Roleplay 3 - Patient generated metaphores

A practical communication technique is taught through the common expression “I’ve got a lot on my plate.” The therapist picks up on this metaphor and turns it into a visual exercise, asking the patient to imagine an overloaded plate filled with food. By exploring that image, the patient is guided to think more clearly about stress, limited time, and the feeling of having too many responsibilities. The main focus is on moving from describing a problem to identifying possible solutions. Different options are explored through the plate metaphor: taking things off the plate, getting another plate, or eating some of what is there. These represent real-life strategies such as reducing tasks, getting support, or making progress on responsibilities already causing pressure. The discussion then connects the metaphor back to daily life and the patient’s difficulty finding time for exercises. Learners can expect an example of how playful, simple imagery can help someone reflect on their situation, generate practical ideas, and plan small changes, including asking other people for help and creating a list of realistic strategies.