Solution-Focused Brief Therapy (SFBT): A Goal-Oriented Approach

Introduction:

Solution-Focused Brief Therapy (SFBT) is a pragmatic, non-pathologizing, and goal-oriented approach that represents a significant shift from traditional, problem-focused models. It guides clients to envision their desired future and identify solutions to achieve it, making it particularly effective for short-term interventions.

Focusing on Strengths, Not Problems:

Instead of dwelling on the origins of problems, SFBT focuses almost entirely on the client's strengths and resources. The clinician acts as a facilitator, helping the client recognize and amplify successful past behaviors. The core philosophy is that the client already possesses the skills needed for change; the therapy's role is to help uncover and apply them.

Key SFBT Techniques for Clinicians:

• The Miracle Question: Asking the client: "If a miracle happened overnight and your problem was solved, what would be the first small sign that the miracle had occurred?" This helps clients articulate their desired future in concrete, observable terms.

  
  

• Exception Questions: "Tell me about a time when the problem could have happened but didn't," or "When is the problem less severe?" This identifies existing solutions and times of competence.

  
  

• Scaling Questions: "On a scale of 0 to 10 (where 10 is the miracle day), where are you today? What would move you one half step higher?" This measures progress and defines small, achievable steps.

  
  

• Compliments: Verbally affirming the client's efforts, resources, and progress to reinforce positive momentum.

  
  

Clinical Relevance:

SFBT is highly time-efficient and empowers clients by building self-efficacy. Clinicians use this model to initiate rapid change and provide a positive framework for addressing specific, current issues.