How to Practice Solution Focused Therapy: A Guide for Therapists

Most therapies ask clients to dig into their past – to trace the roots of their struggles before they can move forward. Solution-Focused Therapy (SFT) takes a fundamentally different path. Rather than analyzing problems, it helps clients identify what’s already working in their lives and build on it. Developed by Steve de Shazer and Insoo Kim Berg at the Milwaukee Brief Family Therapy Center in the late 1970s, SFT is a present- and future-oriented approach grounded in a simple but powerful conviction: clients already possess the strengths and resources they need – the therapist’s job is to help them find and use those resources. For practicing therapists, understanding how to put this approach into action is the key to making it work.

The therapist’s role: learning, not leading 🔗

One of the most distinctive aspects of SFT is the position the therapist occupies in the room. Rather than being the expert who diagnoses and prescribes, the SFT therapist adopts what is often described as a “not-knowing” or learning position – approaching each client with genuine curiosity and humility. The client is regarded as the expert on their own problems, and the therapist’s role is to learn the client’s language and perspective, not impose an external framework.

This shift in stance has practical consequences. The overall attitude in SFT is positive, respectful, and hopeful, with a fundamental belief that most people have the strength, wisdom, and experience to effect change. What other models might label as “resistance” is reframed as either a natural protective response or a signal that an intervention doesn’t fit the client’s situation. The atmosphere this creates is collegial rather than hierarchical – a working partnership between equals.

Importantly, this philosophy applies to the therapist’s own practice too. When a technique appears to be helpful, the therapist may continue it; when something doesn’t appear to be working, the therapist should do something different. The SFT therapist is expected to be willing to abandon their preferred techniques in favor of whatever actually serves the client best.

Session structure: flexible, collaborative, and client-led 🔗

SFT does not follow a fixed protocol with a set number of sessions. It is typically brief – often in the range of three to five sessions – but the number is decided collaboratively based on the client’s feedback and progress. Clients make the decision about when to return, and subsequent sessions begin with an exploration of what has improved since the last meeting. This keeps the focus firmly on growth rather than maintenance of a therapeutic relationship for its own sake.

Sessions themselves are structured around questions – not directives or interpretations. SFT therapists make questions the primary communication and intervention tool, with questions almost always focused on the present or the future, rather than a detailed exploration of past events. This question-led format keeps sessions focused, strengths-oriented, and moving forward.

Core techniques in solution-focused therapy 🔗

SFT uses a toolkit of specific techniques that together create a coherent therapeutic approach. Each technique serves a distinct purpose in helping clients recognize their strengths, articulate their goals, and build momentum toward change.

Pre-session change recognition 🔗

The work of SFT can begin before the first session even starts. Therapists often open by asking clients what has already improved since they made their appointment. SF therapists typically ask at the first session: “Sometimes between making an appointment and coming in, something happens to make things better – did anything like that happen in your case?” This question is deceptively simple but strategically important. It moves the conversation away from problem exploration and toward the building of a solution, signaling from the very beginning that the client is capable of change and that change is already in motion.

Exception seeking 🔗

A central tenet of SFT is that no problem happens all the time. There are always exceptions – moments when the problem could have occurred, but didn’t. The therapist guides the client toward areas of their life where there is an exception to the problem, and within that exception, an approach for a solution may be found.

Exception questions might sound like: “When don’t you have this problem? When is it less intense? What is different about those times?” Once an exception is identified, the therapist uses the EARS framework in subsequent sessions: Eliciting the exception, Amplifying it by exploring what made it possible, Reinforcing the strengths it represents, and then asking “What else is better?” A review of controlled outcome studies identified searching for exceptions as one of six techniques core to the SFT method, underlining how central this practice is to the approach’s effectiveness.

Competence seeking 🔗

Closely related to exception seeking, competence seeking involves actively drawing attention to a client’s existing strengths, coping abilities, and past successes. Rather than treating the client as someone defined by their difficulties, SFT frames them as a person who has already navigated challenges – often without fully recognizing it. Identifying these strengths contributes to the client’s overall hope and possibility for positive change, as they can continuously build upon them to formulate solutions.

Compliments are a formal part of this process. Direct or indirect compliments help validate the client’s efforts and experiences, raise their self-esteem, and build trust within the therapeutic relationship. After a break toward the end of a session, the therapist returns with a structured message: a compliment affirming the client’s strengths, a bridge connecting those strengths to a suggested task, and a homework experiment the client can try before the next session.

The miracle question 🔗

Perhaps the most well-known SFT technique, the miracle question invites clients to imagine a future in which their problem has been resolved overnight. The classic version, developed by de Shazer and Berg, runs roughly as follows: “Suppose that while you were sleeping tonight a miracle happened. The miracle is that the problem which brought you here is solved. However, because you were sleeping, you don’t know that the miracle has happened. When you wake up tomorrow, what will be the first small sign that tells you something has changed?”

The miracle question opens the door to the client’s possibilities by asking them to consider what an alternate reality might look like – one where things are different, better, and problems are resolved. Crucially, the follow-up questions matter just as much as the initial prompt. Therapists guide clients to describe specific, behavioral changes – what they would do differently, what others would notice – turning the miracle scenario into a concrete roadmap for therapy. As clients describe their miracle scenario, the therapist helps them identify specific, concrete changes that indicate progress, and these changes become the foundation for setting actionable steps.

The question can be adapted for different populations, cultures, and client needs. For clients who struggle with the concept of a miracle, it can be reframed: “Suppose things were how you wanted them to be – what would that look like?” The goal is not the wording itself, but the shift it creates in the client’s thinking.

Scaling questions 🔗

Scaling questions give both client and therapist a shared language for measuring progress. The therapist describes a scale from one to ten, where one represents the problem at its worst and ten represents the best things could be, then asks the client where they would rate things today. Once a number is offered, the therapist explores what it means in terms of specific behaviors and actions.

The real power of scaling is in the follow-up: “What would it look like if you moved just one point up the scale?” This keeps goals small and achievable. Scaling questions allow both client and therapist to assess the situation, identify the client’s current distance from their goal, and explore what it would take to move forward. Clients can be invited to scale not just the severity of their problem, but also their motivation, confidence, and hope – making scaling a versatile tool across different moments in therapy.

Reframing 🔗

Reframing involves helping clients see their situation through a different, more constructive lens. In SFT, this is built into the language the therapist uses throughout the session. A client saying “I’m depressed” might have that reframed by the practitioner into “Sometimes you experience depression” – a subtle but meaningful shift that separates the person from the problem and implies that the experience is not a fixed state.

Reframing helps clients view a situation from a more helpful perspective, and can involve pointing out positive aspects they may have overlooked or challenging unhelpful views about how they coped with a difficult experience. In SFT, reframing is not a single intervention but a continuous practice – a way of using language consistently to orient both therapist and client toward solutions rather than problems. One goal of SFT is to shift clients’ perceptions through the skillful use of language, and reframing is the primary vehicle for doing so.

Putting it all together: what practice actually looks like 🔗

In a typical first SFT session, the therapist might open with a pre-session change question, move into exception-seeking to identify when the problem is less present, use the miracle question to clarify goals, and apply scaling to establish a baseline. Toward the end of the session, the therapist takes a brief break before returning with compliments, a bridge, and a suggested homework experiment. The client decides when to return – and the next session begins with “What’s better since we last met?”

This is not a rigid formula. SFBT is very adaptable because it helps clients create custom-made interventions for themselves, and the client is always considered to be the expert. The techniques are a flexible repertoire, not a checklist. A skilled SFT practitioner reads the conversation and reaches for whichever tool best serves the client’s goals in that moment. Throughout the SFBT process, it is important to distinguish between problem talk – dwelling on what’s going wrong – and solution talk – identifying strengths and picturing a better future, and to consistently guide clients toward the latter.

A review of 43 controlled outcome studies found strong evidence for the effectiveness of SFT across a large number of settings and populations, with high treatment fidelity and consistent use of its core techniques. That evidence base, combined with SFT’s inherent flexibility and respect for client autonomy, makes it one of the most practical and accessible therapeutic approaches available to practitioners today.

What do you think? When you consider the idea that the client is always the expert in their own life, how does that change the way you think about the therapist’s role in the room? And which of SFT’s core techniques – exception seeking, the miracle question, scaling, or reframing – do you think would be hardest to apply consistently in practice, and why?

References

1. https://solutionfocused.net/what-is-solution-focused-therapy/
2. https://www.psychologytools.com/professional/therapies/solution-focused-therapy
3. https://www.andrews.edu/ceis/gpc/faculty-research/coffen-research/trepper_2010_solution.pdf
4. https://pmc.ncbi.nlm.nih.gov/articles/PMC10098109/
5. https://www.thesocialworkgraduate.com/post/practice-model-solution-focused-approach
6. https://positivepsychology.com/solution-focused-therapy-techniques-worksheets/
7. https://www.sondermind.com/resources/articles-and-content/solution-focused-therapy-techniques/
8. https://positivepsychology.com/miracle-question/
9. https://sweetinstitute.com/solution-focused-brief-therapy-the-miracle-question/
10. https://www.counsellingconnection.com/wp-content/uploads/2013/03/Solution-Focused-Therapy.pdf
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12. https://en.wikipedia.org/wiki/Solution-focused_brief_therapy
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