Feedback Informed Therapy (FIT)

You may have wondered when reading my posts how I know that my clients are in a significantly better place within twelve weeks. It’s called Feedback Informed Therapy, or FIT. I was fortunate to do an internship at a busy, large non-profit that incorporated FIT based on Steve Miller’s practices and I have carried over the concept into my private practice.

When a counselor uses FIT, we work a little differently. My first priority is making sure that you get the results you want. For this reason, it is very important that you are involved in monitoring our progress throughout counseling. We do this by formally using a measure called the Outcome Rating Scale. It takes about a minute to complete. You fill it out at the beginning of each session, or just before, and then we talk about the results.  Research shows that if we are going to be successful in our work together, we should see signs of improvement earlier rather than later. If what we’re doing works, then we’ll continue. If not, then we’ll try to change or modify what we’re doing. If things still don’t improve, then I’ll work with you to get the help you need.

The second part of FIT is the Session Rating Scale which is completed at the end of each session. Yes, you get to rate the session and me, your counselor! This is a safe space for you to rate different aspects of the therapy session and to share what’s working for you in therapy and what is not. Although it may feel awkward at first, this can be incredibly helpful in your treatment. 

The use of these two scales help me track your progress. This guides me in our work together so I can make changes, if necessary, to our treatment plan. Although my foundation is in Adlerian therapy, a psychodynamic theory, I pull from other approaches as well to give you the best opportunity for growth and healing.



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