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How to Handle Problem Narratives

How to Handle Problem Narratives

May 13, 2026 | Coaching, Communication, Healthcare, The Solution-Focused Practice

When a client is stuck in a problem narrative, the trained instinct is to fix it. Dr. Deborah Teplow on the three small moves that work instead: acknowledge, ask coping questions, and look forward.

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When Strategy Becomes the Destination

When Strategy Becomes the Destination

May 11, 2026 | Communication, The Solution-Focused Practice

When a client names a strategy, that is not the destination. It is the door. Here is how the Solution-Focused approach uses strategy talk as a starting point for building a real preferred future.

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Stop Fighting for Your Client

Stop Fighting for Your Client

Apr 28, 2026 | Communication, The Solution-Focused Practice

When a client knows what to do but isn’t doing it, the instinct is to fight for them. Here’s why that backfires, and the Solution-Focused move that puts ownership back where it belongs.

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Select and Preserve: Why Your Paraphrasing Might Be Blocking Client Progress

Select and Preserve: Why Your Paraphrasing Might Be Blocking Client Progress

Apr 21, 2026 | Communication, Healthcare, SF vs MI

When you paraphrase a client’s words, you’re making a choice — not just a communication decision. Research into the microanalysis of therapeutic conversations shows that how practitioners handle client contributions directly predicts follow-through. Here’s what the evidence says.

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The Brief Coaching Session: Why You Should Stop Evoking Motivation and Start Building a Preferred Future

The Brief Coaching Session: Why You Should Stop Evoking Motivation and Start Building a Preferred Future

Apr 17, 2026 | Communication, Healthcare, SF vs MI, Temporal Map

The check-in is scheduled for 15 minutes. Your client is struggling with a habit they’ve committed to multiple times. You can feel the clock ticking as you try to help them find the drive to stay on track. In health coaching, many practitioners rely on...

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When They’re Already Motivated: Why Motivational Interviewing Can Stall Your Patient’s Progress

When They’re Already Motivated: Why Motivational Interviewing Can Stall Your Patient’s Progress

Apr 10, 2026 | Communication, Healthcare, SF vs MI

When a patient has already decided to change, Motivational Interviewing’s evocative structure can slow their momentum. Here is what the evidence shows about a different approach.

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Motivational Interviewing vs. Solution-Focused: What the Evidence Says About Patient Follow-Through

Motivational Interviewing vs. Solution-Focused: What the Evidence Says About Patient Follow-Through

Mar 31, 2026 | Coaching, Communication, Healthcare, Practice Growth, SF vs MI

You explain the plan clearly. The person leaves seemingly committed — and yet the follow-through never happens. When this pattern repeats, the evidence suggests the problem may not be their motivation, but the structural starting point of the conversation itself.

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The Consultation Conversion Gap: Why Your Leads Aren’t the Problem

The Consultation Conversion Gap: Why Your Leads Aren’t the Problem

Mar 23, 2026 | Communication, Healthcare, Practice Growth

Most specialty practices lose patients not from lack of leads, but from what happens in the conversation after the lead arrives. Here’s what the research shows.

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Recent Posts

  • Stop Solving, Start Asking: Why Focusing on Problems Can Stall Patient Progress
  • How to Handle Problem Narratives
  • The 24-Hour Win: Why Your Sessions Should End with Visibility, Not Just Commitment
  • When Strategy Becomes the Destination
  • Beyond SMART Goals: Why Your Clients Need a “Preferred Future” to Achieve Real Change

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