Solution-Focused Brief Therapy (SFBT) for College Students

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According to a study published in the Journal of American College Health, college students who received Solution-Focused Brief Therapy (SFBT) experienced significant reductions in anxiety (Novella et al., 2020). Participants in the study included 49 undergraduate students seeking counseling for mild to moderate anxiety. The students were asked to complete self-report measures of anxiety before, during, and after SFBT. When comparing the effectiveness of in-person versus online delivery of SFBT, the authors found no significant differences in effectiveness. This article provides additional evidence supporting the use of SFBT as a treatment approach and online as a delivery method when treating college students with mild to moderate anxiety.

What is Solution-Focused Brief Therapy (SFBT)?

Solution-Focused Brief Therapy, also known as SFBT, is a practical and efficient approach to counseling that has proven to be effective in treating a number of different problems, including anxiety and stress. SFBT is a commonly used, short-term treatment that involves working together to identify personal strengths and goals and solve problems.

Assumptions

  • Change is constant and certain

  • Focusing on the possible and changeable is more helpful than focusing on the impossible and unchangeable

  • Individuals have the resources and strengths needed to solve their problems

  • Small steps can lead to big changes

  • Individuals seeking counseling are the experts of their own experiences

  • No problem happens all of the time

  • If it’s working, do more of it

  • If it’s not working, do something different

Key Components

  • Envisioning a more satisfying life: developing a detailed description of what you want your life to look like and the times in your life when at least some parts of this vision have already happened

  • Setting and clarifying goals: collaboratively creating personally meaningful, realistic, achievable, concrete, specific, and positively stated (the presence of something rather than the absence of something) goals

  • Highlighting positives: reflecting on personal successes and identifying people, actions, and abilities that have been helpful when solving previous problems

  • Focusing on the present and future: determining what is already working and how you would like your life to be different

  • Fostering internal strength and resources: identifying current coping skills by reflecting on how you overcome problems and what contributes to your resiliency

  • Taking action to achieve individual goals: outlining specific, practical steps to reach your goals and doing more of what has previously worked and/or what is currently working

  • Monitoring progress: regularly reviewing the severity of the problem, your ability to achieve your goals, and the distance from reaching your goal and identifying what needs to happen to maintain or increase your progress

Core Questions

  • If a miracle happened during the night while you were sleeping and the next day your problems were solved, what would be different?

  • What else will happen after this miracle has occurred?

  • When have some parts of this miracle already occurred? What was different about these times?

  • If you pretended that the miracle happened, what would be the first small thing you would do?

  • On a scale of 0 (worst) to 10 (best), where are you right now? What are you going to be doing when you move up a number on the scale?

Student Success Psychological Services is a specialty practice providing online SFBT for college students experiencing anxiety. Click here to learn more.

For more information about SFBT, visit this website: https://solutionfocused.net/

Find the link to the full research article here: https://doi.org/10.1080/07448481.2020.1786101

Novella, J. K., Ng, K. M., & Samuolis, J. (2020). A comparison of online and in-person counseling outcomes using solution-focused brief therapy for college students with anxiety. Journal of American College Health, 1-8.

 

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