Solution-Focused Brief Therapy (SFBT) is a process that helps people change by constructing solutions rather than
dwelling on problems. This type of therapy tends to be shorter-term than traditional psychotherapy. Steve de
Shazer and Insoo Kim Berg of the Brief Family Therapy Center in Milwaukee are generally considered to be the originators of this form of therapy.
SFBT generally lasts between 4 to 12 sessions and tends to be future and goal oriented.
As its name implies, Solution-Focused Brief Therapy is designed to be brief and is based on four stages of therapy; awareness and education,
developing and implementing strategies for change, emphasizing the positive, and rehearsal of newly learned skills.
The therapist helps the client identify elements of the desired solution, which are usually already present in
the client's life. The client learns to build on these elements, which form the basis for ongoing change.
A solution-focused therapist is likely to do the following:
Instead of going over past events and focusing on problems, the therapist helps you envision your future without today's problems.
During the course of therapy (often as few as 3 to 6 sessions), the therapist helps you discover solutions.
The therapist encourages you to identify and do more of what is already working.
The therapist guides you to identify what doesn't work and to focus on doing less of it.
The emphasis is on the future, not the past.
The therapist believes that the client is the best expert about what it takes to change his or her life.
The therapist's role is to help you identify solutions that will remove the barriers to having the life you want.
Rather
than searching for the causes of the problem, the focus is on defining the changes and making them a reality.
The two key therapeutic issues are: (1) how the client wants his or her life to be different, and (2) what it
will take to make it happen.
Creating a detailed picture of what it will be like when life is better creates a feeling of hope, and this
makes the solution seem possible. The therapist helps the client focus on the future and how it will be better
when things change. It is important to develop a set of specific, detailed goals. These goals drive the therapy
process and keep it focused and efficient.
Why SFBT Is Usually Short-Term
SFBT therapists don't set out to artificially limit the number of sessions. A good brief therapist will not
focus on limiting sessions or time, but rather on helping clients set goals and develop strategies to reach those
goals.
Focusing on the client's goals and the concrete steps needed to achieve them usually takes less time than
traditional therapy, in which the client typically spends many sessions talking about the past and explores reasons
and feelings.
SFBT therapists aim to provide clients with the most effective treatment in the most efficient way
possible so that clients can achieve their goals and get on with their lives. As a result of this focus,
the counseling process often requires as few as four sessions.
Types of Problems That SFBT Addresses
Solution-Focused Brief Therapy is an effective way of helping people solve many kinds of problems, including
depression, substance abuse, eating disorders, relationship problems, and many other kinds of issues.
Since it
focuses on the process of change rather than on dissecting the problem, more serious issues do not necessarily
require different treatment. The SFBT therapist's job is to help clients transform troubling issues into specific
goals and an action plan for achieving them.
References (To view, roll mouse over the "References" heading; to hide, click on the heading)
Halford, W. K. (2001). Brief therapy for couples: Helping partners help yhemselves. New York: The Guilford Press.
Quadrio, C. (1986). Analysis and System: A Marriage. Australian and New Zealand Journal of Psychiatry, 18, 184-187.
Schnarch, D. (1991). Constructing the Sexual Crucible. New York: Norton.
Schnarch, D. (1997). Passionate Marriage. New York: Norton.
Schultheis, G. M., O'Hanlon, B., & O'Hanlon, S. (1988). Brief couples therapy homework planner. New York: Wiley.
Toman, W. (1961). Family Constellation. Nedw York: Springer.
Wylie, M. (1991). Family Therapy's Neglected Prophet. The Family Therapy Networker, March-April, 25-37.
Young, P. (1991). Families with Adolescents. In F. Herz Brown, Reweaving The Family Tapestry. New York: Norton.
Randi Fredricks, LMFT ♦
1711 Hamilton Ave Suite A, San Jose, California, 95125 ♦
408-315-0645