Dialectical behavior therapy / DBT-A14-4
Problem-Solving When Action Fits — Session activity
Facilitate a structured practice of problem-solving when action fits with preparation, reflection, and an agreed closing.
30 minutes · Session guide · Mental health professionals
Fictional example: Taylor's recurring stress comes partly from unclear appointment reminders.
Use within your training and assessment of readiness. Some emotional situations call for practical change.
0–5 min | Agree on purpose and fit
Explain the educational scope. Ask what would be useful, check readiness and access needs, and establish choices to observe, adapt, or pass. Use an ordinary example; do not solicit trauma narratives.
5–10 min | Orient with an example
Some emotional situations call for practical change. Fictional example: Taylor's recurring stress comes partly from unclear appointment reminders. Ask what is observed and what remains uncertain.
10–20 min | Practice and compare
Define a solvable part of a problem, generate options, compare access and consequences, and select a small test. Offer quiet individual work, a supported conversation, or an observing role. Compare two possible responses without evaluating people as right or wrong.
20–25 min | Reflect on meaning
Which part of the problem can be changed with available support? Ask what fit, what did not fit, and how culture, power, disability access, or external conditions affect the options.
25–30 min | Integrate and close
Invite one optional next step or support request. Orient to the current setting, allow an unfinished question to remain unfinished, and agree how to revisit it. End early or adapt if activation increases.
Adaptations
For a group, use fiction and no compulsory round-robin disclosure. For remote use, allow off-camera reflection and private notes. For brief use, keep one example and one question while retaining opening and closing choices.
Prompts for this resource
- What outcome would make this practice useful?
- Which part of the problem can be changed with available support?
- What adaptation or follow-up is needed?
Conceptual background
Dialectical Behavior Therapy Skills Training: Fundamentals — Behavioral Tech Institute
Background on the approach only. Original exercises and wording are by More Than Therapy with AI assistance; the source does not validate or endorse these materials.