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Progress In Therapy

The Progress In Therapy information handout graphically illustrates metaphors for trajectories of progress (or how progress might be subjectively experienced by clients) during therapy. Clients differ in the way they experience progress during a course of therapy: improvement is not always linear, and setbacks, crises, lapses, or relapses are commonplace. When these occur it can be helpful to remind clients about common trajectories of progress in therapy. Metaphors for paths of progress, including ‘snakes and ladders’ and the ‘spiral staircase’, are illustrated in this information handout.

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Notice: The 'Fillable PDF' format has been retired. For resources with form elements, both the 'Professional' and 'Client' versions are now available as fillable PDFs by default.

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

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Languages this resource is available in

  • Chinese (Simplified)
  • English (GB)
  • English (US)
  • Finnish
  • Greek
  • Italian
  • Spanish (International)

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Introduction & Theoretical Background

Experiencing setbacks during therapy is commonplace but can nevertheless be dispiriting. It can be helpful to remind clients about common trajectories of progress in therapy. Helpful metaphors for paths of progress include ‘snakes and ladders’ and the ‘spiral staircase’. The Progress In Therapy information handout graphically illustrates both of these metaphors.

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Therapist Guidance

This is a Psychology Tools information handout. Suggested uses include:

  • Client handout – use as a psychoeducation resource
  • Discussion point – use to provoke a discussion and explore client beliefs
  • Therapist learning tool – improve your familiarity with a psychological construct
  • Teaching resource – use as a learning tool during training

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