Structured Problem-Solving
A four-step problem-solving worksheet: define the problem, brainstorm and evaluate options, choose and plan, then review the outcome.
2-page fillable PDF · US Letter (prints on A4) · Problem-solving therapy
- Approach / concern
- CBT
- Technique
- Problem-solving therapy
- Format
- Fillable PDF, 2 pages (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Structured Problem-Solving?
Problem-solving therapy teaches a structured approach to real-life problems: defining the problem, generating alternatives, decision-making, and implementing and verifying the solution. It also addresses problem orientation, such as confidence and seeing problems as challenges.
Why it works
Problem-solving therapy is an effective treatment for depression (Bell & D’Zurilla, 2009) and is widely used in CBT for stress, anxiety and adjustment difficulties (D’Zurilla & Nezu, 2010).
When to use it
- Practical life problems (work, money, housing, relationships)
- Depression with feeling overwhelmed
- Generalized worry about solvable problems
- Primary care and brief therapy
How to use it in session
- Help the client choose one manageable, practical problem.
- Define it specifically and set a realistic goal.
- Brainstorm without judging.
- Evaluate options and choose one.
- Plan steps, try it and review.
Clinician tips
- Distinguish practical problems from hypothetical worries.
- Break large problems into smaller ones.
- Praise effort, even if the first option doesn’t work.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
What if no option seems good?
Choose the ‘least bad’ option or combine options. Sometimes taking any step creates new possibilities.
Can this help with anxiety?
Yes, for practical problems. For worries about things that can’t be solved, acceptance and defusion skills are more helpful.
References
D’Zurilla, T. J., & Nezu, A. M. (2010). Problem-solving therapy. In K. S. Dobson (Ed.), Handbook of cognitive-behavioral therapies (3rd ed., pp. 197-225). Guilford Press.
Bell, A. C., & D’Zurilla, T. J. (2009). Problem-solving therapy for depression: A meta-analysis. Clinical Psychology Review, 29(4), 348-353.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
