What to expect from problem-solving therapy?

  1. What you’ll learn:

PST teaches a 6-step method to tackle problems systematically:

    • Clarify the problem. (What exactly is bothering you?)
    • Set a realistic goal. (What outcome are you aiming for?)
    • Brainstorm possible solutions. (No censoring since all ideas are welcome.)
    • Evaluate and choose the best one. (Advantages and disadvantages of each.)
    • Create and carry out an action plan. (Concrete steps.)
    • Review the outcome. (What worked? What didn’t? What’s next?)

You’ll apply this repeatedly across sessions and in daily life.

  1. What to expect in a typical PST session
    • 1st session: Introduction to the PST model, identify a few target problems.
    • 2nd–4th sessions: Work on a current issue using the 6-step process.
    • Midway point: Review progress, adjust strategy, and address any stuck points.
    • Final sessions: Focus on self-directed use of PST, relapse prevention, and booster plans.

Therapists often assign home practice by trying out solutions between sessions and reflecting on outcomes.

  1. What outcomes to expect
    The word "result" made with Scrabble blocks.

If PST is a good fit and you’re actively engaged, you can expect:

    • Reduced depressive symptoms (especially mild to moderate).
    • Improved coping skills and emotional regulation.
    • Greater confidence in decision-making.
    • Less avoidance, more proactive behavior.
    • Feeling more in control of your life.

What you won’t get from PST:

    • Deep trauma processing.
    • Exploration of unconscious dynamics or childhood roots.
    • Emphasis on identity, personality structure, or existential issues.

PST might be too surface-level if you’re looking for those, or it can be a complement to longer-term therapy.

  • Therapist style in PST
    • Directive but collaborative.
    • Structured and goal-oriented.
    • Empathetic but aimed at solutions, not just feelings.
    • Often gives worksheets or tools (some use problem logs).

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