Brief Strategic Therapy: answers to frequently asked questions

How long does a brief strategic therapy?

Notoriously, the strategic therapy is a psychotherapeutic intervention model in the short term, this means that the average duration of a complete cycle is estimated at 10-15 meetings. It 'worth noting that the effects of a brief intervention strategy are objectively verifiable from the early sessions. And 'practice of strategic psychotherapist constantly check the effectiveness of treatment in line with the target set with the patient.

How often have meetings in a brief strategic therapy?
In the first phase of treatment, the meetings are weekly or biweekly. Once the first substantial improvement, you go to a meeting every three weeks to enable the person to experience in their daily lives their new-found resources and capabilities, also eliminating the risk of dependence on the figure of the therapist. A solution reached, therapy ends with 3 control sessions (follow up) after 3 months, 6 months and 1 year to determine the retention time of the result.
How long does a session last?
The duration of a session is never strategically predetermined but varies from time to time according to the different needs of the person in treatment, stage of treatment where it is and the type of problem presented. The duration of the session can vary widely from one hour (in the early meetings) up to twenty minutes (usually in the later stages of treatment).
Brief strategic therapy provides long-lasting results?
As is clear from the follow-ups conducted at 3 months, 6 months and 1 year after the treatment, the presence of relapse is minimal. The results of the research on thousands of cases treated with brief strategic therapy in recent decades (in Italy and abroad) have shown not only high effectiveness of the intervention evaluated at the end of treatment, but also the stability of the results time.
Brief strategic therapy involves the use of drugs? Brief strategic therapy is a psychotherapeutic intervention and, as such, does not require the use of drugs. If the patient came to therapy with a medication in place, it will prompt you to continue with this by following the instructions of your doctor or psychiatrist. A problem solved the therapist will contact the medical colleague to assess the possibility of reducing the time and in the doses, the drug.
I would like to start a brief therapy approach to strategic and already know some techniques. Knowing the techniques may in some way hinder my course of treatment?
Already know some of the maneuvers is not a strategic ostavcolo for the effectiveness of the intervention. In most cases, already be aware of the kind of commitment that requires a strategic therapy or the effect that some techniques may sorties, may also facilitate or accelerate the result.
I think my family has problems that could be solved with a strategic psychotherapy, but the person in question does not want to contact a specialist. What can I do?
Very often people who have certain types of problems, such as eating disorders, relationship difficulties or particular, refuse to consult a specialist or are extremely resistant to any kind of intervention. In these cases the family, if properly addressed, can play a fundamental role in determining the treatment of the disorder. In these situations, the strategic therapist is customary for a first meeting with family members, or others who are close to the one that shows the problem, and assess with them what you can do to intervene. The strategic therapist can then give guidance on how to engage and involve the "carrier of the disease" in therapy, or family to give concrete indications on how to behave in relation to the person and the disorder in question, using as an indirect form of therapy. Following this intervention may happen that the "identified patient" decides to go into therapy at a later time and in other cases the therapy proceeds only in an indirect manner.
Strategic therapy is purely symptomatic therapy? And if there is a risk that once solved a symptom you will experience symptoms replacement?
Brief Strategic Therapy deals with one hand to eliminate the symptoms or dysfunctional behaviors for which the person is coming to therapy, the other to produce the change of the ways that build their personal and interpersonal reality. The objective is therefore to produce rapid changes in the perception of the reality of the person and not just in its behavioral reactions, in order to move his point of observation from the original position, rigid and dysfunctional, for a more flexible and more of choice. This will lead to a consequent change of its mode of behavior and also of his knowledge. Brief Strategic Therapy does not represent a purely symptomatic treatment, and that is why, once you've solved the problem taken care, do not develop substitute symptoms.

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Dr. Fabrizio Pomarico
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