Cognitive Behavioral Therapy
Solving problems the cognitive-behavioral way, problem solving is another part of behavioral therapy..
Posted February 2, 2022 | Reviewed by Ekua Hagan
- What Is Cognitive Behavioral Therapy?
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- Problem-solving is one technique used on the behavioral side of cognitive-behavioral therapy.
- The problem-solving technique is an iterative, five-step process that requires one to identify the problem and test different solutions.
- The technique differs from ad-hoc problem-solving in its suspension of judgment and evaluation of each solution.
As I have mentioned in previous posts, cognitive behavioral therapy is more than challenging negative, automatic thoughts. There is a whole behavioral piece of this therapy that focuses on what people do and how to change their actions to support their mental health. In this post, I’ll talk about the problem-solving technique from cognitive behavioral therapy and what makes it unique.
The problem-solving technique
While there are many different variations of this technique, I am going to describe the version I typically use, and which includes the main components of the technique:
The first step is to clearly define the problem. Sometimes, this includes answering a series of questions to make sure the problem is described in detail. Sometimes, the client is able to define the problem pretty clearly on their own. Sometimes, a discussion is needed to clearly outline the problem.
The next step is generating solutions without judgment. The "without judgment" part is crucial: Often when people are solving problems on their own, they will reject each potential solution as soon as they or someone else suggests it. This can lead to feeling helpless and also discarding solutions that would work.
The third step is evaluating the advantages and disadvantages of each solution. This is the step where judgment comes back.
Fourth, the client picks the most feasible solution that is most likely to work and they try it out.
The fifth step is evaluating whether the chosen solution worked, and if not, going back to step two or three to find another option. For step five, enough time has to pass for the solution to have made a difference.
This process is iterative, meaning the client and therapist always go back to the beginning to make sure the problem is resolved and if not, identify what needs to change.
Advantages of the problem-solving technique
The problem-solving technique might differ from ad hoc problem-solving in several ways. The most obvious is the suspension of judgment when coming up with solutions. We sometimes need to withhold judgment and see the solution (or problem) from a different perspective. Deliberately deciding not to judge solutions until later can help trigger that mindset change.
Another difference is the explicit evaluation of whether the solution worked. When people usually try to solve problems, they don’t go back and check whether the solution worked. It’s only if something goes very wrong that they try again. The problem-solving technique specifically includes evaluating the solution.
Lastly, the problem-solving technique starts with a specific definition of the problem instead of just jumping to solutions. To figure out where you are going, you have to know where you are.
One benefit of the cognitive behavioral therapy approach is the behavioral side. The behavioral part of therapy is a wide umbrella that includes problem-solving techniques among other techniques. Accessing multiple techniques means one is more likely to address the client’s main concern.
Salene M. W. Jones, Ph.D., is a clinical psychologist in Washington State.
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What Is Problem-Solving Therapy?
Arlin Cuncic, MA, is the author of The Anxiety Workbook and founder of the website About Social Anxiety. She has a Master's degree in clinical psychology.
Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania.
Verywell / Madelyn Goodnight
Problem-Solving Therapy Techniques
How effective is problem-solving therapy, things to consider, how to get started.
Problem-solving therapy is a brief intervention that provides people with the tools they need to identify and solve problems that arise from big and small life stressors. It aims to improve your overall quality of life and reduce the negative impact of psychological and physical illness.
Problem-solving therapy can be used to treat depression , among other conditions. It can be administered by a doctor or mental health professional and may be combined with other treatment approaches.
At a Glance
Problem-solving therapy is a short-term treatment used to help people who are experiencing depression, stress, PTSD, self-harm, suicidal ideation, and other mental health problems develop the tools they need to deal with challenges. This approach teaches people to identify problems, generate solutions, and implement those solutions. Let's take a closer look at how problem-solving therapy can help people be more resilient and adaptive in the face of stress.
Problem-solving therapy is based on a model that takes into account the importance of real-life problem-solving. In other words, the key to managing the impact of stressful life events is to know how to address issues as they arise. Problem-solving therapy is very practical in its approach and is only concerned with the present, rather than delving into your past.
This form of therapy can take place one-on-one or in a group format and may be offered in person or online via telehealth . Sessions can be anywhere from 30 minutes to two hours long.
Key Components
There are two major components that make up the problem-solving therapy framework:
- Applying a positive problem-solving orientation to your life
- Using problem-solving skills
A positive problem-solving orientation means viewing things in an optimistic light, embracing self-efficacy , and accepting the idea that problems are a normal part of life. Problem-solving skills are behaviors that you can rely on to help you navigate conflict, even during times of stress. This includes skills like:
- Knowing how to identify a problem
- Defining the problem in a helpful way
- Trying to understand the problem more deeply
- Setting goals related to the problem
- Generating alternative, creative solutions to the problem
- Choosing the best course of action
- Implementing the choice you have made
- Evaluating the outcome to determine next steps
Problem-solving therapy is all about training you to become adaptive in your life so that you will start to see problems as challenges to be solved instead of insurmountable obstacles. It also means that you will recognize the action that is required to engage in effective problem-solving techniques.
Planful Problem-Solving
One problem-solving technique, called planful problem-solving, involves following a series of steps to fix issues in a healthy, constructive way:
- Problem definition and formulation : This step involves identifying the real-life problem that needs to be solved and formulating it in a way that allows you to generate potential solutions.
- Generation of alternative solutions : This stage involves coming up with various potential solutions to the problem at hand. The goal in this step is to brainstorm options to creatively address the life stressor in ways that you may not have previously considered.
- Decision-making strategies : This stage involves discussing different strategies for making decisions as well as identifying obstacles that may get in the way of solving the problem at hand.
- Solution implementation and verification : This stage involves implementing a chosen solution and then verifying whether it was effective in addressing the problem.
Other Techniques
Other techniques your therapist may go over include:
- Problem-solving multitasking , which helps you learn to think clearly and solve problems effectively even during times of stress
- Stop, slow down, think, and act (SSTA) , which is meant to encourage you to become more emotionally mindful when faced with conflict
- Healthy thinking and imagery , which teaches you how to embrace more positive self-talk while problem-solving
What Problem-Solving Therapy Can Help With
Problem-solving therapy addresses life stress issues and focuses on helping you find solutions to concrete issues. This approach can be applied to problems associated with various psychological and physiological symptoms.
Mental Health Issues
Problem-solving therapy may help address mental health issues, like:
- Chronic stress due to accumulating minor issues
- Complications associated with traumatic brain injury (TBI)
- Emotional distress
- Post-traumatic stress disorder (PTSD)
- Problems associated with a chronic disease like cancer, heart disease, or diabetes
- Self-harm and feelings of hopelessness
- Substance use
- Suicidal ideation
Specific Life Challenges
This form of therapy is also helpful for dealing with specific life problems, such as:
- Death of a loved one
- Dissatisfaction at work
- Everyday life stressors
- Family problems
- Financial difficulties
- Relationship conflicts
Your doctor or mental healthcare professional will be able to advise whether problem-solving therapy could be helpful for your particular issue. In general, if you are struggling with specific, concrete problems that you are having trouble finding solutions for, problem-solving therapy could be helpful for you.
Benefits of Problem-Solving Therapy
The skills learned in problem-solving therapy can be helpful for managing all areas of your life. These can include:
- Being able to identify which stressors trigger your negative emotions (e.g., sadness, anger)
- Confidence that you can handle problems that you face
- Having a systematic approach on how to deal with life's problems
- Having a toolbox of strategies to solve the issues you face
- Increased confidence to find creative solutions
- Knowing how to identify which barriers will impede your progress
- Knowing how to manage emotions when they arise
- Reduced avoidance and increased action-taking
- The ability to accept life problems that can't be solved
- The ability to make effective decisions
- The development of patience (realizing that not all problems have a "quick fix")
Problem-solving therapy can help people feel more empowered to deal with the problems they face in their lives. Rather than feeling overwhelmed when stressors begin to take a toll, this therapy introduces new coping skills that can boost self-efficacy and resilience .
Other Types of Therapy
Other similar types of therapy include cognitive-behavioral therapy (CBT) and solution-focused brief therapy (SFBT) . While these therapies work to change thinking and behaviors, they work a bit differently. Both CBT and SFBT are less structured than problem-solving therapy and may focus on broader issues. CBT focuses on identifying and changing maladaptive thoughts, and SFBT works to help people look for solutions and build self-efficacy based on strengths.
This form of therapy was initially developed to help people combat stress through effective problem-solving, and it was later adapted to address clinical depression specifically. Today, much of the research on problem-solving therapy deals with its effectiveness in treating depression.
Problem-solving therapy has been shown to help depression in:
- Older adults
- People coping with serious illnesses like cancer
Problem-solving therapy also appears to be effective as a brief treatment for depression, offering benefits in as little as six to eight sessions with a therapist or another healthcare professional. This may make it a good option for someone unable to commit to a lengthier treatment for depression.
Problem-solving therapy is not a good fit for everyone. It may not be effective at addressing issues that don't have clear solutions, like seeking meaning or purpose in life. Problem-solving therapy is also intended to treat specific problems, not general habits or thought patterns .
In general, it's also important to remember that problem-solving therapy is not a primary treatment for mental disorders. If you are living with the symptoms of a serious mental illness such as bipolar disorder or schizophrenia , you may need additional treatment with evidence-based approaches for your particular concern.
Problem-solving therapy is best aimed at someone who has a mental or physical issue that is being treated separately, but who also has life issues that go along with that problem that has yet to be addressed.
For example, it could help if you can't clean your house or pay your bills because of your depression, or if a cancer diagnosis is interfering with your quality of life.
Your doctor may be able to recommend therapists in your area who utilize this approach, or they may offer it themselves as part of their practice. You can also search for a problem-solving therapist with help from the American Psychological Association’s (APA) Society of Clinical Psychology .
If receiving problem-solving therapy from a doctor or mental healthcare professional is not an option for you, you could also consider implementing it as a self-help strategy using a workbook designed to help you learn problem-solving skills on your own.
During your first session, your therapist may spend some time explaining their process and approach. They may ask you to identify the problem you’re currently facing, and they’ll likely discuss your goals for therapy .
Keep In Mind
Problem-solving therapy may be a short-term intervention that's focused on solving a specific issue in your life. If you need further help with something more pervasive, it can also become a longer-term treatment option.
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Shang P, Cao X, You S, Feng X, Li N, Jia Y. Problem-solving therapy for major depressive disorders in older adults: an updated systematic review and meta-analysis of randomized controlled trials . Aging Clin Exp Res . 2021;33(6):1465-1475. doi:10.1007/s40520-020-01672-3
Cuijpers P, Wit L de, Kleiboer A, Karyotaki E, Ebert DD. Problem-solving therapy for adult depression: An updated meta-analysis . Eur Psychiatry . 2018;48(1):27-37. doi:10.1016/j.eurpsy.2017.11.006
Nezu AM, Nezu CM, D'Zurilla TJ. Problem-Solving Therapy: A Treatment Manual . New York; 2013. doi:10.1891/9780826109415.0001
Owens D, Wright-Hughes A, Graham L, et al. Problem-solving therapy rather than treatment as usual for adults after self-harm: a pragmatic, feasibility, randomised controlled trial (the MIDSHIPS trial) . Pilot Feasibility Stud . 2020;6:119. doi:10.1186/s40814-020-00668-0
Sorsdahl K, Stein DJ, Corrigall J, et al. The efficacy of a blended motivational interviewing and problem solving therapy intervention to reduce substance use among patients presenting for emergency services in South Africa: A randomized controlled trial . Subst Abuse Treat Prev Policy . 2015;10(1):46. doi:doi.org/10.1186/s13011-015-0042-1
Margolis SA, Osborne P, Gonzalez JS. Problem solving . In: Gellman MD, ed. Encyclopedia of Behavioral Medicine . Springer International Publishing; 2020:1745-1747. doi:10.1007/978-3-030-39903-0_208
Kirkham JG, Choi N, Seitz DP. Meta-analysis of problem solving therapy for the treatment of major depressive disorder in older adults . Int J Geriatr Psychiatry . 2016;31(5):526-535. doi:10.1002/gps.4358
Garand L, Rinaldo DE, Alberth MM, et al. Effects of problem solving therapy on mental health outcomes in family caregivers of persons with a new diagnosis of mild cognitive impairment or early dementia: A randomized controlled trial . Am J Geriatr Psychiatry . 2014;22(8):771-781. doi:10.1016/j.jagp.2013.07.007
Noyes K, Zapf AL, Depner RM, et al. Problem-solving skills training in adult cancer survivors: Bright IDEAS-AC pilot study . Cancer Treat Res Commun . 2022;31:100552. doi:10.1016/j.ctarc.2022.100552
Albert SM, King J, Anderson S, et al. Depression agency-based collaborative: effect of problem-solving therapy on risk of common mental disorders in older adults with home care needs . The American Journal of Geriatric Psychiatry . 2019;27(6):619-624. doi:10.1016/j.jagp.2019.01.002
By Arlin Cuncic, MA Arlin Cuncic, MA, is the author of The Anxiety Workbook and founder of the website About Social Anxiety. She has a Master's degree in clinical psychology.
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Study guides for every class, that actually explain what's on your next test, problem-solving, from class:.
Problem-solving is the cognitive process of identifying a challenge or obstacle and systematically working through potential solutions to resolve it. This process involves critical thinking, creativity, and the application of knowledge, which connects to various aspects of how we think, learn, and make decisions.
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5 Must Know Facts For Your Next Test
- Problem-solving can be categorized into two main types: well-defined problems with clear solutions and ill-defined problems that require more creative thinking.
- Effective problem-solving often relies on working memory to hold and manipulate information as potential solutions are evaluated.
- People's approach to problem-solving can be influenced by their intelligence, prior experiences, and even emotional states.
- Cognitive modeling helps researchers understand how individuals approach problem-solving by simulating thought processes and behaviors.
- Mindfulness practices can enhance problem-solving abilities by improving focus, reducing stress, and fostering a clearer perspective on challenges.
Review Questions
- Heuristics are mental shortcuts that help streamline the problem-solving process by allowing individuals to make quick decisions without exhaustive analysis. They can facilitate faster conclusions, especially when dealing with complex situations. However, reliance on heuristics can sometimes lead to biases or errors in judgment, impacting the effectiveness of the solution reached.
- Working memory is essential for effective problem-solving as it enables individuals to hold multiple pieces of information simultaneously while they analyze potential solutions. This cognitive resource allows for the manipulation of data and integration of new information as one evaluates different strategies. Limitations in working memory capacity can hinder one's ability to solve complex problems efficiently.
- Insight plays a critical role in creative problem-solving as it represents a moment of clarity where an individual suddenly grasps the solution to a challenge. This contrasts with algorithmic approaches, which rely on systematic procedures to reach a solution. The spontaneity of insight can lead to innovative solutions that may not be accessible through traditional methods, highlighting the importance of both creativity and structured thinking in effective problem-solving.
Related terms
Mental shortcuts or rules of thumb that simplify decision-making and problem-solving by reducing the complexity of information.
A step-by-step procedure or formula for solving a problem that guarantees a solution if followed correctly.
A sudden realization or understanding of a problem's solution that often occurs after a period of contemplation or incubation.
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The behavioral part of therapy is a wide umbrella that includes problem-solving techniques among other techniques. Accessing multiple techniques means one is more likely to address the client's ...
In terms of conditioning, problem solving involves engaging in behavior that results in the production of discriminative stimuli in situations involving new ... Psychological acculturation is an individual's attitudinal and behavioral adjustment to another culture, which typically varies with regard to degree and type. Compare deculturation ...
The term problem solving has a slightly different meaning depending on the discipline. For instance, it is a mental process in psychology and a computerized process in computer science. There are two different types of problems: ill-defined and well-defined; different approaches are used for each. ... Computers in Human Behavior. 9 (2-3): 171 ...
Learn about problem-solving, a mental process that involves discovering and analyzing a problem and then coming up with the best possible solution. ... After the problem has been identified, it is important to fully define the problem so that it can be solved. You can define a problem by operationally defining each aspect of the problem and ...
Problem-solving therapy is a short-term treatment used to help people who are experiencing depression, stress, PTSD, self-harm, suicidal ideation, and other mental health problems develop the tools they need to deal with challenges. ... Problem definition and formulation: ... Gellman MD, ed. Encyclopedia of Behavioral Medicine. Springer ...
Problem-solving is an important skill to develop because life will always throw you curveballs. Being able to respond to these problems with flexibility and calmness will generate much better results than if you respond to the problem with resistance or avoidance. Also, research has shown that increasing problem-solving skills through problem-solving therapy is beneficial for several physical ...
The OECD publication in 2004 on problem-solving for tomorrow's world, discussed issues related to the definition of problem-solving competence as the ability of individuals to use cognitive skills ...
Problem-solving is the cognitive process of identifying a challenge or obstacle and systematically working through potential solutions to resolve it. This process involves critical thinking, creativity, and the application of knowledge, which connects to various aspects of how we think, learn, and make decisions.
Problem-solving skills refer to the cognitive and behavioral activities used to understand a problem and find effective ways of coping with it, requiring five major processes: defining and formulating the problem, generating alternative solutions, deciding on the solution to implement, implementing the solution, and verifying the effectiveness of solution (Nezu & Nezu, 2001).
Problem solving refers to cognitive processing directed at achieving a goal when the problem solver does not initially know a solution method. A problem exists when someone has a goal but does not know how to achieve it. Problems can be classified as routine or nonroutine, and as well defined or ill-defined. The major cognitive processes in problem solving are representing, planning, executing ...