nezu CM, D'Zurilla TJ. Problem-Solving Therapy: A Treatment Manual . New York; 2013. doi:10.1891/9780826109415.0001

Owens D, Wright-Hughes A, Graham L, et al. Problem-solving therapy rather than treatment as usual for adults after self-harm: a pragmatic, feasibility, randomised controlled trial (the MIDSHIPS trial) .  Pilot Feasibility Stud . 2020;6:119. doi:10.1186/s40814-020-00668-0

Sorsdahl K, Stein DJ, Corrigall J, et al. The efficacy of a blended motivational interviewing and problem solving therapy intervention to reduce substance use among patients presenting for emergency services in South Africa: A randomized controlled trial . Subst Abuse Treat Prev Policy . 2015;10(1):46. doi:doi.org/10.1186/s13011-015-0042-1

Margolis SA, Osborne P, Gonzalez JS. Problem solving . In: Gellman MD, ed. Encyclopedia of Behavioral Medicine . Springer International Publishing; 2020:1745-1747. doi:10.1007/978-3-030-39903-0_208

Kirkham JG, Choi N, Seitz DP. Meta-analysis of problem solving therapy for the treatment of major depressive disorder in older adults . Int J Geriatr Psychiatry . 2016;31(5):526-535. doi:10.1002/gps.4358

Garand L, Rinaldo DE, Alberth MM, et al. Effects of problem solving therapy on mental health outcomes in family caregivers of persons with a new diagnosis of mild cognitive impairment or early dementia: A randomized controlled trial . Am J Geriatr Psychiatry . 2014;22(8):771-781. doi:10.1016/j.jagp.2013.07.007

Noyes K, Zapf AL, Depner RM, et al. Problem-solving skills training in adult cancer survivors: Bright IDEAS-AC pilot study .  Cancer Treat Res Commun . 2022;31:100552. doi:10.1016/j.ctarc.2022.100552

Albert SM, King J, Anderson S, et al. Depression agency-based collaborative: effect of problem-solving therapy on risk of common mental disorders in older adults with home care needs . The American Journal of Geriatric Psychiatry . 2019;27(6):619-624. doi:10.1016/j.jagp.2019.01.002

By Arlin Cuncic, MA Arlin Cuncic, MA, is the author of "Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder" and "7 Weeks to Reduce Anxiety." She has a Master's degree in psychology.

Cognitive Behavioral Therapy

Solving problems the cognitive-behavioral way, problem solving is another part of behavioral therapy..

Posted February 2, 2022 | Reviewed by Ekua Hagan

• What Is Cognitive Behavioral Therapy?
• Find a therapist who practices CBT
• Problem-solving is one technique used on the behavioral side of cognitive-behavioral therapy.
• The problem-solving technique is an iterative, five-step process that requires one to identify the problem and test different solutions.
• The technique differs from ad-hoc problem-solving in its suspension of judgment and evaluation of each solution.

As I have mentioned in previous posts, cognitive behavioral therapy is more than challenging negative, automatic thoughts. There is a whole behavioral piece of this therapy that focuses on what people do and how to change their actions to support their mental health. In this post, I’ll talk about the problem-solving technique from cognitive behavioral therapy and what makes it unique.

The problem-solving technique

While there are many different variations of this technique, I am going to describe the version I typically use, and which includes the main components of the technique:

The first step is to clearly define the problem. Sometimes, this includes answering a series of questions to make sure the problem is described in detail. Sometimes, the client is able to define the problem pretty clearly on their own. Sometimes, a discussion is needed to clearly outline the problem.

The next step is generating solutions without judgment. The "without judgment" part is crucial: Often when people are solving problems on their own, they will reject each potential solution as soon as they or someone else suggests it. This can lead to feeling helpless and also discarding solutions that would work.

The third step is evaluating the advantages and disadvantages of each solution. This is the step where judgment comes back.

Fourth, the client picks the most feasible solution that is most likely to work and they try it out.

The fifth step is evaluating whether the chosen solution worked, and if not, going back to step two or three to find another option. For step five, enough time has to pass for the solution to have made a difference.

This process is iterative, meaning the client and therapist always go back to the beginning to make sure the problem is resolved and if not, identify what needs to change.

Advantages of the problem-solving technique

The problem-solving technique might differ from ad hoc problem-solving in several ways. The most obvious is the suspension of judgment when coming up with solutions. We sometimes need to withhold judgment and see the solution (or problem) from a different perspective. Deliberately deciding not to judge solutions until later can help trigger that mindset change.

Another difference is the explicit evaluation of whether the solution worked. When people usually try to solve problems, they don’t go back and check whether the solution worked. It’s only if something goes very wrong that they try again. The problem-solving technique specifically includes evaluating the solution.

Lastly, the problem-solving technique starts with a specific definition of the problem instead of just jumping to solutions. To figure out where you are going, you have to know where you are.

One benefit of the cognitive behavioral therapy approach is the behavioral side. The behavioral part of therapy is a wide umbrella that includes problem-solving techniques among other techniques. Accessing multiple techniques means one is more likely to address the client’s main concern.

Salene M. W. Jones, Ph.D., is a clinical psychologist in Washington State.

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Problem-Solving Therapy

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Alexopoulos, G. S., Kiosses, D. N., Heo, M., Murphy, C. F., Shanmugham, B., & Gunning-Dixon, F. (2005). Executive dysfunction and the course of geriatric depression. Biological Psychiatry, 58 (3), 204–210.

Article   PubMed   Google Scholar  

Areán, P. A., & Huh, J. W. T. (2006). Problem-solving therapy with older adults. In S. H. Qualls & B. G. Knight (Eds.), Psychotherapy for depression in older adults (1st ed., pp. 133–149). Hoboken: Wiley.

Google Scholar  

Areán, P., Hegel, M., Vannoy, S., Fan, M. Y., & Unuzter, J. (2008). Effectiveness of problem-solving therapy for older, primary care patients with depression: Results from the IMPACT project. Gerontologist, 48 (3), 311–323.

Ciechanowski, P., Wagner, E., Schmaling, K., Schwartz, S., Williams, B., Diehr, P., Kulzer, J., Gray, S., Collier, C., & LoGerfo, J. (2004). Community-integrated home-based depression treatment in older adults: A randomized controlled trial. JAMA, 291 (13), 1569–1577.

Article   CAS   PubMed   Google Scholar  

Crabb, R. M., & Areán, P. A. (2015). Problem-solving treatment for late-life depression. In P. A. Areán (Ed.), Treatment of late-life depression, anxiety, and substance abuse (pp. 83–102). Washington, DC: American Psychological Association.

Chapter   Google Scholar  

D’Zurilla, T. J., & Nezu, A. M. (2006). Problem-solving therapy: A positive approach to clinical intervention (3rd ed.). New York: Springer.

D’Zurilla, T. J., Nezu, A. M., & Maydeu-Olivarez, A. (2002). Social problem-solving inventory – Revised (SPSI-R) . North Tonawanda: Multi-Health Systems.

Kiosses, D. N., & Alexopoulos, G. (2014). Problem-solving therapy in the elderly. Current Treatment Options in Psychiatry, 1 (1), 15–26.

Article   PubMed   PubMed Central   Google Scholar  

Knight, B. (2009). Adapting psychotherapy for working with older adults [DVD]. American Psychological Association. ISBN 9781433803666.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping . New York: Springer.

Lynch, T. R., & Smoski, M. J. (2009). Individual and group psychotherapy. In M. D. Steffens, D. Blazer, D. C. Steffens, & M. E. Thakur (Eds.), The American Psychiatric Publishing text book of geriatric psychiatry (4th ed., pp. 521–538). Arlington: American Psychiatric Publishing.

Mikami, K., Jorge, R. E., Moser, D. J., Arndt, S., Jang, M., Solodkin, A., Small, S. L., Fonzetti, P., Hegel, M. T., & Robinson, R. G. (2014). Prevention of post-stroke generalized anxiety disorder, using escitalopram or problem-solving therapy. Journal of Neuropsychiatry and Clinical Neurosciences, 26 (4), 323–328.

Nezu, A. M., Nezu, C. M., & Perri, M. G. (1989). Problem-solving therapy for depression: Therapy, research, and clinical guidelines . New York: Wiley.

Nezu, A. M., Nezu, C. M., Friedman, S. H., Faddis, S., & Houts, P. S. (1998). Helping cancer patients cope: A problem-solving approach . Washington, DC: American Psychological Association.

Book   Google Scholar  

Nezu, A. M., Nezu, C. M., & D’Zurilla, T. J. (2007). Solving life’s problems: A 5 step guide to enhanced well-being . New York: Springer.

Shah, A., Scogin, F., & Floyd, M. (2012). Evidence-based psychological treatments for geriatric depression. In F. Scogin & A. Shah (Eds.), Making evidence-based psychological treatments work with older adults (1st ed., pp. 87–130). Washington, DC: American Psychological Association.

Sharpe, L., Gittins, C. B., Correia, H. M., Meade, T., Nicholas, M. K., Raue, P. J., McDonald, S., & Areán, P. A. (2012). Problem-solving versus cognitive restructuring of medically ill seniors with depression (PROMISE-D trial): Study protocol and design. BMC Psychiatry, 12 (1), 207–216.

Simon, S. S., Cordás, T. A., & Bottino, C. M. (2015). Cognitive behavioral therapies in older adults with depression and cognitive deficits: A systematic review. International Journal of Geriatric Psychiatry, 30 (3), 223–233.

Zarit, S. (1996). Interventions with family caregivers. In S. H. Zarit & B. G. Knight (Eds.), Effective clinical interventions in a life-stage context: A guide to psychotherapy and aging (1st ed., pp. 139–159). Washington, DC: American Psychological Association.

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7 Solution-Focused Therapy Techniques and Worksheets (+PDF)

It has analyzed a person’s problems from where they started and how those problems have an effect on that person’s life.

Out of years of observation of family therapy sessions, the theory and applications of solution-focused therapy developed.

Let’s explore the therapy, along with techniques and applications of the approach.

Before you read on, we thought you might like to download our three Positive Psychology Exercises for free . These science-based exercises will explore fundamental aspects of positive psychology including strengths, values, and self-compassion, and will give you the tools to enhance the wellbeing of your clients, students, or employees.

This Article Contains:

5 solution-focused therapy techniques, handy sft worksheets (pdf), solution-focused therapy interventions, 5 sft questions to ask clients, solution-focused brief therapy (sfbt techniques), 4 activities & exercises, best sft books, a take-home message.

Solution-focused therapy is a type of treatment that highlights a client’s ability to solve problems, rather than why or how the problem was created. It was developed over some time after observations of therapists in a mental health facility in Wisconsin by Steve de Shazer and Insoo Kim Berg and their colleagues.

Like positive psychology, Solution Focused Therapy (SFT) practitioners focus on goal-oriented questioning to assist a client in moving into a future-oriented direction.

Solution-focused therapy has been successfully applied to a wide variety of client concerns due to its broad application. It has been utilized in a wide variety of client groups as well. The approach presupposes that clients have some knowledge of what will improve their lives.

The following areas have utilized SFT with varying success:

• relationship difficulties
• drug and alcohol abuse
• eating disorders
• anger management
• communication difficulties
• crisis intervention
• incarceration recidivism reduction

Goal clarification is an important technique in SFT. A therapist will need to guide a client to envision a future without the problem with which they presented. With coaching and positive questioning, this vision becomes much more clarified.

With any presenting client concern, the main technique in SFT is illuminating the exception. The therapist will guide the client to an area of their life where there is an exception to the problem. The exception is where things worked well, despite the problem. Within the exception, an approach for a solution may be forged.

The ‘miracle question’ is another technique frequently used in SFT. It is a powerful tool that helps clients to move into a solution orientation. This question allows clients to begin small steps toward finding solutions to presenting problems (Santa Rita Jr., 1998). It is asked in a specific way and is outlined later in this article.

Experiment invitation is another way that therapists guide clients into solution orientation. By inviting clients to build on what is already working, clients automatically focus on the positive. In positive psychology, we know that this allows the client’s mind to broaden and build from that orientation.

Utilizing what has been working experimentally allows the client to find what does and doesn’t work in solving the issue at hand. During the second half of a consultation with a client, many SFT therapists take a break to reflect on what they’ve learned during the beginning of the session.

Consultation breaks and invitations for more information from clients allow for both the therapist and client to brainstorm on what might have been missed during the initial conversations. After this break, clients are complemented and given a therapeutic message about the presenting issue. The message is typically stated in the positive so that clients leave with a positive orientation toward their goals.

Here are four handy worksheets for use with solution-focused therapy.

• Miracle worksheet
• Exceptions to the Problem Worksheet
• Scaling Questions Worksheet
• SMART+ Goals Worksheet

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Enhance wellbeing with these free, science-based exercises that draw on the latest insights from positive psychology.

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Compliments are frequently used in SFT, to help the client begin to focus on what is working, rather than what is not. Acknowledging that a client has an impact on the movement toward a goal allows hope to become present. Once hope and perspective shift occurs, a client can decide what daily actions they would like to take in attaining a goal.

Higher levels of hope and optimism can predict the following desirable outcomes (Peterson & Seligman, 2004):

• achievement in all sorts of areas
• freedom from anxiety and depression
• improved social relationships
• improved physical well being

Mind mapping is an effective intervention also used to increase hope and optimism. This intervention is often used in life coaching practices. A research study done on solution-focused life coaching (Green, Oades, & Grant, 2006) showed that this type of intervention increases goal striving and hope, in addition to overall well-being.

Though life coaching is not the same as therapy, this study shows the effectiveness of improving positive behavior through solution-focused questioning.

Mind mapping is a visual thinking tool that helps structure information. It helps clients to better analyze, comprehend, and generate new ideas in areas they might not have been automatically self-generated. Having it on paper gives them a reference point for future goal setting as well.

Empathy is vital in the administration of SFBT. A client needs to feel heard and held by the practitioner for any forward movement to occur. Intentionally leaning in to ensure that a client knows that the practitioner is engaged in listening is recommended.

Speaking to strengths and aligning those strengths with goal setting are important interventions in SFT. Recognizing and acknowledging what is already working for the client validates strengths. Self-recognition of these strengths increases self-esteem and in turn, improves forward movement.

The questions asked in Solution-Focused Therapy are positively directed and in a goal-oriented stance. The intention is to allow a perspective shift by guiding clients in the direction of hope and optimism to lead them to a path of positive change. Results and progress come from focusing on the changes that need to be made for goal attainment and increased well being.

1. Miracle Question

Here is a clear example of how to administer the miracle question. It should be delivered deliberately. When done so, it allows the client to imagine the miracle occurring.

“ Now, I want to ask you a strange question. Suppose that while you are sleeping tonight and the entire house is quiet, a miracle happens. The miracle is that the problem which brought you here is solved. However, because you are sleeping, you don’t know that the miracle has happened. So, when you wake up tomorrow morning, what will be different that will tell you that a miracle has happened and the problem which brought you here is solved? ” (de Shazer, 1988)

2. Presupposing change questions

A practitioner of solution-focused therapy asks questions in an approach derived way.

Here are a few examples of presupposing change questions:

“What stopped complete disaster from occurring?” “How did you avoid falling apart.” “What kept you from unraveling?”

3. Exception Questions

Examples of exception questions include:

1. Tell me about times when you don’t get angry. 2. Tell me about times you felt the happiest. 3. When was the last time that you feel you had a better day? 4. Was there ever a time when you felt happy in your relationship? 5. What was it about that day that made it a better day? 6. Can you think of a time when the problem was not present in your life?

4. Scaling Questions

These are questions that allow a client to rate their experience. They also allow for a client to evaluate their motivation to change their experience. Scaling questions allow for a practitioner to add a follow-up question that is in the positive as well.

An example of a scaling question: “On a scale of 1-10, with 10 representing the best it can be and one the worst, where would you say you are today?”

A follow-up question: “ Why a four and not a five?”

Questions like these allow the client to explore the positive, as well as their commitment to the changes that need to occur.

5. Coping Questions

These types of questions open clients up to their resiliency. Clients are experts in their life experience. Helping them see what works, allows them to grow from a place of strength.

“How have you managed so far?” “What have you done to stay afloat?” “What is working?”

3 Scaling questions from Solution Focused Therapy – Uncommon Practitioners

The main idea behind SFBT is that the techniques are positively and solution-focused to allow a brief amount of time for the client to be in therapy. Overall, improving the quality of life for each client, with them at the center and in the driver’s seat of their growth. SFBT typically has an average of 5-8 sessions.

During the sessions, goals are set. Specific experimental actions are explored and deployed into the client’s daily life. By keeping track of what works and where adjustments need to be made, a client is better able to track his or her progress.

A method has developed from the Miracle Question entitled, The Miracle Method . The steps follow below (Miller & Berg, 1996). It was designed for combatting problematic drinking but is useful in all areas of change.

• State your desire for something in your life to be different.
• Envision a miracle happening, and your life IS different.
• Make sure the miracle is important to you.
• Keep the miracle small.
• Define the change with language that is positive, specific, and behavioral.
• State how you will start your journey, rather than how you will end it.
• Be clear about who, where, and when, but not the why.

A short selection of exercises which can be used

1. Solution-focused art therapy/ letter writing

A powerful in-session task is to request a client to draw or write about one of the following, as part of art therapy :

• a picture of their miracle
• something the client does well
• a day when everything went well. What was different about that day?
• a special person in their life

2. Strengths Finders

Have a client focus on a time when they felt their strongest. Ask them to highlight what strengths were present when things were going well. This can be an illuminating activity that helps clients focus on the strengths they already have inside of them.

A variation of this task is to have a client ask people who are important in their lives to tell them how they view the client’s strengths. Collecting strengths from another’s perspective can be very illuminating and helpful in bringing a client into a strength perspective.

3. Solution Mind Mapping

A creative way to guide a client into a brainstorm of solutions is by mind mapping. Have the miracle at the center of the mind map. From the center, have a client create branches of solutions to make that miracle happen. By exploring solution options, a client will self-generate and be more connected to the outcome.

4. Experiment Journals

Encourage clients to do experiments in real-life settings concerning the presenting problem. Have the client keep track of what works from an approach perspective. Reassure the client that a variety of experiments is a helpful approach.

17 Top-Rated Positive Psychology Exercises for Practitioners

Expand your arsenal and impact with these 17 Positive Psychology Exercises [PDF] , scientifically designed to promote human flourishing, meaning, and wellbeing.

Created by Experts. 100% Science-based.

These books are recommended reads for solution-focused therapy.

1. The Miracle Method: A Radically New Approach to Problem Drinking – Insoo Kim Berg and Scott D. Miller Ph.D.

The Miracle Method by Scott D. Miller and Insoo Kim Berg is a book that has helped many clients overcome problematic drinking since the 1990s.

By utilizing the miracle question in the book, those with problematic drinking behaviors are given the ability to envision a future without the problem.

Concrete, obtainable steps in reaching the envisioned future are laid out in this supportive read.

Available on Amazon .

2. Solution Focused Brief Therapy: 100 Key Points and Techniques – Harvey Ratney, Evan George and Chris Iveson

Solution Focused Brief Therapy: 100 Key Points and Techniques is a well-received book on solution-focused therapy. Authors Ratner, George, and Iveson provide a concisely written and easily understandable guide to the approach.

Its accessibility allows for quick and effective change in people’s lives.

The book covers the approach’s history, philosophical underpinnings, techniques, and applications. It can be utilized in organizations, coaching, leadership, school-based work, and even in families.

The work is useful for any practitioner seeking to learn the approach and bring it into practice.

3. Handbook of Solution-Focused Brief Therapy (Jossey-Bass Psychology) – Scott D. Miller, Mark Hubble and Barry L. Duncan

It includes work from 28 of the lead practitioners in the field and how they have integrated the solution-focused approach with the problem-focused approach.

It utilizes research across treatment modalities to better equip new practitioners with as many tools as possible.

4. More Than Miracles: The State of the Art of Solution -Focused Therapy  (Routledge Mental Health Classic Editions) – Steve de Shazer and Yvonne Dolan

It allows the reader to peek into hundreds of hours of observation of psychotherapy.

It highlights what questions work and provides a thoughtful overview of applications to complex problems.

Solution-Focused Therapy is an approach that empowers clients to own their abilities in solving life’s problems. Rather than traditional psychotherapy that focuses on how a problem was derived, SFT allows for a goal-oriented focus to problem-solving. This approach allows for future-oriented, rather than past-oriented discussions to move a client forward toward the resolutions of their present problem.

This approach is used in many different areas, including education, family therapy , and even in office settings. Creating cooperative and collaborative opportunities to problem solve allows mind-broadening capabilities. Illuminating a path of choice is a compelling way to enable people to explore how exactly they want to show up in this world.

Thanks for reading!

We hope you enjoyed reading this article. Don’t forget to download our three Positive Psychology Exercises for free .

• de Shazer, S. (1988). Clues: Investigating solutions in brief therapy. New York, NY: W.W. Norton and Co.
• Green, L. S., Oades, L. G., & Grant, A. M. (2006). Cognitive-behavioral, solution-focused life coaching: Enhancing goal striving, well-being, and hope. The Journal of Positive Psychology, 1 (3), 142-149.
• Miller, S. D., & Berg, I. K. (1996). The miracle method: A radically new approach to problem drinking. New York, NY: W.W. Norton and Co.
• Peterson, C., & Seligman, M. E. P., (2004).  Character strengths and virtues: A handbook and classification (Vol. 1). New York, NY: Oxford University Press.
• Santa Rita Jr, E. (1998). What do you do after asking the miracle question in solution-focused therapy. Family Therapy, 25( 3), 189-195.

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Therapy Explained: Exploring The Therapeutic Process Steps

People may attend therapy for a variety of reasons, such as wanting help with a specific stressful situation or with management of a mental health condition. People may also seek therapy because they want to improve their relationships and social life, change unwanted thought and behavior patterns, or better develop tools to respond to life's challenges.

The therapy process can vary depending on the specific treatment modality, therapist, and the client's individual circumstances. Even so, this process often involves a series of steps or phases as the client progresses through their goals. In this article, we explore these phases in detail, describing the nature of the therapeutic relationship, what the therapeutic process may look like, and more. 

Understanding the therapeutic alliance

Before addressing the stages of the therapeutic process, it may be useful to explore the nature of the relationship between the client and therapist, also known as the “therapeutic alliance.” This term describes the unique dynamic that may evolve between clients and their counselors. 

The American Psychological Association includes the following components in its definition of the therapeutic alliance :

• Bonds, which can be defined as the circumstances and dynamics of the relationship as well as the therapist’s and client’s feelings toward one another
• Goals and objectives of therapy that the therapist and client agree upon and review periodically
• Tasks and activities carried out during the therapeutic process

Successful therapy depends on a variety of factors, which may include, but are not limited to, the therapeutic alliance. Other factors may include consistency, communication, and commitment from both parties to work toward the best possible outcome. 

What are the steps of the therapeutic process?

Because there are different types of therapy used for different situations, the therapeutic process may vary from one client to the next. Still, the therapy process can often be broken down into specific stages. General steps in the therapeutic process may include: 

Initiating the relationship

During the early stages of therapy, the therapeutic alliance is developing. The client may be getting to know their therapist, becoming more comfortable speaking to them, and learning their approach to therapy. When someone first decides to seek out therapy, they may experience feelings of hesitation, uncertainty, or nervousness. Thus, initial sessions may involve a more general discussion of the client’s life, past experiences, challenges, and relationships. This approach can help the therapist gain context and background on the situation while the client becomes more accustomed to the therapist. 

Identifying goals

Effective therapy can also involve agreed-upon goals, which a client and their therapist may work to identify once they’ve started their therapeutic relationship. This phase of therapy may consist of treatment planning in which a therapist determines the optimal course of action to address their client’s concerns and situation. The therapist may also ask questions about how they can best support their client.  

Taking steps

This stage represents the point in the process where the “work” of therapy begins. Steps may be taken to create change in the client’s life, relationships, thought patterns, habits, and more. This phase may also involve explorations of emotions and beliefs, along with “homework assignments” designed to help implement therapeutic strategies outside of regular sessions. Other treatments and therapeutic techniques may be applied, depending on the client’s needs, goals, and situation. This may be the phase of therapy in which the client notices changes in their thoughts and behaviors.  

Maintenance

The maintenance stage of therapy may occur when a client is satisfied with the progress they’ve made or the changes they’ve seen over the course of therapy. Many clients continue to attend regular therapy sessions even when they’ve reached the maintenance stage to check in with their therapist and continue to get advice. Others may decide that they’ve effectively accomplished their goals and stop attending therapy altogether. For some, therapy may be a lifelong journey without a defined end point. Because no two clients are the same, the maintenance stage may vary depending on the client, the therapist, and the circumstances of treatment. 

The therapeutic process may involve some or all of these phases. It can look different from person to person. Still, therapy can offer a range of benefits. Some of these include the ability to process emotions in a safe, nonjudgmental space, the chance to explore potential solutions to personal and professional challenges, and the opportunity to gain a new perspective on one’s thoughts, behaviors, and habits.

Online therapy as an alternative format

Despite its potential benefits, attending traditional, in-person therapy may not always be possible or practical. Some individuals experience mental health challenges, like depression and anxiety, which may make it difficult to leave the house and commute to a therapist’s office. Others may find it challenging to attend in-person therapy due to scheduling conflicts and other day-to-day commitments.

Online therapy through platforms like BetterHelp may be a viable alternative in these situations. This type of remote therapy enables individuals to attend counseling from wherever it is most convenient. Those seeking extra support in implementing the strategies they learn in therapy may also find it an attractive option due to the ability to send messages to a therapist outside of scheduled therapy sessions. 

Online therapy has been studied as a feasible alternative to in-person therapy. A 2017 study found that online cognitive behavioral therapy (CBT) can effectively treat mental health conditions like depression, generalized anxiety disorder, panic disorder, post-traumatic stress disorder (PTSD), bipolar disorder, adjustment disorder, and phobias. 

If you are experiencing trauma, support is available. Please see our Get Help Now page for more resources.

• Do you need insurance for online therapy? Medically reviewed by Nikki Ciletti , M.Ed, LPC
• Free Gender Therapy: Your Questions Answered Medically reviewed by Nikki Ciletti , M.Ed, LPC
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Problem-Solving Therapy (PST)

(For resources, this is the publication date. For programs, this is the date posted.)

Information

Visit the the  National Network of PST Clinicians, Trainers, & Researchers  for training options and resources. Also see the  archived NREPP listing .

Visit the the  National Network of PST Clinicians, Trainers, & Researchers .

Problem-Solving Therapy (PST) is a brief psychosocial treatment for patients experiencing depression and distress related to inefficient problem-solving skills. The PST model instructs patients on problem identification, efficient problem-solving, and managing associated depressive symptoms.

While there are different types of PST, they are all based on the same principle of resolving depression by re-engaging the client in active problem-solving and activities. In general, PST involves the following seven stages: (1) selecting and defining the problem, (2) establishing realistic and achievable goals for problem resolution, (3) generating alternative solutions, (4) implementing decision-making guidelines, (5) evaluation and choosing solutions, (6) implementing the preferred solutions, and (7) evaluating the outcome. A primary focus is learning and practicing PST skills, which are centered around empowering patients to learn to solve problems on their own.

Overall, the number of PST sessions may range from between 4 and 12. Individual sessions are, on average, 40 minutes long; however, group sessions can last up to 90 minutes. Each PST session follows a typical structure of agenda-setting, reviewing progress, engaging in the PST model problem-solving activities, reviewing action plans, and wrap-up.

PST can be used in wide range of settings and patient populations, including adaptations for those in primary care and those who are homebound, medically ill, and elderly. It can be delivered by a variety of providers, including mental health professionals, social workers, and health professionals, including primary care physicians and nurses.

Designation as a “Program with Evidence of Effectiveness”

SPRC designated this intervention as a “program with evidence of effectiveness” based on its inclusion in SAMHSA’s National Registry of Evidence-Based Programs and Practices (NREPP). 

Outcome(s) Reviewed (Evidence Rating)*

• Suicidal Thoughts and Behaviors (Effective)
• Depression and Depressive Symptoms (Effective)
• Self-Concept (Effective)
• Social Competence (Promising)
• Self-Regulation (Promising)
• Non-Specific Mental Health Disorders and Symptoms (Promising)
• Physical Health Conditions and Symptoms (Ineffective)
• General Functioning and Well-being (Ineffective)
• Anxiety Disorders and Symptoms (Ineffective)

Read more about the  program’s ratings .

———————

* NREPP changed its review criteria in 2015. This program was reviewed under the post-2015 criteria. To help practitioners find programs that fit their needs, NREPP reviews the evidence for specific outcomes, not overall programs. Each outcome was assigned an evidence rating of Effective, Promising, or Ineffective. A single program may have multiple outcomes with different ratings.  When considering programs, we recommend (a) assessing whether the specific outcomes achieved by the program are a fit for your needs; and (b) examining the strength of evidence for each outcome.

2012 NSSP Objectives Addressed: 

Objective 8.3: Promote timely access to assessment, intervention, and effective care for individuals with a heightened risk for suicide.

How to Solve a Problem in Seven Easy Steps

By Dovid Spinka , LMSW

Unwanted situations are an inevitable part of life. Fully embracing and radically accepting that fact is a firm basis to managing difficult emotions. Acceptance is especially important when there is nothing we can do, such as when the weather is too cold, hot, or rainy, or when roommates continue to be loud after repeated requests to keep the noise down.

But in many situations, we can solve or at least minimize the problems at hand. Here are seven steps to problem solving, taken from the principles and practices of Dialectical Behaviour Therapy (DBT) .

Step 1 – Describe the problem

Take the time to describe the situation you’re facing. Be specific and detailed, and include the consequences that you’re concerned about. For example, “I keep failing my exams despite the fact that I study a lot before taking them, which leaves me feeling anxious and fearful that I may not graduate.”

Step 2 – Check the facts ( all the facts)

Be mindful of extreme thinking and make sure that your description is correct. For example, did you really fail the exam? Or did you not get as high a grade as you had hoped for? How many exams have you failed? How much study and prep time did you actually put in beforehand? Is this a general exam issue or limited to a particular subject? Sometimes after checking the facts we realize that our description of the problem needs to be revised. If the facts are incorrect, go back to Step 1. If they’re correct, move on to Step 3.

Step 3 – Identify your primary goal

Take the time to clarify what needs to happen or change for you to feel ok. Keep it simple and be realistic – choose something that can actually happen. For example, “I want to improve the effectiveness of my studying, so I don’t fail any more exams”.

Step 4 – Brainstorm

Take the time to identify lots of solutions to achieve your goal. Think about as many solutions as possible, and don’t throw anything out because it seems strange or unrealistic. It is crucial not to judge brainstorming or evaluate ideas for feasibility at this stage. Have fun being a creative thinker. For example, could you… Study with your classmate Daniel who does well in exams? Ask to meet with your professor to get feedback and advice about the exams? Learn mindfulness and relaxation techniques to help improve your concentration during study time? Drop a few courses and take online classes for beginners, then try again next semester? Quit school and become a professional ballet dancer??

Step 5 – Choose a solution

Pick one of your brainstormed ideas that fits the goal and is most likely to work. Don’t aim for perfection – just pick the best answer. If necessary, do a pros and cons to decide between two or more good options.

Step 6 – Put the solution into Action

The entire enterprise of problem solving is aimed at this step: Putting effective solutions into action. However, people often get stuck with anxiety at this point. If thoughts such as “this is too hard” or “this isn’t going to work” arise in your mind, accept them and mindfully refocus on action. Stay focused and stay the course! For example if you selected studying with Daniel, call him up, explain the situation, and book a time to get together to study.

Step 7 – Evaluate the outcome

Take the time to think about how things went. Did your solution help you to achieve the goal? If the answer is yes, take even more time out to congratulate yourself and celebrate! And if not, don’t be disheartened – sometimes the best solutions come after several tries. Just go back to brainstorming (step 4) and try again until you succeed. Additionally, when solutions are carried out as planned, there are often secondary benefits that we can enjoy, so reap the benefit of those even if your planned outcome did not work out.

In sum, effective problem solving is a skill that needs to be learned, practiced, and honed over time. Therefore, we can be methodical, planned and deliberate about the process.

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Problem Solving Therapy

Problem solving therapy (PST) is a brief and focused psychological intervention that has been used with a variety of client groups including people with depression, chronic illness, and suicidal thoughts and behaviours.

We are researchers and clinicians based in the Department of Psychiatry at the University of Ottawa. For more details about us please see the About Us page .

Our team has designed a treatment programme and provided problem solving therapy for people who presented to the emergency departments of major hospitals in New Zealand and Canada following an episode of self harm. Our results from these large-scale randomised controlled trials have indicated that PST resulted in reductions in hopelessness, suicidal thinking and depression, and improvements in problem solving abilities among people who received the therapy.

Please note that this website is not intended to provide stand alone on-line training in PST but is designed to support the training programme. The worksheets on this website are intended to be used by clinicians who have attended the workshop and who are providing PST to their clients.

The video links show a demonstration of the steps of PST. We would like to thank Tessa Mitchell who plays the role of the client in these video clips.

Read more about Problem Solving Therapy: Workshop pre-reading

Please note that we are not a crisis service

If you are concerned about your safety or the safety of someone else please contact:

• your doctor
• your local mental health service (see ementalhealth.ca)
• phone The Crisis Line 613 722 6914 (within Ottawa) 1 866 996 0991 (outside Ottawa)
• In an emergency Phone 911
• PST Training
• Seven Steps
• Case Studies
• Acknowledgments