n nuce, instrumentul discutat (ORS-SRS) invită clientul la începutul fiecărei ședințe să își aproximeze

nivelul de funcționare avut în perioada dintre întâlniri pe patru arii distincte: (1) individual; (2)
interpersonal; (3) socio-profesional; și (4) global. Întrucât există intercorelații ridicate între aceste patru
sub-scale, tindem să urmăm recomandarea lui Campbell & Hemsley (2009) în interpretarea scorului
global rezultat drept indicator indirect al funcționalității atinse și al stării de bine. Pe cale de consecință,
toate graficele publicate pe acest site fac uz de un indicator compus al ORS și trebuie interpretate ca
atare.

ORS and CORS The ORS is a simple, four-item session by session measure designed to assess areas of life
functioning known to change as a result of therapeutic intervention (see appendix). To encourage a
collaborative discussion of progress with clients, Miller and Duncan (2000) developed the ORS as an ultra
brief alternative to longer measures whose length of administration, scoring, and interpretation made
them less practical. The ORS assess Version 17/01/12 3 four dimensions of client functioning that are
widely considered to be valid indicators of successful outcome (Lambert et al., 1996): 1. personal or
symptom distress (measuring individual well being). 2. interpersonal well-being (measuring how well the
client is getting along in intimate relationships) 3. social role (measuring satisfaction with work/school
and relationships outside of the home). 4. overall well being. The ORS translates these four dimensions
of functioning into four visual analogue scales which are l0cm lines, with instructions to place a mark on
each line with low estimate to the left and high to the right (see appendix). The ORS rates at a 13 year
old reading level, making it feasible for adolescents and adults. Clients are asked to fill in the ORS at the
beginning of each session.

The Child ORS (CORS) was developed for children age 6-12 (see appendix). It has the same format as the
ORS but with more child friendly language and smiley and frowny faces to facilitate the child’s
understanding when completing the scales (Duncan et al., 2003). Some young teens might prefer the
CORS format over the ORS. You can use your clinical judgment here to consider which version will engage
the young person the best. So, some teenagers might fill in the CORS and some older children may fill in
the ORS. For children 5 or under there is also Young Child Outcome Rating Scale (YCORS) which has no
psychometric properties but can be a useful way of engaging small children regarding their assessment
of how they are doing (see appendix).

One source of potential confusion is that the ORS/CORS, unlike other measures, is not designed to
predict what diagnosis a young person is likely to have, nor is it measuring symptom reduction. The
research makes it clear that people do not seek, or stay in services when they experience symptoms, but
rather when those symptoms begin to impact on their functioning (Hill & Lambert, 2004). The purpose
of the ORS/CORS is to provide real time feedback on progress in client functioning. Version 17/01/12 4 
The ORS also has a Reliable Change Index (RCI) that provides a useful guide to help identify when change
is clinically significant and attributable to therapy rather than chance. On the ORS the RCI = 5 points. So,
change that exceeds the RCI and crosses the clinical cut off scores can be considered reliable change. 
Most important, unlike other existing measures, the ORS provides session by session predictive
trajectories to let clinicians know at a given session if their client is at risk of drop out or negative
outcome. To help make this clinical judgment, the client’s current ORS scores can be compared to
similarly scoring individuals in treatment

Child and Young Person The young person who is referred or is seeking help, is always asked to fill out
the ORS (ages 13 to 18) or CORS (ages 6-12) on themselves.

To young person and carer: Before we get started I would be grateful if could help me out by taking a
minute to fill out a very brief questionnaire to help me understand how things are going for (young
person’s name). Every time we meet I will ask you to fill the form again to help us track progress. Are you
ok with that? Ok, so let me go over the instructions with you.

You can ask family members to feel free to talk amongst themselves for a couple minutes while you score
the ORS. Scoring is done in front of the client using a centimeter ruler. Each of the four visual analogue
scales is 10cm, so the score for each of the four visual analogue scales is the measurement length on the
ruler (e.g. 3.3cm = score of 3.3) with 10 being the highest score for each scale. You simply write the score
in the right margin, and then add the four scores for the overall score. The total possible score is 40. If
working with families, you can teach family members how to do the scoring to help save time and as a
way of engaging them in the process. Next plot each person’s overall score on a graph (see appendix) or
entered into an electronic data base to monitor the trajectory of progress.

The ORS/CORS cutoff scores between the clinical population and the non-clinical population are different
depending on the age of the client:  13-17 year olds (self reporting & carer reporting on teen) = 28  18
and over = 25 The CORS (ages 12 and under) cutoff scores are:  Child Self Reporting = 32  Carer
Reporting on Child = 28

The ORS and the SRS are easy-to-use tools that provide critical information that will help the
clinician assist their clients achieve their therapeutic goals, whether easy or difficult. The second
part of the question asks what do these instruments “tell you”? The ORS, or Outcomes Rating
Scale, is a four-question scale administered at the beginning of each session that provides the
clinician with a subjective snapshot of what the patient is currently experiencing. This
information can help the clinician determine whether the therapy is on track or whether there is
a need for tweaking it. The SRS, or Session Rating Scale, is a four-question scale administered
at the end of each session. The SRS tells the clinician the subjective impression the patient has
of the therapist-client alliance. The therapist-client alliance is a strong predictor of retention as
well as the likely success of therapy. If the bond between the clinician and the patient is weak,
there is a risk of the patient dropping out of therapy without achieving their goals. Rarely are
there situations where we are given an opportunity to measure the strength of our relationships
and then given the immediate opportunity and means to strengthen them. The SRS provides
such a situation. The SRS, as well as the ORS, are instruments whose primary purpose is to
enable the clinician to become more effective with all of their clients.

Looking back over the last week, including today, help us understand how you have been feeling by
rating how well you have been doing in the following areas of your life, where marks to the left represent
low levels and marks to the right indicate high levels. If you are filling out this form for another person,
please fill out according to how you think he or she is doing. ATTENTION CLINICIAN: TO INSURE SCORING
ACCURACY PRINT OUT THE MEASURE TO INSURE THE ITEM LINES ARE 10 CM IN LENGTH. ALTER THE
FORM UNTIL THE LINES PRINT THE CORRECT LENGTH. THEN ERASE THIS MESSAGE. Individually (Personal
well-being) I----------------------------------------------------------------------I Interpersonally (Family, close
relationships) I----------------------------------------------------------------------I Socially (Work, school, friendships)
I----------------------------------------------------------------------I Overall (General sense of well-being)
I----------------------------------------------------------------------I Institute for the Study of Therapeutic Change
_______________________________________ www.talkingcure.com © 2000, Scott D. Miller and Barry
L. Duncan

Please rate today’s session by placing a mark on the line nearest to the description that best fits your
experience. Relationship I-------------------------------------------------------------------------I Goals and Topics
I------------------------------------------------------------------------I Approach or Method
I-------------------------------------------------------------------------I Overall
I------------------------------------------------------------------------I Institute for the Study of Therapeutic Change
_______________________________________ www.talkingcure.com © 2002, Scott D. Miller, Barry L.
Duncan, & Lynn Johnson I felt heard, understood, and respected. I did not feel heard, understood, and
respected. We worked on and talked about what I wanted to work on and talk about. We did not work
on or talk about what I wanted to work on and talk about. Overall, today’s session was right for me.
There was something missing in the session today. The therapist’s approach is a good fit for me. The
therapist’s approach is not a good fit for me. Child Outcome Rating Scale (CORS) Name
________________________Age (Yrs):____ Sex: M / F_________ Session # ____ Date:
________________________ Who is filling out this form? Please check one: Child_______
Caretaker_______ If caretaker, what is your relationship to this child? ____________________________
How are you doing? How are things going in your life? Please make a mark on the scale to let us know.
The closer to the smiley face, the better things are. The closer to the frowny face, things are not so good.
If you are a caretaker filling out this form, please fill out according to how you think the child is doing.
Me (How am I doing?) I------------------------------------------------------------------------------------I Family (How are
things in my family?) I------------------------------------------------------------------------------------I School (How am I
doing at school?) I------------------------------------------------------------------------------------I Everything (How is
everything going?) I------------------------------------------------------------------------------------I Institute for the
Study of Therapeutic Change _______________________________________ www.talkingcure.com ©
2003, Barry L. Duncan, Scott D. Miller, & Jacqueline A. Sparks Child Session Rating Scale (CSRS) Name
________________________Age (Yrs):____ Sex: M / F Session # ____ Date:
________________________ How was our time together today? Please put a mark on the lines below to
let us know how you feel. Listening I-----------------------------------------------------------------------------------I How
Important I-----------------------------------------------------------------------------------I What We Did
I-----------------------------------------------------------------------------------I Overall
I-----------------------------------------------------------------------------------I Institute for the Study of Therapeutic
Change _______________________________________ www.talkingcure.com © 2003, Barry L. Duncan,
Scott D. Miller, Jacqueline A. Sparks

I WANT TO CHANGE MY LIFE: WHERE DO I START

  MARCH 25, 2015

 LIFE ADVICE, SUCCESS

 B Y L I D I YA K




You’re changing. All the time.

If you realize that and are doing something about it, great.

If you don’t even think about it, then you’re changing for the worse.

We live in a world where nothing is certain. In any given moment there are tens of
outer factors, circumstances, other people and natural outcomes involved. And you
can’t control most of the things around you.
What you can control, though, is the direction you choose, the change you
experience, and whether tomorrow you’ll be a better version of yourself, or not.

Where it all starts

It all starts with the realization that you want something more out of life, that
you’re capable of much more, that you can live better and actually deserve it.
This means that you aren’t satisfied with your current situation any more. You
don’t like your life enough, and are tired of having average results and being this
version of yourself.

Don’t be depressed. That’s a great thing. Because you just found your reason.

Even if the only thing you did was to feel bad about not having achieved much, not
living by the standards you want, or having too many things you don’t like in your
life, you’re on the right path.

It all starts with not being satisfied.

[contentad widget=”116346″]

Because once you feel this way, you start imagining what it could be if you
changed your current situation.
You begin to create different versions of your life and who you are. You start
visualizing being a better person, having good habits, more willpower and
determination, setting higher goals and achieving them, being focused, becoming a
role model. And eventually replacing the lifestyle you lead with a luxurious and
much better one.
Or just leaving your daily routine with all the worries and problems, and moving to
another country and starting to work for yourself, for example.

And this vision makes you feel stronger and motivated, makes things look
possible, and even a small amount of hope rises.

You may forget about it an hour later, but the discontent with your life won’t be
gone. It will appear again tomorrow, and the day after that. And you’ll develop this
imaginary scenario more and more.

And it will lead to…

Taking the decision to change

Decisions are powerful.
I believe that making it clear that you want something and deciding to take
action in order to get it is an inevitable step to changing your life for the
better.
Be specific
A plan will help you achieve the stuff you want. It will guide you through the
journey, will consist of clear steps to take every day and you will know exactly
what you need to do even when you feel discouraged.

So write down the thing you want. Consider your values, strengths, desires,
dreams, current results, best practices that have worked out so far, how others have
succeeded, etc.

Here’s a great explanation of what goal setting means by Ludwig from

StartGainingMomentum:
“Your strategic objective is a to-the-point document where you describe
specifically what you are doing to accomplish your goals over the next year.
Your strategic objective is the system that ensures you know what you will do,
how you will do it and when you will do it…
Goal-setting should be:
• Adjusted to your own level of understanding (relevance)
• Paced to your current level of motivation (difficulty)
• Repeated and visualized consistently to become self-fueling (brainwashing)
Goal-setting should also be:
• Made measurable (what gets measured gets done)
• Made actionable by setting a daily minimum quota of work
• Made so that, if possible, it involves a visual element to trick your brain that the
goal is not only doable, but already a reality.”
You can’t really get anywhere if you don’t have a direction, a step-to-step process
and a final goal to focus on.

Now that you do, every action of yours will be connected to it. And when in doubt
when taking a decision, you’ll just choose the one that corresponds with your goal.

All this helps you see the bigger picture, think long term, become serious about
your change, and actually start doing something about it.

Things to do
Whatever the change you want to make happen is, you’ll need to become another
person, too.
As your current self can only achieve so much with these qualities and experience.

But in order to move forward, you’ll need to develop new skills and habits, gain
knowledge and change your approach, thinking and attitude.

After some time (if you stay focused and on track), you’ll have boosted your
motivation, confidence and concentration, and this itself will make you take
opportunities you would otherwise never consider.

It will help you speak up, get out there, find other people that can help you with
your goals.

Then you’ll start trying new things and thus facing your fears, you’ll become open
to new ideas, will have more experience and initiative.

So here are some things to start working on now that will help you with your
transformation and will eventually become the pillars of your success:

 Change your habits

The actions you take daily determine your future and the person you’ll be then. If
you replace the bad ones with positive, successful and healthy behaviors, and just
do what productive, determined and remarkable people do, you’ll become one of
them after some time.

Here are some great habits, which if practiced daily, can help you achieve a lot and
build discipline:
• getting up early;
• morning routine;
• working out;
• eating well;
• getting enough sleep;
• evening ritual;
• reading;
• journaling.
 Change your mindset

The next thing you’d want to work on is your mindset.

Meditate daily, visualize success, be positive, expand your consciousness by
talking to smart people, generating creative ideas, trying to focus on something for
a while.
Find your mentors and read what they have to say. Follow successful bloggers,
listen to podcasts, check out biographies, success stories and classic literature.
Never stop learning. It’s a lifelong process which only makes you find out new
ways to do old stuff, helps you come up with great ideas and implement them in
your life in the smartest and fastest way possible.
Change starts in the mind. It’s created there before you see any signs in real life.

And that’s why it’s important to get rid of the limitations of the mind you currently
have.
Learn how to let go of worries, doubts and comparison, understand and overcome
procrastination, fear of failure and other people’s opinion. Stop having regrets and
reliving the past, or trying to prepare for the future.
All these are a result of the constant process of gaining knowledge, getting to know
yourself and working on all areas of your life. Practice, practice, practice.

 Prioritize
Know what’s important, be ruthless and say ‘no’ to other things because of it. In
this case, it’s your goal.
If you want to change your life and yourself, you’ll have to fill your time with
activities that will get you there. And – which is harder – to eliminate the ones that
only waste your energy, focus and time.

The thing is, if you don’t take control over your time, other people will.
You may think that you have too many tasks to do now and can’t think of a way to
find any time to work on your goals. But the truth is that most of these tasks are
unnecessary, just seem urgent, can be done by someone else, and won’t help you in
any way in the long term.

Also, you don’t find time. You make it.

Your job now is to dedicate time every single day to taking action towards your
goal – and that happens by following the steps you carefully planned and wrote
down.
That leads us to the last thing you need to keep in mind…

Consistency is key
If you do all the things mentioned above with all your attention and effort, you still
won’t see any progress if you don’t stay consistent.

Whatever you do today, you’ll need to find the willpower to get up and do it again
tomorrow.
That’s why you need to develop long-term thinking, and stop being impatient and
wanting results now.

Know that what you do matters, and if you do it long enough, it will pay off in
ways you haven’t imagined.

Information is not knowledge.” ~Einstein

A few years ago I was lost. Frustrated. Scared. Unsure. Anxious. Trapped. Unfulfilled. Stuck in a
dead-end job. Smothered by society’s expectations. Didn’t have a clue what I wanted to do with
my life.
I cared for myself enough to change my life, but I didn’t have the slightest clue where to start. I
spent my days wishing that things would change—that I could escape a life that my soul could
no longer bear.
The worst part of all, I was living the life that society had always told me to live. “Find a secure
job, work hard,” they would say. “Get a solid job and work your way up the ladder.”
I don’t know about you, but it turns out that for me, the “right thing to do” sucked the joy
out of life.
Imagine feeling trapped in an unsatisfying existence. Wasting your precious time doing things
that you really don’t want to be doing. Being afraid to express your uniqueness. Having fun on
the weekends then dreading the upcoming week. Maybe you don’t have to imagine it;
maybe your life is just like mine was, few moments of satisfaction drowned out by a constant
grind of work that doesn’t fulfill you.
Then something hit me. It was a proverbial hammer to my head. I’d heard it before, but it had
never sunk in. Then, as if out of nowhere, a voice in my head spoke loudly and clearly.
“Discover who you truly are and fully give every aspect of your uniqueness to the world.
This is your path to an extraordinary life.”
I followed this wisdom as if my life depended on it. And I can tell you that my life has changed
for the better since I followed this guidance.
I can tell you without any doubt that the greatest piece of wisdom that I’ve discovered in my life
thus far is this:
If you want to live an extraordinary life it is imperative that you know who you truly are,
and to do so you must explore who you truly are.
These 6 questions changed my life forever. They will also change your life forever by allowing
you to find your true self, and in doing so, discover why you’ve been born into this great world.
I’m not talking about the “self’” that others demand you to be or the self that acts a certain way
to fit in and conform with what society accepts. I’m talking about the true you—the you who
wants to authentically express your special and unique qualities to the world.
By answering these questions you will discover your unique passions, strengths, values,
desires, and motivations, which are all yearning for your expression.
You have a unique purpose. Discovering the answers to these questions will allow you to
align yourself with that purpose and bring real magic into your life.
Self-knowledge is the greatest knowledge that you will ever acquire. Why? Because your ability
to fulfill your unique internal drive will determine your ability to fulfill your potential, which in turn
determines the quality of your life.
The questions below are designed to help to know yourself deeply and find what is truly
important to you. We all have an unexpressed potential; the exercises are specifically designed
to help you find yours.

1. What do I absolutely love in life?

List anything that you love about the world and the people in your life. Think about any activities
that get you excited and enthusiastic and make you feel most alive. This can be absolutely
anything: music, sports, cooking, teaching others, learning, watching movies—anything. Within
your love for these things lies deep passion.

2. What are my greatest accomplishments in life so far?

List all of the moments that you are proud of as well as the times that you’ve succeeded. To
have accomplished these, you would have used some of your key strengths. See if you can
identify why you succeeded. Also, list any activities, hobbies, or anything else that you do that
you complete with ease. Within these lie greatest strengths.

3. What would I stand for if I knew no one would judge me?

List everything that you would do if you weren’t afraid, even your wildest dreams. This will help
you discover your greatest values.

4. If my life had absolutely no limits and I could have it all and do

whatever I wanted, what would I choose to have and what would I
choose to do?
Describe your ideal lifestyle. List what you would do throughout the day if you knew that you
were bound to be successful, what kind of person you would be, how much money you would
earn, and where you would live.
This question allows you to realize who you would truly want to be if there were no limits. By
aligning with this you can begin working towards the life that you truly want to create. Know that
you wouldn’t have a desire if you didn’t also have the ability to fulfil it.

5. What would I do if I had one billion dollars?

List everything that you would really love to do if you had all the money in the world. Okay, so
you would probably travel the world, buy a house or two, and give some money to your family.
Then what would you do with your time?
This question helps you to think without limitations. When we are able to remove limitations and
boundaries, we can discover what we really want to do.

6. Who do I admire most in the world?

List your greatest inspirations and the qualities that you admire about these people. Think
about what really inspires you in this world. What you admire about others is also a quality that
is in you. Know that you admire someone because they have similar qualities to you.
Taking the time to answer these questions will change your life. The more that you can
implement your passions, strengths, values, desires, and motivations into your days, the
happier your life will become!
You can study to become a doctor, lawyer, teacher, or anything else, but this knowledge will only
take you so far. Meanwhile, discovering the deep wisdom of self-knowledge will ensure that
your life is far more meaningful and fulfilling. I’ve got a feeling that is what Einstein meant when
he said “Information is not knowledge.”
The most valuable knowledge that you will ever discover is, and always will be, within.
Photo by Vinny123