Problem-solving therapy is a brief, practical therapy recommended in WHO's mhGAP guidance.
It helps break big problems into small, workable steps.
Key concepts
- Separate problems you can change from those you cannot
- Brainstorm without judging ideas first
- Small action is better than perfect planning
Symptoms and signs
- Feeling overwhelmed and avoiding decisions
- Going round in circles thinking about problems
- Low mood linked to practical stresses
Causes
- Multiple stresses at once — money, family, work
- Low confidence in one's ability to cope
- Depression reducing energy and focus
Risk factors
- Major life changes
- Isolation and lack of support
- Using alcohol to cope
Evidence-based management
- 1. Define one problem clearly
- 2. List all possible solutions; 3. Weigh pros and cons
- 4. Choose one and plan the steps; 5. Act
- 6. Review: what worked, what next?
When to seek professional help
- You can book a consultation to discuss whether therapy suits your situation
- Problems feel hopeless despite trying
- Thoughts of self-harm need urgent help, not a waiting list
Frequently asked questions
What if the problem cannot be solved?
Then the focus shifts to coping with feelings and finding support — that is also a solution.
How long does problem-solving therapy take?
Often 4–8 sessions.
Medical references
Guidelines and official sources used for this article.
- mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings, version 2.0. World Health Organization, 2016.
- LIVE LIFE: an implementation guide for suicide prevention in countries. World Health Organization, 2021.
- Author
- Dr. Kuldeep Budania, MBBS, MD Psychiatry
- Medical reviewer
- Dr. Kuldeep Budania, MD Psychiatry
- Last reviewed
This article is for general information and is not a substitute for personal medical advice.
Related articles
Related guides
Need personal advice? Book a confidential consultation.