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How Do You Approach Goal Setting in Mental Health?

How Do You Approach Goal Setting in Mental Health?

In the journey of mental wellness, goal setting is a pivotal step that can shape the therapeutic process. We reached out to mental health professionals, including licensed psychotherapists and clinical psychologists, to share their strategies. From building a roadmap to realistic goals to clarifying and measuring goals for success, here are five expert approaches to setting goals with clients.

  • Build a Roadmap to Realistic Goals
  • Establish SMART Goals Collaboratively
  • Empower Clients to Set Personal Goals
  • Introduce Flexible, Evolving Treatment Plans
  • Clarify and Measure Goals for Success

Build a Roadmap to Realistic Goals

Discussing a patient's goals is an invitation for them to think about their ideal self. It's important for them to evaluate their situation and to find balance, not just in working on them. I encourage them to build a roadmap and examine what resources and tools they need to accomplish their goals. Exploring what strengths they already have and using them is beneficial.

When patients create actionable, realistic steps, they can also understand any obstacles that they may encounter. Holding oneself accountable with goal setting, addressing any fears, identifying any habits you need, clearing your mind of self-doubt, staying on track, and ultimately celebrating your progress are all important things to remember in this process. Goals need to be realistic. Some goals are daily, weekly, or monthly, and some take years.

Christina Harrington-Stutzmann, LCSW-R, LMFT, LMHC
Christina Harrington-Stutzmann, LCSW-R, LMFT, LMHCLicensed Psychotherapist, Christina Harrington-Stutzmann

Establish SMART Goals Collaboratively

Setting goals is a crucial part of the therapeutic treatment plan in order to set goals and track progress. Initially, I conduct a comprehensive assessment to understand the client's thoughts, emotions, behaviors, and aspirations. Together, we establish SMART goals that are specific, measurable, achievable, relevant, and time-bound. This collaborative process ensures clarity and focus, whether it's enhancing mood, reducing anxiety, or altering behaviors. Prioritizing goals helps us break them into manageable steps, making progress tangible and feasible.

Motivation plays a pivotal role; understanding why a goal matters to the client fuels commitment and determination. We also anticipate obstacles and develop strategies to overcome them, building resilience along the way. Action plans are meticulously crafted, outlining actionable steps with clear timelines and responsibilities. Regular monitoring of progress keeps us on track, using feedback and self-assessment tools to gauge success.

Flexibility is key; we adapt goals and plans as needed based on feedback and changing circumstances. Continuous support, encouragement, and positive reinforcement are provided to sustain motivation and focus. Evaluating outcomes is a regular practice, celebrating achievements while identifying areas for ongoing growth and improvement. Through this process, clients experience tangible progress and enhanced well-being, guided by a collaborative and supportive therapeutic approach.

Rebbeca Lahann, Psy.D.
Rebbeca Lahann, Psy.D.Psychologist and AASECT Certified Sex Therapist, Spectrum Psychology and Wellness

Empower Clients to Set Personal Goals

In my practice, I approach goal-setting with clients as a collaborative process. We almost never do what we are simply told. However, when we are empowered to create our own goals, we are much more likely to make genuine attempts to achieve them. I work closely with patients to identify their strengths, values, and aspirations, which serve as a foundation for setting meaningful and achievable goals.

We prioritize realistic goals based on their importance to the client's overall well-being and develop a clear plan with actionable steps. Throughout the process, I provide support, guidance, and encouragement, empowering clients to take ownership of their journey towards recovery and personal growth.

Brittany Hunt
Brittany HuntTherapist, Clinic Les Alpes

Introduce Flexible, Evolving Treatment Plans

I believe that goal-setting in therapy is a collaborative process that is helpful to discuss during the first session. Sometimes clients can be overwhelmed by goal-setting, so I approach it by expressing that our treatment plan is a "living document." I reaffirm to my clients that the treatment plan can change and evolve over time, just as humans do.

Furthermore, I utilize the discussion of goal-setting to focus on the present moment with mindfulness. It can be difficult for some people to envision long-term goals. I have found it beneficial to approach the question around goal-setting as, "What are your goals for therapy that are coming up at this moment?"

Both of these approaches help to relieve the pressures around goal-setting, while also teaching therapeutic concepts in the process.

Jenny Flora Wells
Jenny Flora WellsHolistic Therapist, Licensed Social Worker | Associate Clinical Social Worker

Clarify and Measure Goals for Success

When guiding clients through the goal-setting process, my approach emphasizes clarity, measurability, and motivation. In approaching the process of goal setting, it's essential to begin by exploring one's values and aspirations across various life domains. This may involve identifying goals within areas such as family, relationships, career, health, and personal interests. A critical step in this process is constructing an activity hierarchy to rank goals from easiest to most challenging, ensuring a clear understanding of the progression toward each goal.

Once goals are identified, the next phase involves fine-tuning them to enhance the likelihood of success. This includes making goals observable, measurable, and concrete, with clearly defined endpoints. Concrete goals provide clarity and allow for easy measurement, while endpoints mark achievement and provide opportunities for celebrating progress. Additionally, I encourage individuals to frame their goals in an approach-oriented manner, focusing on what one aims to achieve rather than what to avoid. Approach-oriented goals tend to enhance motivation and propel individuals forward toward tangible achievements.

Breaking down larger goals into manageable sub-goals is another crucial step of goal setting. This strategy prevents individuals from feeling overwhelmed and boosts their confidence by providing smaller victories along the way. Visualizing success at each step of goal pursuit can also enhance motivation and perseverance. By following these steps, individuals can set meaningful, achievable goals aligned with their values, increasing the likelihood of successful goal attainment and personal growth.

Marlena Ryba
Marlena RybaClinical Psychologist, Dr. Long & Associates

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