英文原文
Solution Focused Therapy for Addiction: A Strengths-Based Approach to Recovery
Key Takeaways
* Solution focused brief therapy (SFBT) is an evidence-based, short-term approach that builds solutions rather than analyzing problems.
* Developed by Steve de Shazer and Insoo Kim Berg in the late 1970s, SFBT typically requires only 6–10 sessions to achieve meaningful results.
* Research shows SFBT is as effective as cognitive behavioral therapy and motivational interviewing for treating substance use disorders.
* This therapy emphasizes client strengths, past successes, and exceptions to addiction patterns rather than dwelling on failures.
* SFBT can be effective for adolescents, families affected by addiction, and individuals with co-occurring disorders.
Recovery is not about being perfect. It is about noticing what helps, taking one step at a time, and feeling supported as you go. Unlike approaches that spend a lot of time on the “why,” solution focused therapy for addiction stays close to your lived experience today and the future you want to build. It asks, what is already working, and how can we gently do more of that.
At Scottsdale Providence Recovery Center, we walk alongside you. We integrate Solution Focused Therapy for Addiction into individualized care plans that honor your story, your strengths, and your pace. Our focus is on compassionate support, achievable progress, and lasting recovery.
In this guide, we explore how solution focused therapy for addiction supports recovery by emphasizing hope, resilience, and the capacity for change that is already within you.
What Is Solution Focused Therapy for Addiction?
Solution focused therapy for addiction represents a shift in how we approach substance use treatment. Rather than exploring past trauma at length or mapping every root cause, Solution Focused Behavioral Therapy, or SFBT, helps you identify and amplify what is already helping, even if those moments feel small.
Historical Background and Development
In the early 1980s, Steve de Shazer and Insoo Kim Berg at the Brief Family Therapy Center in Milwaukee observed that clients made faster progress when they and their therapists focused on successful moments and exceptions to problems. These observations led to SFBT as a distinct modality centered on practical change and the belief that clients have strengths and resources they can build upon.
Core Philosophy and Principles
Solution Focused Therapy for Addiction differs from problem-focused approaches in a few key ways. It is:
* Present and future oriented: You and your therapist envision a preferred future and identify clear, doable steps to reach it.
* Collaborative: You are the expert in your life. We listen first, then partner with you to shape next steps.
* Strengths based: Together, we lift up resources, skills, and prior successes rather than cataloging deficits.
* Brief and focused: Most SFBT work completes in 6–10 sessions, which fits well in IOP and outpatient settings.
At Scottsdale Providence, this philosophy guides a compassionate, individualized plan that meets you where you are and builds momentum without judgment.
How Solution Focused Therapy for Addiction Works in Treatment
SFBT emphasizes solution building rather than problem analysis. The process begins by noticing times when you managed your substance use or avoided it altogether. These exceptions, no matter how small, become the foundation for workable, repeatable strategies.
The Solution-Building Process
You and your therapist look at what was different during successful moments. Maybe a supportive person checked in. Maybe a routine helped. Maybe you felt more rested or more connected. These observations turn into practical plans you can start right away.
Building on Client Strengths and Resources
Common strengths include:
* Periods of sobriety or reduced use
* Supportive family or friends
* Work skills or educational achievements
* Cultural or spiritual practices that provide meaning
* Prior success in overcoming other challenges
Recognizing your capabilities reduces shame and increases hope. If trauma is part of the picture, we pair Solution Focused Therapy for Addiction with evidence-based care like Trauma Therapy.
Collaborative Goal-Setting
In SFBT, goals are developed together rather than imposed. They are:
* Specific and concrete
* Stated in positive terms
* Small and achievable to build confidence
* Personally meaningful and aligned with your values
Many clients combine SFBT with skills-based work in Cognitive Behavioral Therapy to reinforce daily change.
Core Techniques Used in Solution Focused Addiction Therapy
The Miracle Question
“Suppose tonight, while you sleep, a miracle happens and your problem with substance use is completely solved. When you wake up tomorrow, what would be different?”
This question is a gentle way to name what you truly want. It clarifies treatment goals, reduces overwhelm by focusing on one day, and often reveals supports you already have.
Exception-Finding and Scaling Questions
Together, we identify times when cravings were lower or use did not occur, then explore what made the difference. Simple 1–10 scaling helps you notice shifts in confidence, motivation, and progress. These tools make improvement visible and encouraging.
Compliments and Affirmations
Your effort matters. We acknowledge perseverance, validate the courage it takes to seek help, and reinforce the change that is already happening. Small steps count.
Evidence and Effectiveness of SFBT for Substance Use Disorders
Research indicates that SFBT:
* Achieves outcomes comparable to CBT and motivational interviewing
* Often reaches meaningful results in fewer sessions
* Improves engagement and completion rates
* Shows sustained benefits over time
These strengths make SFBT a practical, hopeful option within comprehensive care plans at Scottsdale Providence that may also include trauma-informed therapy, psychiatric care, and peer community.
SFBT vs. Traditional Addiction Therapies
Traditional approaches often examine trauma histories, triggers, and detailed causal chains. Solution Focused Therapy for Addiction focuses on the present and future, building on what works and reinforcing strengths.
SFBT can also complement 12-Step participation by helping you translate principles into specific daily actions. Our team can help you choose the right mix of services in IOP or step-down care.
Handling Relapse and Setbacks
Setbacks do not erase your progress. In SFBT, we treat relapse as information about what does not work and refocus on what has worked and what could work better. This reduces shame and keeps treatment moving forward.
Treatment Duration and Intensity
While traditional therapy may last many months, SFBT often delivers meaningful change within 6–10 sessions. It can be a brief stand-alone intervention or blend into longer-term care, depending on your needs.
Who Can Benefit from Solution Focused Therapy for Addiction Treatment
SFBT shows promise across many groups, including:
* Adolescents: A collaborative, future-focused style can reduce resistance and improve family communication.
* Adults with co-occurring disorders: A strengths-forward lens helps address complexity without overwhelm.
* Families affected by addiction: Solution focused family work amplifies healthy patterns and reduces conflict.
* Mandated clients or those discouraged by past treatment: A non-confrontational stance increases engagement.
If you are unsure which level of care is right, our team can help you verify insurance and discuss options. You do not have to sort this out alone.
What to Expect in Solution Focused Therapy for Addiction
Initial Sessions: Assessment and Goal Setting
Rather than lengthy problem inventories, early sessions explore goals, resources, and exceptions. The miracle question may help clarify what a good day in recovery looks like for you.
Treatment Process and Session Structure
* Brief check-in and scaling
* Review of what has been working since the last session
* Refinement of goals as insight grows
* Planning small, realistic next steps
* Simple practices between sessions to notice and build on progress
Monitoring Progress
Progress is tracked with scaling, exception logs, and movement toward client-defined goals. This keeps the focus on meaningful change that you can feel in daily life.
Treatment Completion and Maintenance
Treatment ends collaboratively when you feel confident in maintaining gains. Relapse prevention focuses on strengthening patterns that support success. Some clients choose periodic booster sessions.
How Scottsdale Providence Recovery Center Uses SFBT
At Scottsdale Providence Recovery Center, we believe that healing occurs in relationships and within a community. SFBT is part of a comprehensive, individualized treatment model that respects your strengths and your story.
Depending on your needs, your plan may include solution focused sessions, trauma-informed therapy, psychiatric care, peer community, and structured outpatient services. Our team focuses on measurable progress, real-life skills, and steady encouragement so you can move forward with confidence.
中文翻译
焦点解决疗法治疗成瘾：基于优势的康复方法
关键要点
* 焦点解决短期疗法（SFBT）是一种基于证据的短期方法，它专注于构建解决方案而非分析问题。
* 由史蒂夫·德·沙泽尔和尹素·金·伯格在20世纪70年代末开发，SFBT通常只需6-10次会话即可取得有意义的成果。
* 研究表明，SFBT在治疗物质使用障碍方面与认知行为疗法和动机性访谈同样有效。
* 这种疗法强调来访者的优势、过去的成功以及成瘾模式的例外情况，而不是纠结于失败。
* SFBT对青少年、受成瘾影响的家庭以及共病障碍的个体都有效。
康复不是追求完美。而是关注什么有帮助，一步一步前进，并在过程中感受到支持。与那些花大量时间探讨“为什么”的方法不同，焦点解决疗法治疗成瘾更贴近你当下的生活体验和你想要构建的未来。它询问，什么已经在起作用，我们如何温和地多做一点。
在斯科茨代尔普罗维登斯康复中心，我们与你同行。我们将焦点解决疗法治疗成瘾融入个性化的护理计划中，尊重你的故事、你的优势和你的节奏。我们的重点是富有同情心的支持、可实现的进步和持久的康复。
在本指南中，我们探讨焦点解决疗法如何通过强调希望、韧性和你内在已有的改变能力来支持康复。
什么是焦点解决疗法治疗成瘾？
焦点解决疗法治疗成瘾代表了我们在处理物质使用治疗方式上的转变。与其深入探讨过去的创伤或追溯每一个根源，焦点解决行为疗法（SFBT）帮助你识别并放大已经在起作用的因素，即使那些时刻看起来很微小。
历史背景与发展
20世纪80年代初，史蒂夫·德·沙泽尔和尹素·金·伯格在密尔沃基的短期家庭治疗中心观察到，当来访者和他们的治疗师专注于成功时刻和问题的例外情况时，来访者进步更快。这些观察促使SFBT成为一种以实际改变为中心、相信来访者拥有可以依靠的优势和资源的独特模式。
核心理念与原则
焦点解决疗法治疗成瘾与问题导向方法在几个关键方面不同。它是：
* 面向现在和未来：你和你的治疗师设想一个更喜欢的未来，并确定清晰、可行的步骤来实现它。
* 合作性：你是自己生活的专家。我们先倾听，然后与你合作制定下一步计划。
* 基于优势：我们一起提升资源、技能和先前的成功，而不是罗列缺陷。
* 简短且聚焦：大多数SFBT工作在6-10次会话内完成，这非常适合强化门诊和门诊设置。
在斯科茨代尔普罗维登斯，这一理念指导着一个富有同情心、个性化的计划，它在你所在的地方与你相遇，并在没有评判的情况下建立动力。
焦点解决疗法在成瘾治疗中如何运作
SFBT强调解决方案的构建而非问题分析。这个过程从注意你管理物质使用或完全避免它的时刻开始。这些例外情况，无论多小，都成为可行、可重复策略的基础。
解决方案构建过程
你和你的治疗师审视在成功时刻有什么不同。也许有支持性的人来关心。也许一个日常习惯有帮助。也许你感觉更休息或更连接。这些观察转化为你可以立即开始的实用计划。
基于来访者优势和资源
常见的优势包括：
* 清醒或减少使用的时期
* 支持性的家人或朋友
* 工作技能或教育成就
* 提供意义的文化或精神实践
* 先前克服其他挑战的成功
认识到你的能力减少羞耻感并增加希望。如果创伤是其中的一部分，我们将焦点解决疗法治疗成瘾与创伤疗法等基于证据的护理相结合。
合作性目标设定
在SFBT中，目标是共同制定而非强加的。它们是：
* 具体且明确
* 以积极术语陈述
* 小而可实现以建立信心
* 个人有意义且与你的价值观一致
许多来访者将SFBT与认知行为疗法中的技能性工作相结合，以加强日常改变。
焦点解决成瘾疗法中使用的核心技术
奇迹问题
“假设今晚，在你睡觉时，一个奇迹发生，你与物质使用相关的问题完全解决了。当你明天醒来时，会有什么不同？”
这个问题是一种温和的方式来命名你真正想要的东西。它澄清治疗目标，通过关注一天来减少压力，并常常揭示你已经拥有的支持。
例外发现和量表问题
我们一起识别渴望较低或未使用物质的时刻，然后探索是什么造成了不同。简单的1-10量表帮助你注意信心、动机和进步的变化。这些工具使改进可见且鼓舞人心。
赞美和肯定
你的努力很重要。我们承认毅力，验证寻求帮助所需的勇气，并加强已经在发生的变化。小步骤也很重要。
SFBT对物质使用障碍的证据和有效性
研究表明SFBT：
* 达到与CBT和动机性访谈相当的结果
* 通常在更少的会话中取得有意义的成果
* 提高参与度和完成率
* 显示出随时间持续的益处
这些优势使SFBT成为斯科茨代尔普罗维登斯综合护理计划中一个实用、充满希望的选择，该计划可能还包括创伤知情疗法、精神科护理和同伴社区。
SFBT与传统成瘾疗法的比较
传统方法通常检查创伤历史、触发因素和详细的因果链。焦点解决疗法治疗成瘾专注于现在和未来，基于有效的东西并加强优势。
SFBT还可以补充12步参与，帮助你将原则转化为具体的日常行动。我们的团队可以帮助你在强化门诊或降级护理中选择合适的服务组合。
处理复发和挫折
挫折不会抹去你的进步。在SFBT中，我们将复发视为关于什么不起作用的信息，并重新聚焦于什么已经起作用以及什么可以更好。这减少羞耻感并保持治疗向前推进。
治疗持续时间和强度
虽然传统治疗可能持续数月，但SFBT通常在6-10次会话内带来有意义的改变。它可以是一个简短的独立干预，或根据你的需求融入长期护理。
谁可以从焦点解决疗法治疗成瘾中受益
SFBT在许多群体中显示出前景，包括：
* 青少年：合作性、面向未来的风格可以减少抵抗并改善家庭沟通。
* 共病障碍的成年人：优势导向的视角有助于处理复杂性而不感到压力。
* 受成瘾影响的家庭：焦点解决家庭工作放大健康模式并减少冲突。
* 强制来访者或对过去治疗感到沮丧的人：非对抗性立场增加参与度。
如果你不确定哪种护理水平适合，我们的团队可以帮助你验证保险并讨论选项。你不必独自解决这个问题。
在焦点解决疗法治疗成瘾中可以期待什么
初始会话：评估和目标设定
与其进行冗长的问题清单，早期会话探索目标、资源和例外情况。奇迹问题可能有助于澄清对你来说康复中美好的一天是什么样子。
治疗过程和会话结构
* 简短签到和量表评估
* 回顾自上次会话以来什么在起作用
* 随着洞察增长而细化目标
* 计划小而现实的下一步
* 会话间的简单实践以注意并基于进步
监测进展
进展通过量表、例外日志和向客户定义目标的移动来跟踪。这保持对你在日常生活中可以感受到的有意义改变的关注。
治疗完成和维护
当你对保持成果有信心时，治疗以合作方式结束。复发预防侧重于加强支持成功的模式。一些来访者选择定期的加强会话。
斯科茨代尔普罗维登斯康复中心如何使用SFBT
在斯科茨代尔普罗维登斯康复中心，我们相信疗愈发生在关系和社区中。SFBT是综合、个性化治疗模式的一部分，尊重你的优势和你的故事。
根据你的需求，你的计划可能包括焦点解决会话、创伤知情疗法、精神科护理、同伴社区和结构化门诊服务。我们的团队专注于可衡量的进展、现实生活技能和稳定的鼓励，以便你可以自信地向前迈进。
文章概要
本文介绍了焦点解决短期疗法（SFBT）在成瘾康复中的应用，强调其基于优势、面向未来的目标导向对话方法。文章指出SFBT由史蒂夫·德·沙泽尔和尹素·金·伯格在20世纪70年代末开发，是一种证据支持的短期疗法，通常只需6-10次会话即可取得显著效果。与关注问题根源的传统疗法不同，SFBT专注于构建解决方案，通过奇迹问题、例外发现和合作性目标设定等技术，帮助来访者识别并放大已有的成功时刻和内在资源。研究表明SFBT在治疗物质使用障碍方面与认知行为疗法和动机性访谈同样有效，尤其适合青少年、家庭和共病障碍个体。文章还描述了SFBT在斯科茨代尔普罗维登斯康复中心的实际应用，展示了如何通过目标导向对话促进康复进程。
高德明老师的评价
用12岁初中生可以听懂的语音来重复翻译的内容：
这篇文章讲的是一个特别棒的帮助人们戒掉坏习惯的方法，比如抽烟或喝酒。这个方法不一直问“你为什么这样”，而是问“你什么时候做得更好”。就像你玩游戏，不是总想输了多少次，而是想赢的那几次是怎么做到的。治疗师会和你一起找那些你成功控制自己的小时刻，然后想办法多做这样的事。它很短，可能只要见几次面，就能看到进步，而且让你觉得自己很厉害，因为你有自己的优点和成功经验。
焦点解决心理学理论评价：
这篇文章精彩地展现了焦点解决心理学在成瘾康复领域的强大应用。它完美体现了SFBT的核心精神——从问题导向转向解决方案构建，这种转变本身就是一种充满希望和力量的视角。文章强调来访者的优势、例外时刻和内在资源，这完全符合焦点解决心理学“来访者是自身生活的专家”这一基本信念。目标导向对话在这里不是简单的任务设定，而是一种合作性的探索过程，它尊重来访者的自主性和价值观，通过奇迹问题等技术，将模糊的康复愿望转化为具体、积极的未来图景。这种对话方式极大地减少了羞耻感和压力，让改变过程变得可管理和充满可能性。
在实践上可以应用的领域和可以解决人们的十个问题：
1. 在成瘾康复中心，帮助来访者建立短期可实现的目标，减少对长期戒断的恐惧。
2. 在学校心理咨询中，协助学生应对学习压力或行为问题，聚焦于他们已有的成功学习策略。
3. 在企业员工援助计划中，提升工作表现和团队合作，通过例外发现加强积极工作模式。
4. 在家庭治疗中，改善亲子沟通，放大家庭中已有的健康互动时刻。
5. 在社区心理健康服务中，支持慢性疾病患者的自我管理，基于他们过去的成功应对经验。
6. 在创伤后恢复中，帮助个体重建安全感，关注那些已经感觉更安全的时刻。
7. 在青少年发展项目中，增强自尊和决策能力，通过赞美他们的努力和进步。
8. 在老年护理中，促进生活适应和意义感，利用他们一生的智慧和资源。
9. 在人际关系辅导中，解决冲突，聚焦于关系中已经有效的沟通方式。
10. 在自我成长工作坊中，帮助个人设定人生目标，通过量表问题可视化进步轨迹。