27135 W. Wilmot Road, Antioch, Illinois
Mon – Thurs: 8 AM – 5:00 PM, Fri: 8 AM - 12 PM, Sat – Sun: Closed
Solution-focused therapy, Brief therapy approach, Goal-oriented counseling, Virtual solution-focused therapy, Future-focused treatment
MENTAL HEALTH CONDITIONS

Solutions-Focused Therapy

What if therapy focused less on analyzing problems and more on building solutions? Solution-Focused Brief Therapy takes a radically different approach, emphasizing your strengths, resources, and preferred future rather than dwelling on problems and their causes. At Montesano Psychological Center, we offer solution-focused approaches that help you identify what’s already working, clarify what you want instead of your current problem, and take concrete steps toward your goals. When you call us, a licensed clinician answers the phone, ready to help you create the future you want.

Practical Solution-Focused Therapy Online That Creates Real Change

Traditional therapy often spends significant time exploring problems, their origins, and what’s wrong. You might spend sessions analyzing your childhood, dissecting your symptoms, or discussing why you struggle. While understanding problems has value, focusing exclusively on problems can feel discouraging and keep you stuck in problem-saturated narratives. What if instead you focused on solutions, on times when the problem is less severe or absent, on your strengths and resources, and on your preferred future? At Montesano Psychological Center, we provide specialized solution-focused therapy online that shifts attention from problems to solutions, from past to future, from deficits to strengths. Our brief therapy approach recognizes that you don’t need to fully understand why problems exist to solve them, that small changes often create ripple effects producing larger improvements, and that you already possess many resources needed for change even if you haven’t recognized them. Through our goal-oriented counseling, we help you identify what you want different in your life and take practical steps toward creating that preferred future.

Unlike large corporate therapy platforms where solution-focused therapy might be used superficially or prematurely before adequate assessment, our clinicians maintain intentionally small patient loads and receive supervision ensuring they use solution-focused approaches appropriately and skillfully. This matters because effective solution-focused work requires knowing when it’s appropriate, asking questions precisely, and genuinely believing in clients’ capacities rather than just applying techniques mechanically. We don’t assign you algorithmically to whoever has availability. We thoughtfully match you with a clinician trained in virtual solution-focused therapy who understands that while exploring problems has its place, you also deserve therapy that emphasizes your strengths, resources, and capacity to create the future you want through our future-focused treatment approach.

Core Principles of Brief Therapy Approach

Solution-Focused Brief Therapy (SFBT), developed by Steve de Shazer and Insoo Kim Berg, rests on assumptions that differ significantly from traditional therapy. Our goal-oriented counseling embodies these fundamental principles.

Focus on Solutions, Not Problems

SFBT assumes you don’t need to analyze problems extensively to solve them. In fact, focusing on problems can amplify them. Instead, therapy focuses on solutions, times when problems are absent or less severe, and what you want instead of the problem. This solution focus creates hopeful, forward-looking therapy rather than problem-dwelling sessions. Our solution-focused therapy online shifts conversation from “what’s wrong” to “what do you want instead” and “when is it already somewhat better.”

If It’s Not Broken, Don’t Fix It

SFBT doesn’t assume everything needs changing. Much of your life likely works well. Therapy identifies and amplifies what’s already working rather than assuming comprehensive overhaul is necessary. Our virtual solution-focused therapy helps you recognize and build on existing strengths and successes rather than focusing exclusively on deficits and problems.

If It Works, Do More of It

When you identify something that’s helping, even slightly, the solution is simple: do more of it. Rather than exploring why it works or analyzing underlying mechanisms, solution-focused therapy pragmatically encourages increasing helpful behaviors. Our future-focused treatment helps you identify what’s working and amplify it through increased practice.

If It’s Not Working, Do Something Different

When approaches aren’t helping, continuing them doesn’t make sense. Solution-focused therapy encourages experimentation with new behaviors rather than persisting with ineffective strategies. Even small behavioral changes can shift patterns significantly. Our brief therapy approach supports you in trying new approaches when current strategies aren’t producing desired results.

Small Changes Lead to Larger Changes

You don’t need massive transformations. Small changes often create ripple effects producing improvements in multiple areas. SFBT emphasizes achievable small steps rather than overwhelming major changes. Our goal-oriented counseling helps you identify small, concrete changes that can initiate larger positive shifts in your life.

Clients Have Resources and Strengths

SFBT fundamentally trusts that you have resources, strengths, and capacities for solving problems. Therapy helps you recognize and apply these existing resources rather than assuming you lack what’s needed. Our solution-focused therapy online emphasizes discovering your existing capabilities rather than learning entirely new skills.

Key Solution-Focused Techniques

Solution-focused therapy employs specific questions and interventions designed to shift focus toward solutions and preferred futures. Our virtual solution-focused therapy uses these characteristic techniques.

The Miracle Question

This signature technique asks: “Suppose tonight while you’re sleeping, a miracle happens and the problems bringing you to therapy are solved. When you wake up tomorrow, what will be different that tells you a miracle occurred?” This question helps you envision your preferred future concretely. Rather than vague goals like “be happier,” you describe specific observable changes. Our future-focused treatment uses the miracle question to help you articulate detailed vision of life without your problem, creating clear direction for change efforts.

Exception Questions

These explore times when the problem is less severe or absent: “When is the problem a little better?” “Tell me about a recent time when this wasn’t as much of an issue.” Exceptions reveal that problems aren’t constant and that you already sometimes do things that help. Identifying exceptions provides clues about solutions. Our brief therapy approach examines exceptions carefully, helping you understand what you do differently during better times so you can intentionally repeat those actions.

Scaling Questions

These ask you to rate something on a scale, typically 1-10: “On a scale of 1 to 10, where 10 is your life exactly as you want it and 1 is the opposite, where are you today?” Scaling questions measure progress, assess motivation and confidence, and identify next small steps. Follow-up questions explore: “What would it take to move from 4 to 5?” rather than asking how to reach 10 immediately. Our goal-oriented counseling uses scaling to break change into manageable increments and track progress over time.

Coping Questions

When situations are very difficult, coping questions acknowledge challenges while highlighting strengths: “How have you managed to cope with this?” “What keeps you going despite these difficulties?” These questions help you recognize resilience and resources you might not have acknowledged. Our solution-focused therapy online uses coping questions to shift from viewing yourself as victim to recognizing yourself as survivor with considerable strength.

Compliments and Affirmations

Solution-focused therapists explicitly compliment clients’ strengths, efforts, and successes. These aren’t empty praise but genuine recognition of what you’re doing well. Compliments boost confidence and motivation while highlighting resources. Our virtual solution-focused therapy includes authentic recognition of your strengths and progress, reinforcing positive changes.

The Solution-Focused Session Structure

Solution-focused sessions follow a characteristic structure different from open-ended exploratory therapy. Understanding this structure helps you know what to expect from our future-focused treatment.

Establishing Goals

Sessions typically begin by clarifying what you want to achieve. Rather than open-ended “how are you,” solution-focused therapists ask “what would make this session useful?” or “what needs to happen for you to feel this session was worthwhile?” This goal-setting ensures therapy addresses what matters to you. Our brief therapy approach keeps focus on your goals rather than therapist’s agenda.

Exploring Preferred Future

Significant time focuses on envisioning life without the problem. Through miracle questions and related inquiries, you describe your preferred future in concrete, behavioral terms. This creates clear picture of where you’re heading. Our goal-oriented counseling helps you articulate specific, observable indicators of progress toward your preferred future.

Finding and Amplifying Exceptions

Therapy explores when problems are less severe or when pieces of your preferred future already occur. These exceptions are examined in detail: what’s different, what you’re doing differently, what others notice. Our solution-focused therapy online helps you identify patterns in exceptions that can be intentionally repeated and amplified.

Scaling Progress

Scaling questions assess where you are currently and what small steps would move you forward. Rather than overwhelming leaps, focus remains on next manageable increment. Our virtual solution-focused therapy uses scaling to maintain realistic, achievable focus on incremental progress.

Homework and Experiments

Sessions typically end with suggestions for behaviors to try before next session. These might include doing more of what works, trying something different, or observing when things go better. Our future-focused treatment includes between-session experiments that build momentum toward your goals.

When Solution-Focused Therapy Is Most Effective

While solution-focused approaches can benefit many people, they’re particularly effective in certain situations. Our brief therapy approach works especially well for these presentations.

Specific, Concrete Problems

When you have clear, specific problems you want to solve, solution-focused therapy efficiently addresses them. If you know what you want different and can describe it behaviorally, this approach provides direct path to change. Our goal-oriented counseling is highly effective for well-defined problems with clear indicators of improvement.

Limited Time or Resources

Solution-focused therapy is genuinely brief, often producing improvement in fewer sessions than other approaches. If time or money is limited, this approach maximizes efficiency. Our solution-focused therapy online can create meaningful change in relatively few sessions when appropriate for your situation.

Action-Oriented Preferences

If you prefer doing over analyzing, solution-focused therapy suits you. It emphasizes behavioral experiments and practical actions rather than extensive discussion of feelings or past. Our virtual solution-focused therapy appeals to people who want practical tools and concrete steps rather than deep psychological exploration.

Feeling Stuck After Problem-Focused Therapy

If you’ve spent considerable time analyzing problems without progress, solution-focused therapy offers refreshing change. Shifting from problems to solutions can break through stuck patterns. Our future-focused treatment provides alternative when problem-focused approaches haven’t produced desired change.

Maintaining Positive Changes

After addressing issues with other therapies, solution-focused approaches help consolidate gains and prevent relapse by focusing on what’s working and how to maintain it. Our brief therapy approach is excellent for termination phase of longer treatment, ensuring changes persist.

Conditions Solution-Focused Therapy Addresses

Research supports solution-focused therapy for various conditions, though it works differently than traditional approaches. Our goal-oriented counseling effectively addresses numerous presentations.

Depression

Solution-focused therapy for depression emphasizes exceptions to depressive symptoms, times when mood is even slightly better, and behavioral activation toward preferred future. Rather than analyzing causes of depression, focus remains on building solutions. Our solution-focused therapy online helps you identify what you’re already doing during better moments and increase those behaviors.

Anxiety

For anxiety, solution-focused work explores times anxiety is manageable, what you do during those times, and your preferred future without debilitating anxiety. Scaling helps track progress and identify next steps. Our virtual solution-focused therapy helps you recognize your existing capacity to manage anxiety and systematically expand it.

Relationship Issues

Solution-focused couples therapy focuses on exceptions to conflict, times when partners connect well, and their preferred relationship future. Rather than analyzing relationship problems, therapy amplifies what works. Our future-focused treatment for couples helps partners envision and create the relationship they want.

Behavioral Issues in Children and Adolescents

Solution-focused approaches work particularly well with young people who may resist problem-focused therapy. Focusing on strengths, exceptions, and preferred futures engages youth more effectively than problem analysis. Our brief therapy approach appeals to children and teens while actively involving parents in solution-building.

Work and School Performance

For performance issues, solution-focused therapy identifies times when performance is better, resources available, and small steps toward improvement. This goal-oriented approach efficiently addresses specific performance concerns. Our goal-oriented counseling helps you improve functioning in concrete, measurable ways.

Limitations and When Other Approaches Are Better

Solution-focused therapy isn’t appropriate for everyone or every situation. Understanding its limitations helps ensure you receive best treatment for your needs through our solution-focused therapy online consideration.

Severe Mental Illness

Conditions like active psychosis, severe bipolar disorder, or acute suicidal crisis typically require more intensive intervention than brief solution-focused work. Our virtual solution-focused therapy might complement but not replace comprehensive treatment for severe conditions.

Need for Deep Processing

If you need to process traumatic experiences, explore complex emotions, or develop deep self-understanding, solution-focused therapy’s future focus might feel insufficient. Some people need problem exploration before solution-building. Our future-focused treatment works best when you’re ready to move forward rather than needing extensive processing of past.

Complex Relational Wounds

Deep attachment injuries or complex relational trauma often require extended relational therapy rather than brief solution-focused work. While solution-focused approaches can help, they may not address root causes of relational difficulties. Our brief therapy approach might be insufficient for profound relational healing needs.

Preference for Understanding “Why”

If understanding causes of your problems is important to you, solution-focused therapy’s lack of emphasis on origins might feel unsatisfying. Some people need insight into why before they can move to what next. Our goal-oriented counseling can be integrated with other approaches if you need both understanding and solution-building.

Why Choose MPC for Virtual Solution-Focused Therapy

Effective solution-focused therapy requires more than asking questions. It requires genuine belief in clients’ capacities and skillful application. Here’s what makes our approach different and why it matters.

Appropriate Assessment Before Application

We don’t apply solution-focused approaches prematurely or inappropriately. Through careful assessment, we determine when this approach fits your needs and when other approaches are better. Our solution-focused therapy online is used judiciously as part of comprehensive treatment planning, not applied universally regardless of fit.

Genuine Belief in Your Capacity

Solution-focused therapy only works when therapists genuinely believe clients have resources and capacities. Our clinicians truly trust your ability to generate solutions rather than just performing technique. Our virtual solution-focused therapy comes from authentic belief in your strengths, not mechanical questioning.

Integration with Other Approaches

We can integrate solution-focused techniques with other therapeutic approaches when comprehensive treatment requires multiple modalities. You’re not limited to purely solution-focused work if your needs require more. Our future-focused treatment flexibly combines with other approaches as needed for optimal outcomes.

Small Caseloads Enable Precise Questioning

Solution-focused questions must be asked skillfully, listening carefully to responses and following up precisely. Our intentionally small caseloads ensure therapists have mental bandwidth for the careful listening and precise questioning solution-focused work requires. Our brief therapy approach receives the attention it needs to be effective.

Licensed Clinicians Answer Your Calls

When you’re experimenting with new behaviors or tracking progress, you may need guidance between sessions. At MPC, licensed clinicians answer the phone, providing accessible support as you implement solution-focused changes through our goal-oriented counseling.

What to Expect From Solution-Focused Therapy Online at MPC

Goal Setting and Preferred Future

Early sessions clarify what you want to achieve and help you describe your preferred future concretely. Through miracle questions and related inquiries, you articulate clear vision of life without your problem. Our solution-focused therapy online ensures you have clear direction from the start.

Exception Finding

We explore times when your problem is less severe or absent, examining these exceptions in detail to understand what’s different during better times. Our virtual solution-focused therapy helps you recognize that you already sometimes create solutions, even if inconsistently.

Scaling and Small Steps

Using scaling questions, we assess where you are and identify small, achievable next steps. Rather than overwhelming goals, focus remains on manageable increments. Our future-focused treatment breaks change into steps you can realistically accomplish.

Building on Success

As you make progress, even small improvements are noticed, celebrated, and amplified. We explore what you did differently to create improvement and how to do more of it. Our brief therapy approach builds momentum by recognizing and expanding what works.

Brief Duration

Solution-focused therapy typically requires fewer sessions than other approaches, often producing meaningful change in 6-10 sessions. As you achieve goals, therapy concludes or transitions to longer intervals. Our goal-oriented counseling respects your time and resources by maintaining efficient focus on solutions.

Insurance Coverage for Solution-Focused Therapy

We’re in-network with six major insurance providers including Blue Cross Blue Shield, Cigna, Aetna, United Healthcare, and Medicaid. Solution-focused therapy online and brief therapy approach are covered under mental health benefits the same as other therapeutic approaches. During your free 10-minute consultation, we’ll discuss your specific insurance coverage for goal-oriented counseling and any out-of-pocket costs. We also offer reduced cash-pay rates for uninsured individuals on a limited basis.

Take the First Step Toward Your Preferred Future

You don’t have to spend months or years analyzing problems before creating solutions. Whether you have specific goals you want to achieve, prefer action-oriented therapy, or have spent enough time on problems and are ready to build solutions, solution-focused therapy offers efficient path forward. Solution-focused therapy online through Montesano Psychological Center offers you expert brief therapy approach delivered with skill by a small team that genuinely believes in your capacity to create the future you want.

Call us today at (224) 603-2058. A licensed clinician will answer, ready to help you envision and create your preferred future through goal-oriented counseling, virtual solution-focused therapy, and future-focused treatment. Your journey from problems to solutions starts with reaching out for the strengths-based care that honors your existing resources and capacities.

If you are in crisis or need immediate help, please visit 988lifeline.org or call or text 988 to reach the Suicide and Crisis Lifeline.

Our services

Comprehensive Holistic Mental Health Care

Meet Our Founder

Dr. Liara Montesano, Psy.D

Dr. M as she’s affectionately known views humans beings as having vast amounts of potential that is often diminished by different complications/circumstances. Dr. M’s passion is helping her clients flourish and become the best versions of themselves. 

Today, Dr. M works with adults and teens at the Montesano Psychological Center and engages in individual/group/equine assisted psychotherapy. Having a strong background in existential philosophy and person-centered psychotherapy Dr. M’s priority is designing a unique and individualized treatment plan for all those under her care that incorporate the client’s goals and desires for their future and well being rather than her own.

In addition, Dr. M is the Director of Clinical Training at Guada Psychological Services. At Guada she trains and supervises aspiring clinicians in evidence based psychotherapies such as: CBT, ACT, H-E, Person Centered Therapy along with teaching warmth, empathy and genuineness within the therapeutic relationship.

Education and Training

After finishing her BS in Clinical Psychology at Florida State University, Dr. M, completed a Master’s degree and worked in low income communities engaging in home visits and safety checks with the FACT team. Followed by her work in community psychology Dr. M spent two years providing care to individuals with traumatic brain injuries before spending an additional five years of intensive study at the Chicago School of Professional Psychology where she earned her Doctorate. Through this schooling she engaged and trained in health psychology, outpatient care, inpatient care and community psychology at some of the most prestigious and rigorous training sites in the Chicago area such as: Northwestern University’s Family Health Center in Humboldt Park, The Circle Center for Women, Riveredge Hospital and Illinois Masonic Medical Center.

Areas of Expertise

Dr. M provides therapy to individuals who struggle with insecurities, self-doubt, loneliness, obsessive thinking, phobias, depression, anxiety, trauma, ADHD, and many other challenges that compromise their quality of life. Her office offers a place where people can explore themselves and find ways to better cope with their lives without losing what makes them uniquely them. Without imposing any agendas on you, Dr. M will work to meet you where you are at in your journey and act as a guides towards positive treatment outcomes.

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