Problem List

The Problem List exercise is a helpful way of gathering information about current problems.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

An important task during the assessment phase of therapy is to accurately identify the specific difficulties faced by the client. This process is crucial for tailoring an effective treatment plan. The Problem List exercise is a valuable tool for gathering comprehensive information about the client's current challenges. It aids in organizing these issues in a structured manner and includes separate versions for clients and therapists.

Why Use This Resource?

Utilizing the Problem List helps develop a thorough understanding of clients' difficulties and challenges.

  • Facilitates comprehensive assessment by gathering diverse sources of information.
  • Supports the development of a detailed case formulation and treatment plan.
  • Encourages reflection on unreported or unrecognized difficulties.

Key Benefits

Informative

Provides guidance for gathering data and conducting assessments.

Flexible

The client version can be utilized before or during the assessment.

Comprehensive

Encourages a thorough consideration of all aspects of the client's difficulties.

Reflective

Encourages therapists to think about the broader implications of each issue.

Who is this for?

Anxiety Disorders

Assessing symptoms of anxiety and associated coping strategies.

Depression

Exploring factors contributing to depressive symptoms.

Perfectionism

Assessing when and how clients' experience perfectionism.

Relationship Difficulties

Clarifying problematic interpersonal patterns.

Integrating it into your practice

01

Identify

Use either the client or therapist version during assessment to explore clients' difficulties.

02

Assess

Discuss how the client experiences each problem and copes with it.

03

Consider

Consider other important factors including client safety and interactions between identified problems.

Theoretical Background & Therapist Guidance

An important task during the assessment phase of therapy is to identify client difficulties. The clinician can draw upon multiple sources of information including direct reports from the client, the client’s family / friends, information from other professionals, and psychometric measures. The Problem List exercise is one way of gathering information about current difficulties. It includes client and therapist versions, with appropriate prompts for each. Therapists are reminded that as well as recording issues reported directly by the client they should consider additional issues that the client may not be aware of, or may not consider a problem. Therapists should reflect upon whether an identified problem has a bearing upon safety, stability or client engagement.

What's inside

  • Client and therapist versions of the worksheet with unique prompts.
  • Guidance for therapists on how to use the resource.
  • Key references and suggestions for further reading.
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FAQs

The Problem List can be used during assessment appointments to gather information about client difficulties. It can be filled out by the client or completed by the therapist.
Addressing therapy-interfering problems is crucial for ensuring successful therapy outcomes and supporting client engagement.

How This Resource Improves Clinical Outcomes

Incorporating the Problem List into your practice helps develop a thorough understanding of client difficulties, leading to:

  • More complete and informative case formulations.
  • Tailored interventions for specific difficulties.
  • Enhanced client engagement in the assessment process.

References And Further Reading

  • Persons, J. B. (2008). The case formulation approach to cognitive behavior therapy. Guilford.