Using a solution-focused approach for young people experiencing chronic pain

A solution-focused approach in physiotherapy for young people with persistent pain shifts attention away from analysing the problem and toward building on strengths, goals, and signs of progress. Learners are introduced to the core principles of this model, how it differs from a traditional problem-focused approach, and why it may be especially helpful when young people resist psychological explanations or have already had extensive treatment. Key elements include validating the young person’s and family’s experiences, explaining persistent pain in a way they understand, and using “problem-free” conversations to identify interests, enjoyable activities, and moments when pain is less dominant. The approach also uses tools such as miracle questions, scaling, and patient-led goal setting to help young people define meaningful outcomes and recognise their own resources. A detailed case example shows how therapy can focus on function, play, confidence, and wellness rather than symptom reduction alone. The overall emphasis is on reflecting on whose agenda is guiding treatment and supporting young people to regain control, movement, and participation in daily life.