Problem-Solving Worksheet

When to Use

Use when the client faces genuine practical problems that contribute to or maintain their depression. Problem-solving therapy is an evidence-based intervention for depression that targets the demoralisation and helplessness that arise from feeling unable to manage life difficulties. Distinguish between problems that need solving and worries that need managing differently.

How to Introduce

Normalise the difficulty: 'Depression makes problem-solving harder because it narrows our thinking and reduces motivation. This worksheet gives you a structured approach to work through problems step by step, rather than getting stuck in overwhelm or avoidance.'

Adaptations

For clients who are overwhelmed by multiple problems, help them prioritise and tackle one at a time. For those who generate solutions but cannot choose between them, use the cost-benefit approach for each option. For clients with a ruminative style, emphasise the action-oriented nature of problem-solving versus passive rumination.

Not appropriate for emotional problems that require processing rather than solving. Avoid if the client uses problem-solving as a way to maintain a sense of control while avoiding emotional engagement. Distinguish solvable practical problems from worry themes that masquerade as problems.

Clinical Tips

The most common barrier is the client dismissing potential solutions before properly evaluating them. Encourage brainstorming without judgement first, then evaluate. If the client repeatedly identifies solutions but does not implement them, explore the motivational and emotional barriers. Rate the problem before and after attempting the solution to build evidence for self-efficacy.