Treatment FAQ

what is solution focused approach to treatment

by Shayne Ernser Published 2 years ago Updated 1 year ago
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Solution-focused therapy, also known as solution-focused brief therapy (SFBT

Solution focused brief therapy

Solution focused (brief) therapy (SFBT) is a goal-directed collaborative approach to psychotherapeutic change that is conducted through direct observation of clients' responses to a series of precisely constructed questions.

), is a short-term therapeutic approach that is based on positive psychology. Solution-focused therapy focuses on developing solutions to meet a patient’s goals, as opposed to problem-solving.

Solution focused brief therapy (SFBT) is a future-oriented, goal-directed approach to solving human problems of living. The focus is on the client's health rather than the problem, on strengths rather than weaknesses or deficits, and on skills, resources and coping abilities that would help in reaching future goals.Jan 25, 2021

Full Answer

What are the key concepts of Solution Focused Therapy?

What is Solution-Focused Therapy?

  • Key Concepts and Tools. ...
  • Looking for previous solutions. ...
  • Looking for exceptions/positive differences. ...
  • Present and future-focused questions vs. ...
  • Compliments. ...
  • Inviting the clients to do more of what is working. ...

More items...

What do you need to know about Solution Focused Therapy?

What You Need to Know About Solution Focused Therapy

  • Marital problems. A brief therapy session may be beneficial for those undergoing marital problems. ...
  • Workplace. ...
  • School. ...
  • Business. ...
  • Depression. ...
  • Goal Setting. ...
  • Sharpening & Defining Goals. ...
  • Therapy Homework. ...
  • Achieving Goals. ...
  • Positive Reinforcement. ...

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What is an exception question in solution focused therapy?

exception questions. Questions in solution-focused therapy that ask about those times in clients' lives when the problems that brought them to therapy were not a problem. When clients explore the exceptions to their problems, they learn that their problems are not all powerful and have not existed forever.

How am I solution focused example?

For example, if a client is struggling with excruciating shyness, but typically has no trouble speaking to his or her coworkers, a solution-focused therapist would target the client’s interactions at work as an exception to the client’s usual shyness.

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What is the main goal of Solution-Focused Therapy?

The goal of SFBT is to find and implement a solution to the problem or problems as soon as possible to minimize time spent in therapy and, more importantly, time spent struggling or suffering (Antin, 2018).

Which techniques are commonly used in Solution-Focused Therapy?

Solution-focused Techniques in CounsellingPre-session change.Problem-free talk.The miracle question.Exception questions.Do one thing different.Scaling questions.Coping questions.Breaks.More items...•

What are the five principles of solution based approach?

§ Change is inevitable, change is a continuous process; stability is an illusion; the question is not whether but when change will occur; also talking about successes in the past, present and future is helpful.

How do you explain solution-focused therapy to a client?

In a solution-focused therapy session, the practitioner and client will work collaboratively to set goals and find solutions together, to overcome the problem or issue. The practitioner will ask questions to gain an understanding of the client's strengths and inner resources that they might not have noticed before.

Who would benefit from solution-focused therapy?

SFBT may be helpful for children and teens with depression, anxiety and self-esteem issues. Some research shows SFBT has also helped kids improve their classroom behavior. “Solution-focused brief therapy actively works toward solutions. It helps patients identify what they do well.”

Is solution focused therapy CBT?

Solution Focused Therapy vs. SFT differs from CBT in several ways. While SFT puts minimal time into describing the presenting problem and instead focuses upon possible solutions, CBT requires a clear, detailed description of the problem(s).

Is Solution Focused Therapy Effective?

The authors concluded that there was strong evidence that solution-focused brief therapy was an effective treatment for behavioural and psychological conditions, and it might be shorter and less costly than alternative treatments.

How is solution focused therapy systemic?

Put it this way: as a form of brief therapy, solution focus tries to leave out as much as possible, whereas systemic therapy often tries to put in as much as possible.

What is a solution focused brief therapy?

Solution-focused brief therapy is an evidenced-based psychotherapy approach. There have been close to 150 randomized clinical control studies with different control populations in different clinical settings in multiple countries, almost all showing positive benefit of SFBT. There have also been eight meta-analyses on a range of outcome studies with an overall effect size ranging from small to large, for child, adolescent, and adult populations, for presenting problems such as depression, stress, anxiety, behavioral problems, parenting, and psychosocial and interpersonal problems (Kim et al, 2010; 2019). Click Here for more about the research in SFBT.

How do solution-focused practitioners develop solutions?

Solution-Focused practitioners develop solutions by first generating a detailed description of how the client’s life will be different when the problem is gone or their situation improved to a degree satisfactory to the client. Therapist and client then carefully search through the client’s life experience and behavioral repertoire to discover the necessary resources needed to co-construct a practical and sustainable solution that the client can readily implement. Typically this process involves identifying and exploring previous “exceptions,” e.g. times when the client has successfully coped with or addressed previous difficulties and challenges. In an inherently respectful and practical interview process, SF therapists and their clients consistently collaborate in identifying goals reflective of clients’ best hopes and developing satisfying solutions.

What does SF do to a client?

Once a goal has been identified, SF therapists ask their clients questions designed to generate a detailed description of what the client’s life will be like when the goal has been achieved. In some cases, this may include the SF Miracle Question (see below). Once a detailed description has been developed of how the client’s life will be different after the goal has been achieved, the therapist and client begin searching through the client’s life experiences and behavioral repertoire for exceptions, e.g. times when in at least some parts of the goal have already happened.

What is SFBT therapy?

Solution-Focused Brief Therapy (SFBT) is a short-term goal-focused evidence-based therapeutic approach, which incorporates positive psychology principles and practices, and which helps clients change by constructing solutions rather than focusing on problems. In the most basic sense, SFBT is a hope friendly, positive emotion eliciting, ...

What questions do therapists ask in therapy?

These might variously include asking clients to describe their best hope for what will be different as a result of coming to therapy, what needs to happen as a result of coming in so that afterwards the client (and/or a person who cares about them) will be able to look back and think that it had been a good idea to come, or what needs to happen so that clients would be able to say afterwards that coming was not a waste of their time.

What is a homework experiment in SF?

Once SF therapists and their clients have identified some previous solutions and exceptions to the problem, the therapists gently invite the clients to do more of what has previously worked, or to try changes they have brought up which they would like to try – frequently called an “experiment” or a “homework experiment.”

What is the difference between a previous solution and an exception?

The difference between a previous solution and an exception is small, but potentially significant. A previous solution is something that clients previously that worked, but was perhaps later discontinued. An exception, on the other hand, is something that happens instead of the problem, sometimes spontaneously and without conscious intention. SF therapists may help clients identify these exceptions by asking, “What is different about the times when this is less of a problem?”

What is solution focused brief therapy?

Solution-focused brief therapy doesn’t require a deep dive into your childhood and the ways in which your past has influenced your present. Instead, it will root your sessions firmly in the present while working toward a future in which your current problems have less of an impact on your life (Iveson, 2002).

What is the solution focused approach of SFBT?

The solution-focused approach of SFBT is founded in de Shazer and Berg’s idea that the solutions to one’s problems are typically found in the “exceptions” to the problem, meaning the times when the problem is not actively affecting the individual (Iveson, 2002).

What Does SFBT Have to Do with Positive Psychology?

First, both SFBT and positive psychology share a focus on the positive—on what people already have going for them and on what actions they can take. While problems are discussed and considered in SFBT, most of the time and energy is spent on discussing, thinking about, and researching what is already good, effective, and successful.

What is the SFBT model?

In addition to this foundational belief, the SFBT model is based on the following assumptions: Change is constant and certain; Emphasis should be on what is changeable and possible; Clients must want to change; Clients are the experts in therapy and must develop their own goals;

What is coping question in SFBT?

Asking good questions is vital in any form of therapy, but SFBT formalized this practice into a technique that specifies a certain set of questions intended to provoke thinking and discussion about goal-setting and problem-solving. One such question is the “coping question.”.

What is the goal of SFBT?

The goal of SFBT is to find and implement a solution to the problem or problems as soon as possible to minimize time spent in therapy and, more importantly, time spent struggling or suffering (Antin, 2018).

What is SFBT therapy?

Solution-focused therapy, also called solution-focused brief therapy (SFBT), is a type of therapy that places far more importance on discussing solutions than problems (Berg, n.d.). Of course, you must discuss the problem to find a solution, but beyond understanding what the problem is and deciding how to address it, ...

What SFBT Can Help With?

It's used to treat people of all ages and a wide range of issues including addiction, child behavioral problems, and relationship problems.

What are the benefits of SFBT?

Benefits of SFBT. The major advantage of SFBT is its brevity. SFBT is a form of "brief therapy," typically lasting between 5–8 sessions. Because of this, it is often less costly than other forms of therapy.

Where was SFBT developed?

SFBT was developed in the 1970s and 1980s by husband and wife Steve de Shazer and Insoo Kim Berg at the Brief Family Therapy Center in Milwaukee, Wisconsin. Unlike many traditional forms of psychotherapy, SFBT is not based on any single theory.

What is constructivism in SFBT?

Constructivism posits that people are meaning makers and are ultimately the creators of their own realities. The SFBT therapist believes that change in life is inevitable. Because someone creates their own reality, they may as well change for the better. In SFBT, the therapist is a skilled conversation facilitator.

Why are scaling questions important?

Scaling questions invite clients to perceive their problems on a continuum. They're also a helpful way to track progress toward goals and monitor change.

Is SFBT effective?

Reduce internalizing behavioral problems, such as depression, anxiety, and self-esteem 7. SFBT can be just as effective (sometimes even more so) than other evidence-based practices, such as cognitive behavioral therapy (CBT) and interpersonal psychotherapy .

Does SFBT stress?

SFBT doesn't stress about the problems but instead spotlights possible solutions.

How Is Solution Focused Therapy Different From Other Therapy Techniques?

In terms of the methods, it is similar to other short term therapies such as problem-solving therapy, yet very distinct from cognitive behavioral therapy and psychoanalytic therapy. The relative effectiveness of SFT versus other approaches has not been well established due to limitations in the design of outcome studies to date. 5

Where was Solution Focused Therapy developed?

Solution-focused therapy was developed in the late 1970’s by Insoo Kim Berg and Steve de Shazer at the Brief Family Therapy Center in Milwaukee, Wisconsin. Korean-born Berg had been trained in the psychodynamic therapy model. She and her partner Steve de Shazer recognized the problem of limited time, energy, and money in treating families who came to the center for help.

What is the difference between a SFT and a CBT therapist?

A second difference is in the assumption of the therapist as the expert in behavioral change according to CBT, while the SFT therapist puts the client in the position of expert. The client is assumed to have the basic knowledge and abilities to solve their own problem while the therapist acts as a guide to help formulate a well mapped solution.

What is SFT therapy?

Solution-focused therapy (SFT) is a brief, goal-directed form of psychotherapy in which the purpose is to help the client discover, clarify, and accomplish their own solutions to problems . A main focus of the process is to set clear, concise, and realistic goals. It is most often used to treat school-related problems, family and couple conflicts, ...

How long does SFT therapy take?

SFT usually takes six to eight sessions, held weekly for about an hour each, and the cost is comparable with other forms of talk therapy, yet overall cost will be lower due to the reduced amount of sessions.

Why is SFT important?

Consistent with its development in a family therapy clinic, SFT is particularly helpful for resolution of the problems faced by families, such as parenting teens 2 and treating addictions. 3 In theory, SFT may be used to address a wide variety of problems but it is best suited for problems that have simple step by step solutions that can be worked out.

How many studies have been done on SFT?

As of 2011, more than 48 studies of the effectiveness of SFT had been conducted, and also two independent meta-analytic reviews. SFT research studies have been limited by small sample sizes and lack of randomized designs. 5 The majority of studies of the effectiveness of SFT have been done by comparing SFT to other therapy models, particularly psychodynamic models and problem-focused models. The overall conclusion to date is that SFT does have a small to moderate level of effectiveness, and is at least as effective as other established treatments. 6

What is solution focused brief therapy?

Training in solution-focused brief therapy helps applicants learn core principles, master relevant therapeutic skills, and demonstrate competency in the practice of SFBT. At the end of training, each applicant must successful pass an IASTI-approved exam to earn certification.

Where are solution focused therapists trained?

Currently, therapists in the United States, Canada, South America, Asia, and Europe are trained in the approach. The principles of solution-focused therapy have been applied to a wide variety of environments including schools, places of employment, and other settings where people are eager to reach personal goals and improve interpersonal ...

How Does SFBT Work?

Similarly, SFBT recognizes that people already know, on some level, what change is needed in their lives, and SFBT practitioners work to help the people in their care clarify their goals. Practitioners of SFBT encourage individuals to imagine the future they desire and then work to collaboratively develop a series of steps that will help them achieve those goals. In particular, therapists can help those in treatment identify a time in life when a current issue was either less detrimental or more manageable and evaluate what factors were different or what solutions may have been present in the past.

What is SFBT therapy?

Solution-focused brief therapy (SFBT) places focus on a person's present and future circumstances and goals rather than past experiences. In this goal-oriented therapy, the symptoms or issues bringing a person to therapy are typically not targeted. Instead, a qualified therapist encourages those in treatment to develop a vision ...

What are some examples of coping questions in SFBT?

Coping questions, for example, can help demonstrate to those in therapy their resiliency and the number of ways in which they are capable of coping with challenges in their lives. An example might be, “How do you manage, in the face of such difficulty, to fulfill your daily obligations?” This can help people recognize their skills in coping with adversity.

What is the second concern of SFBT?

A second concern is the way SFBT seems to simply discard or ignore information deemed important by other treatment modalities. For example, in this type of therapy a relationship between the adverse issues people face and the changes necessary to foster improvement is not assumed, and any underlying reasons for maladaptive thoughts and/or behaviors are not explored in a typical SFBT session. Individuals wishing to explore these reasons may find it more helpful to seek a type of therapy that addresses these concerns, though they may do so while also receiving SFBT.

Is SFBT a good intervention?

Research has shown SFBT may be a helpful intervention for youth who are experiencing behavior al concerns or academic /school-related concerns. It has also proven effective as an approach to family therapy and couples counseling. This method is often used in conjunction with other approaches.

What is solution focused therapy?

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.

What is SFT therapy?

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

How to do SFBT?

Solution-Focused Brief Therapy (SFBT Techniques) 1 State your desire for something in your life to be different. 2 Envision a miracle happening, and your life IS different. 3 Make sure the miracle is important to you. 4 Keep the miracle small. 5 Define the change with language that is positive, specific, and behavioral. 6 State how you will start your journey, rather than how you will end it. 7 Be clear about who, where, and when, but not the why.

How to help clients focus on their strengths?

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.

How to guide a client into a brainstorm of solutions?

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.

How to help clients with presenting problems?

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.

What is the book "The Approach" about?

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.

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