The inquiry into changes that occurred between booking the appointment and the first meeting. Some clients notice improvements already in the waiting period — attributing these changes to the client's own actions strengthens self-efficacy. The technique sets the key tone of the first session: "Something is already happening — before we have begun". This immediately shifts the focus from the problem to resources.
Step-by-step guide
- At the start of the first session ask: "What has changed since you made the appointment?"
- If there are changes — inquire in detail: "How did it happen? What did you do?"
- Link with the preferred future: "Is this similar to what you want to reach?"
- Reinforce: "How could you continue doing this?"
When to use
- Only in the first session — before the description of the problem begins
- If the answer is "nothing has changed" — move on to scaling or exceptions
- When you need to quickly create a resourceful focus from the first minutes of the meeting
Key phrases
Many people notice that something changes already after they made the appointment. What did you notice in yourself?
What helped you do that?
Follow-up questions
How did you manage that — what were you doing?
Is this the direction you want to move in?
How could you continue this between our meetings?
Alternative phrasings
Since you arranged the meeting — what have you noticed in yourself or your situation?
Warnings
- ⚠️ Do not interpret the changes for the client — let them describe what happened
- ⚠️ If the client answers "nothing" — accept it without pressure and move on without insistence
- ⚠️ Use only in the first session — in subsequent sessions the "What is better?" technique is used
Source: Isebaert, 2016; González 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.