The search for periods when problem use was absent or less pronounced, and a detailed inquiry into what the client did differently in those moments. In the Bruges adaptation, special emphasis is placed on intentional exceptions β those in which the client's role was active, not accidental. Attributing the exception to the client's actions strengthens self-efficacy and creates the basis for a plan. After a relapse β look for exceptions inside the relapse period itself.
Step-by-step guide
- Ask about periods without the problem or with less of it
- Specify: when, where, with whom, what the client was doing
- Attribute the exception to the client's actions: "How did you manage that?"
- Strengthen: "What does this say about you?"
- Translate into a plan: "What of this can you use now?"
When to use
- In every session, especially with the request "nothing is working"
- After a relapse β look for exceptions inside the relapse period
- When the client is convinced that their problem is unchanging
- As a transition from describing the problem to building the solution
- To form a plan based on behavior the client has already proven
Key phrases
Were there days or periods when you did not drink, or drank less? What was different?
How did you manage to hold back then? What exactly were you doing?
Follow-up questions
What does this say about your resources?
When was it better β even a little?
What of this could you do again?
Alternative phrasings
Even if it was a short moment β tell me about it in detail
What helped you back then β what was in you or around you?
Warnings
- β οΈ Do not confuse accidental exceptions (circumstances) with intentional ones (the client's actions) β work with the intentional ones
- β οΈ Do not force it if the client sees no exceptions β switch to scaling or coping questions
- β οΈ Do not devalue small exceptions β they matter as anchor points
Source: De Shazer & Isebaert, 2003; GonzΓ‘lez Suitt et al. 2019
Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.