A question that sets the tone for the whole therapy: the client realizes that change does not start in the office — it has already happened or is happening. The work is built on this foundation.
Step-by-step guide
- The client enters the office
- The first question (after greeting): "What has changed since the moment you booked the appointment with me?"
- Listen carefully — this is often the most valuable material in the session
- Develop the answer: "What else? How did it happen? What helped?"
- Reinforce: "That matters. How did you notice this change?"
When to use
- The very start of the first session (before describing the problem)
- The client's motivation may be low
- The client may have been referred by another professional
- The client may doubt the usefulness of therapy
- Any first meeting
Key phrases
Before we begin — what has changed since the moment you booked the appointment with me? What changes have you noticed that have happened or have begun to happen?
Follow-up questions
What else?
How did it happen?
What helped?
That matters. How did you notice this change?
Warnings
- ⚠️ Do not skip this question (the solution-focused stance starts here)
- ⚠️ Do not interpret the answer right away
- ⚠️ If the client says "Nothing has changed" — this is also information (use coping questions)
Source: de Shazer, Berg (BFTC, Milwaukee)
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.