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Therapy Questions
Therapy Questions
Without any questions, coaching would be somewhat like giving instruction without raising awareness, lecturing
without self-reflection, and it would be tough to spark the same accountability that drives results.
Asking questions and listening carefully to the responses allows a coaching conversation to flow properly in the right
direction – whether that’s toward setting goals or planning specific actions.
They also allow you as a professional to stimulate some self-reflection in your client, giving them more in-depth insight
into their values (“Why do I want this?”), their thought processes (“Why haven’t I tried X or Y before?”) and chart a
path forward (“How can I get started?”). For life coaches, in particular, there are at least a few questions which have a
place in every session.
What Are Some Good Questions to Ask as a Life Coach?
To be effective, a life coach needs to understand their client’s envisioned future and their existing situation. They also
need to understand what they hold most meaningful in their lives – their values – and get a good overview of how to
help their client overcome their perceived obstacles.
What makes your client happy? What is it that they want more of in their life – and are they aware of what brings these
positive emotions about?
These questions help you learn a little more about your client as a person, and can help them start thinking about
creating more of these moments. They also help the client begin thinking about possible long-term life goals.
For instance:
Establishing Direction
It is also useful to find out what your client hopes to achieve from their sessions with you; clarity helps you tailor your
process to their time frame, whether it’s a longer sequence or a one-off meeting (Page, 2018).
What do you hope to have accomplished by the end of our session(s) together?
How will you specifically know what success looks like for you?
What would be the most significant success you could hope for from our meeting?
With a little more time, it can also help to use a structured Values Assessment to pin down what your client considers
important.
What other aspects of your life do you feel will be improved by accomplishing this?
How will your achieving this goal help others around you?
Why is it important to you to accomplish your goal?
Encourage Self-Inquiry
Coaching is not about spoon-feeding answers; it’s about inviting the coachee to take a good look inside at their
perspectives. Self-inquiry is vital in helping clients motivate, plan for barriers, and develop a persuasive rationale for
action (Page, 2018).
When asking about or discussing a client’s goals, it helps to make it relevant. These questions are phrased generically,
but should ideally be customized to the coachee. “How will achieving this goal enrich your life?” would thus become
“How would becoming a professional builder enrich your life?”
Many life coaches choose to use some form of framework to structure their sessions, and the GROW Model is a well-
known structured processes and one of the most popular available.
Yet logistical challenges often become a stumbling block for continued coaching.
Whether it is time, social distancing, or remote locations, being able to connect with your client using a smart app, is
the ideal solution for challenges that obstructs continued engagement.
Quenza is an online coaching application that allows you to assign customized questionnaires to your client, ensuring a
continuous conversation and a simple way to ask questions. The client can answer these questions in the privacy of
their home using the encrypted secure platform, which is GDPR and HIPAA compliant.
This smart app, which is cross-platform compatible, also provides multi-media support. Setting up a video session with
your client to ask coaching questions face to face is easy and efficient.
In addition, the tool is fully customizable, allowing you to assign care pathways suited to each individual. As a coach,
you can track their real-time progress and stay on top of their accomplishments.
To find out more about making this smart app an integral part of your coaching conversations, visit the Quenza
website.
What are Grow Model Coaching Questions?
The GROW Model is a four-step framework that life coaches can use to help structure coaching sequences as a whole
or to guide individual conversations with clients. It is an acronym, each letter representing a key stage:
Given that each stage has a distinct aim, a life coach will be required to ask different relevant questions as the process
unfolds.
Goal
The core question of this first stage is What is your long-term goal?
This stage aims to tap into the personal values that underpin your client’s desires and create some clarity around what
they want to achieve.
For example:
Current Reality
This primary question here is What is your context or situation right now?
In this next phase, your primary goal as a coach is to help your client gain more awareness of their existing situation.
‘Current Reality’ questions also help you understand a little more about where you’re starting from together so that you
can help them as you progress.
Relevant GROW Model questions in this stage are designed to facilitate self-evaluation, helping your client discover
what may have been standing in their way of achieving their goal. Active listening plays a vital role during this stage –
as you probe deeper into a client’s responses, it’s not unusual to uncover thought patterns or schema that are worth
challenging.
1. At this point, what’s happening now to you? What impact or influence is this having?
2. Tell me more about this…with whom? Where? When?
3. Have you tried doing anything thus far to achieve your goal?
4. I’m curious about what you did… How did it go for you? Share some examples with me…
5. Where do you feel you are now concerning your life goal? Would you be able to rank this out of 10?
6. So far, what has helped your progress? What has held you back? Tell me about the last time this happened…
7. What do you feel you need to achieve your goal?
8. If you asked for this resource, what would happen?
9. What could you do differently this time around?
10.Has anybody you know achieved the same goal? How did they manage?
Options
The main underpinning question here is What are your options or opportunities for action?
GROW Model questions at the Options stage are focused on enabling your client to investigate different possible
pathways, solutions, or routes to accomplishing their goal. It may be helpful to take a brainstorming approach here as
you collaborate and pitch in with your ideas where necessary.
The key questions of this stage are What will you do next? What’s the way forward?
Having generated multiple pathways for your client to pursue, it’s time to narrow it down to a single realistic option
and garner commitment to it. Asking the right questions in this stage will help your client solidify an action plan and
feel motivated to start following it.
Instructional coaches require substantial training, but findings show that the results can have a broad and significant
impact. Among these impacts, instructional coaching has been linked to enhanced self-efficacy in educators and more
positive teacher attitudes (Vogt & Rogalla, 2009).
Instructional coaching is not directly related to positive psychology, but it draws on the same core concept of helping
others realize their full potential – in this case, as educators.
As leaders gain coaching experience, however, they also tend to find these questions a useful way of helping others
develop – by working them into everyday conversations.
Clarifying Goals
Many coaching models take a results-focused approach by beginning with the goal in mind. Questions include
(Harvard Business Review, 2014; HR Gazette, 2019; Lipovsky, 2019):
1. What is one key thing you want to achieve at this moment?
2. What are the three areas you wish to develop, enhance, or grow?
3. What do you see as the real challenge right now?
4. Imagine you’ve just ended the perfect week at work. What outcomes make you proudest?
5. In what specific areas would you like to be at your professional best?
Open-ended ‘probing’ questions also come in handy when exploring the reasons behind a goal or challenge:
Generating Solutions
If previous approaches have not been successful, leaders can help by encouraging their co-worker to think outside the
box.
It’s critical to remember that these questions are intended to spark a guided discussion and that listening plays a crucial
role in the coaching conversation that follows. There will always be points in a conversation where a leader needs to
suggest alternatives, challenge an employee’s thinking, or offer resources to help them develop a viable plan.
Help patients self-motivate by looking at the values that relate to their health;
Encourage behavioral change, by having clients consider the health-related outcomes of their actions; and
Facilitate greater mental wellbeing in both practitioners and patients through a more positive relationship.
Coaching for health can also involve frameworks; T-GROW is one example. A variant of the popular GROW model,
T-GROW stands for Topic, Goal, Reality, Options, and What Next. Example questions include (Coachingforhealth.org,
2019):
Jenny Rogers’ book Coaching for Health: Why it works and how to do it is an excellent potential resource for clinicians
wanting to learn more about the practice.
Regardless, career coaches are still required to help foster self-awareness in their coachees – the accountability still
rests with the co-worker who is looking for some direction. Similar to life coaching, career coaching will typically
involve:
1. What matters the most to you in your professional life? What do you believe passionately in?
2. What skills, talents, or competencies do you have that you are most proud of? Which make you the happiest?
Which make you feel accomplished?
3. What would you love to be able to list on your ideal resume? How about if there were no barriers or boundaries?
4. Describe the last time you felt driven and motivated by your role (current or past). What were you doing? Who
was around? Where were you?
5. When trying to learn a skill you’re passionate about, what are some barriers you’ve faced? How did you
overcome these? Which did you need help with?
6. What do you feel is preventing you from learning the knowledge you’re after? Have you asked anyone else for
help? If so, what happened?
7. What is one step you could take to get you closer to that career goal? What kind of development or opportunities
might you need to make that step? What opportunities can you create by yourself?
8. What can you practically achieve between now and next week/month/quarter to take you closer to your goal?
9. How would you go about achieving your career goal if you had unlimited resources? What is already possible
right now?
10.Have you told others around you about your career goals? Has anyone achieved a similar objective?
As you have probably noticed, there is a similar theme running through these and other coaching questions in other
domains. Great coaching is about empowering your client to find the answers themselves, whether that means looking
at their professional skills or their whole lives in a different light.
“...a mindful, experiential, and holistic approach that helps people shift their stories about themselves, others, and life
itself to create new possibilities and new results.”
With narrative coaching, a client is invited to become more attuned to the stories they tell themselves and let go of
those which are unhelpful. By doing so, they are encouraged to create more useful narratives. Six key principles guide
the practice; these include the following:
The role of the coach is first to help clients become aware of where they are situated in their stories by
asking Situate questions such as:
Next, a coach helps them gain clarity on what they are looking for from the session. This informs how things unfold by
establishing a purpose and direction for your time together. This Search phase can include questions such as:
The third phase of narrative coaching is called the Shift phase, during which a client readies themselves to leave the old
story behind. Because clients come to the coaching session with a question (conscious or subconscious), a coach then
helps them experiment with new stories that they want to create.
For example:
Finally, a narrative coach should try to integrate the changes their client has experimented with – creating a new
narrative which they can tell themselves the next time a similar situation arises. Sustain phase questions are about
making plans and identifying ways to deal with challenges that may occur. They include:
You’ll find more on narrative coaching in David Drake’s book Narrative Coaching: The Definitive Guide to Bringing
New Stories to Life.
Ideally, the first therapy session should be a form of positive inception so the practitioner can set the stage for future
interactions. Carl Rogers (1961) used to say that the therapist must create an environment where everyone can be
themselves.
Courage doesn’t happen when you have all the answers. It happens when you are ready to face the questions you have been avoiding
your whole life.
Shannon L. Alder
The very first question in therapy is usually about the presenting problem or the chief complaint for which the client
comes to therapy, often followed by an exploration of the client’s past experience with therapy, if any, and their
expectations of future outcomes of therapy.
For clients who need encouragement to open up, it may be helpful to remark on their bravery in seeking therapy.
For those who are at the other extreme and go into a lengthy and detailed explanation of their issues, perhaps having
been in therapy before, it is best to listen empathically first before complimenting them on how well they appear to
know themselves and how they have thought a lot about what they would like to talk about in therapy.
For those who are in therapy for the first time, observing how comfortable and confident they are in talking about the
challenges in their life can help set the stage for further disclosure.
It may be helpful to set some expectation of what is going to happen in the therapeutic process by explaining how
asking questions is at the core of the process and reassuring the client that they should feel free to interrupt at any time
and to steer the conversation to where they need it to go.
If the client has seen a counselor before, it can prove very valuable to inquire further about their previous experience in
therapy by asking about frequency, duration, and issues discussed during their previous engagements, as well as one
thing they remember most that a former counselor told them.
An important aspect for gauging clients’ engagement in the process of therapy is asking them about what went right or
didn’t turn out the way they would have liked in their previous therapeutic engagement, as this can point to where they
place the sense of responsibility for their situation.
Inquiring if the client achieved the results they sought and if they have been successful in maintaining them outside of
the therapeutic relationship can also provide valuable insight into their motivation for change.
Establishing a mutual agreement and setting expectations for the engagement is crucial to making progress. Clients’
goals and preferences for the format and level of interaction need to be taken into consideration.
Some clients like to vent and have the counselor listen; others want a high level of interaction and a spirited back-and-
forth. It is also important to inquire how the client learns best and if they like to receive homework.
Other examples of questions that can point to the tone and flow of future communications can include the following:
4. How many meetings do you think it will take to achieve your goals?
5. How might you undermine achieving your own goals?
6. How do you feel about using good advice to grow from?
7. How will we know when we have been successful in achieving your goals for therapy?
45.7% of adults avoided telling their providers that they disagreed with their care recommendations.
81.8% of adults withheld information because they didn’t want to be lectured or judged.
Many aspects of clients’ lives can influence their engagement and progress in therapy.
Indeed, questions about preexisting medical conditions, current and past treatments, medications, and family history are
essential to the effective assessment of needs and the successful provision of therapeutic treatment. Therefore, having a
clear picture of these details is a critical part of the initial intake process.
In order to gather this information securely and efficiently, therapists are increasingly drawing on digital technologies.
For instance, using a blended care platform such as Quenza (pictured here), therapists can design and distribute
standardized sets of intake materials, such as forms and agreements, that clients can complete on their own devices and
at a time that suits them.
The benefits of providing intake forms digitally is that they can facilitate better documentation and record keeping for
practitioners. Additionally, and unlike paper forms, they can be programmed to ensure no critical questions are
accidentally missed.
It is important to note that while most therapists do not prescribe medication, many often partner with other medical
professionals by making recommendations, particularly in instances when clients have been referred for therapy.
An intake form is attached and can be a useful guide for some of the issues that may require further exploration.
We can break this mindless cycle by asking meaningful questions of ourselves and reflecting deeply on our thoughts,
emotions, and behavior. Many self-help therapy books have popularized a way of doing just that.
One such approach can be found in vastly popular notebooks that provide inspirational therapy quotes or reflective
writing prompts that get our cognitive wheels spinning.
The most important questions in life can never be answered by anyone except oneself.
John Fowles, The Magus
Another important form of self-inquiry is to ask yourself questions that we can’t answer honestly in the presence of
anyone else, probing and burning questions that we can often only answer for ourselves. They may require some
reflection, examination of values, and perhaps writing, if only to organize our thoughts.
Assessing our life satisfaction – Tools like the Wheel of Life (accessible via the linked post) or one of the
many Happiness Assessments are a great place to start.
Exploring meaning in our lives – Our masterclass in Meaning and Valued Living is a great place to start.
Defining our values – value exploration exercises
Finding character strengths – VIA Strengths Assessment
Visualizing goals – SMART goal setting, tracking how we invest our time with experience sampling method or
Miracle Question (included below)
Cultivating gratitude – Three good things exercise
Practicing forgiveness – Empty chair technique (included below)
Making bucket lists
Other useful questions are those that we can use to motivate ourselves. For example, appreciative inquiry questions
focus on strengths and the propelling power our past successes can have on self-efficacy and motivation toward goal
pursuit.
Here are a few examples of questions and prompts based on appreciative inquiry:
Think back through your career. Locate a moment that was a high point, when you felt most productive and
engaged. Describe how you felt and what made the situation possible.
Without being humble, describe what you value most about yourself and your work.
Describe your three concrete wishes for your future.
Describe the most energizing moment, a real “high” from your professional life. What made it happen?
How do you stay professionally affirmed, renewed, enthusiastic, and inspired?
Sometimes, self-therapy can feel like chasing our tail, particularly for those who already live in their heads a bit too
much and may feel a bit stuck.
The most important questions to ask ourselves at this point are those that allow us to evaluate whether we should be
reaching for help and if our situation warrants considering therapy.