Problem Solving

Problem Solving is a structured worksheet that helps clients identify problems, brainstorm solutions, and execute an actionable plan.

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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.

Fillable version (PDF)

A fillable version of the resource. This can be edited and saved in Adobe Acrobat, or other PDF editing software.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Problem Solving is a helpful intervention whenever clients present with difficulties, dilemmas, and conundrums, or when they experience repetitive thought such as rumination or worry. Effective problem solving is an essential life skill and this Problem Solving exercise is designed to guide adults through steps which will help them to generate solutions to ‘stuck’ situations in their lives. It follows the qualities of effective problem solving outlined by Nezu, Nezu & D’Zurilla (2013): clearly defining a problem; generation of alternative solutions; deliberative decision making; and the implementation of the chosen solution.

Key Benefits

Structure

Provides a clear, step-by-step process for addressing problems.

Action

Promotes solution-focused thinking and encourages specific implementation steps.

Accessible

Simple for clients to understand and apply in various contexts.

Who is this for?

Depression

Overcoming feelings of helplessness through actionable steps.

Stress

Managing overwhelming situations by identifying effective solutions.

Eating Disorders

Recognizing and addressing the issues that contribute to binge eating or food restriction.

Integrating it into your practice

01

Identify

Clearly define the problem at hand.

02

Brainstorm

Encourage clients to generate a list of potential solutions.

03

Evaluate

Discuss the pros and cons of each potential solution.

04

Select

Help clients choose the best or least-worst option.

05

Plan

Develop a concrete action plan to implement the chosen solution.

Theoretical Background & Therapist Guidance

Problem-solving is often used in cognitive behavioral therapy (CBT) and other therapeutic frameworks, emphasizing actionable strategies to reduce distress and improve clients' ability to cope. 

The therapist’s stance during problem solving should be one of collaborative curiosity. It is not for the therapist to pass judgment or to impose their preferred solution. Instead it is the clinician’s role to sit alongside clients and to help them examine the advantages and disadvantages of their options and, if the client is ‘stuck’ in rumination or worry, to help motivate them to take action to become unstuck – constructive rumination asks “How can I…?” questions instead of “Why…?” questions.

In their description of problem solving therapy Nezu, Nezu & D’Zurilla (2013) describe how it is helpful to elicit a positive orientation towards the problem which involves: being willing to appraise problems as challenges; remain optimistic that problems are solvable; remember that successful problem solving involves time and effort.

What's inside

  • An accessible worksheet for use during or between therapy sessions.
  • Therapist guidance for facilitating problem-solving.
  • Prompts for enhancing client involvement during the process.
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FAQs

Yes, clients should be encouraged to problem-solve day-to-day issues as and when they arise.
Help the client reflect on why this was the case and identify an alternative solution that might be more effective.
Reviewing the client's progress can help reinforce commitment and follow-through.

How This Resource Improves Clinical Outcomes

Utilizing the Problem Solving worksheet can significantly enhance clinical outcomes by:

  • Addressing the problems that contribute to clients' difficulties.
  • Improving emotional regulation through structured problem-solving.
  • Building self-efficacy and strengthening coping skills.

Therapists benefit from:

  • An evidence-based tool to increase problem-solving skills.
  • A versatile resource that can be used with a wide variety of clients.

References And Further Reading

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
  • Nezu, A. M., Nezu, C. M., & D’Zurilla, T. J. (2013). Problem-solving therapy: A treatment manual. Springer.