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Focusing Questions
As a reminder, the four focusing questions that can yield maximal information in the limited time available in brief
interventions are as follows:
• Life Path and Turnaround Worksheet: This version is designed for use in individual brief intervention ses-
sions. A version of this worksheet for use in groups is available at the website address given above.
• True North Worksheet: This worksheet can be used for either individual or group sessions.
Brief Interventions for Radical Behavior Change
• Flexibility Profile Worksheet: Use this worksheet after each session to rate the client’s flexibility in each core
area, where 0 = minimal strength, and 10 = a great deal of strength. In the notes section, include your ideas
about which core area or areas to target in your next visit with the client.
• Four Square Tool: This tool helps you analyze clients’ workable and unworkable behaviors. It can be used to
just describe the client’s strengths and weaknesses, or it can be used as a treatment planning tool in which you
identify behaviors you want to increase (workable behaviors) or decrease (unworkable behaviors).
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Appendix
1. Draw an arrow above the line to indicate where you are on your life path these days and which direction you’re
moving in.
3. What behaviors would tell you that you’re moving toward more meaning in life?
4. When you get stuck, how can you help yourself keep moving toward more meaning?
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Brief Interventions for Radical Behavior Change
Clinical Issues
1. Openness (Accepts private events without struggle? Notices and lets go of unworkable rules?)
2. Awareness (Able to be present? Aware of private experiences? Able to take perspective? Shows compassion for
self and others?)
3. Engagement (Clear values? Can organize for effective action? Can obtain reinforcement? Sufficient interpersonal
skills?)
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Appendix
0 1 2 3 4 5 6 7 8 9 10
Low Strength High Strength
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Brief Interventions for Radical Behavior Change
Public
Behavior
Private
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Appendix
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Sample FACT Group Protocols
Class 1
Meet others and talk about the Life Path Class. Discuss your answers to these questions about your life path:
3. What do you want more than anything? In your heart, what matters most?
6. Do you get into fights with the stuff that gets in your way?
Homework: Notice when bad stuff shows up and when you want to fight it. Try to just let it be there and
watch it. Take notes about what happens:
• How did you do with just noticing it and not trying to fight it or get away from it?
Class 2
Learn a new way to look at stuff that gets in your way and how you deal with it:
• Think about what other people do when they see the stuff you don’t like about yourself.
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Life Path Class for Children
Class 3
Learn to say what you mean and do what you say:
• Think about how you can pay attention so that you’ll learn from your experience.
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Life Path Class for Teens
Class 1
Meet others and talk about the Life Path Class. Discuss your answers to these questions about your life path:
1. Why are you taking this class? What do you hope to get from it?
2. What have you tried before to help with your problems? Did it work?
3. What do you want in your life right now? What’s important to you?
6. Do you fight, run away, space out, pretend you don’t care, or give up?
7. What are the consequences of what you do when things block you on your life path?
Homework: Notice when you get blocked on your life path and what you do. Study your experience and
watch it closely. Just try to observe what’s happening; don’t try to change it. Take notes about what happens:
• What did you do? Were you able to just study what happened?
Class 2
Learn to step back and have a different perspective on barriers along your life path:
• What do you notice when you look into the eyes of others with your barriers known and accepted?
Homework: Plan to do a valued activity and practice accepting a barrier that’s likely to come up when doing
the activity.
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Life Path Class for Teens
Class 3
Learn to make promises about how you’ll walk your life path, and how to discover as much as you can based
on your experience:
• Symbolically walk your life path in the room, heading in a direction you care about and facing the
barriers that might come up.
• Make a promise to yourself about what you’ll do next in life to keep moving in the direction you care
about.
• Identify goals you can set that will tell you you’re following your life path.
• Identify how you can pay attention so that you’ll learn from your direct experience, rather than just
following rules in your head.
• Come up with a plan for how to continue walking on your life path after this class ends.
Homework: Continue to make intentional choices, do what’s important for your life, practice self-compas-
sion, and learn from your direct experience.
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Life Path Class for Adults
Class 1
Meet others and discuss your answers to these questions about your life path:
1. How long have you had the problem that brings you here?
2. What have you tried? Have you previously been treated for this problem? If so, what was the result?
Homework: Notice when the war starts and what you do. Just try to observe what’s happening; don’t try to
change it. Take notes about what you experience:
• How did you do with just noticing your barriers and not trying to get away from them?
Class 2
Learn to step back and have a different perspective on your suffering:
• What ideas do you have about how you can be more mindful?
• What did you notice when you looked into the eyes of others with awareness of your barriers?
Homework: Plan to do a valued activity and practice accepting a barrier that’s likely to come up when doing
the activity.
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Life Path Class for Adults
Class 3
Learn to make public commitments, and learn to learn from your direct experience.
• Symbolically walk your life path in the room, heading in a valued direction and facing the barriers that
might come up along the way.
• Make a commitment to yourself about what you’ll do next to keep moving in your valued direction.
• Identify goals you can set that will tell you you’re following your life path.
• Notice how others respond to you as you symbolically walk your life path.
• Identify how can you pay attention so that you’ll learn from your direct experience.
• Come up with a plan for how to continue walking on your life path after this class ends.
Homework: Continue to make intentional choices, pursue valued directions, practice self-compassion, and
learn from your direct experience.