Work through a self-help guide for problem solving based on Cognitive Behavioural Therapy (CBT).
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This self-help guide is intended for people with mild-to-moderate mental health issues.
If you're feeling distressed, in a state of despair, suicidal or in need of emotional support you can phone NHS 24 on 111.
For an emergency ambulance phone 999.
It’s easy to feel overwhelmed by problems, particularly if you’re experiencing mental health difficulties. This guide:
This guide is based on Cognitive Behavioural Therapy (CBT). CBT helps you to examine how you think about your life, and challenge negative automatic thoughts to free yourself from unhelpful thought and behaviour patterns.
Working through this guide can take around 30 to 40 minutes, but you should feel free to work at your own pace.
Work through the guide on your device, using the “Next” button to move forward and use the “Previous” button instead of the Back button in your browser. To type in a graphic or diary, click or tap the part you’d like to fill in and use your keyboard as usual.
If you’d like to save the guide and return to it later, you’ll need to save it as a PDF on your device before you leave the page. You can then continue filling it out on the PDF. We don’t use a login feature on our mental health self-help guides for privacy reasons.
If you’d like to print the guide at any time, you’ll find an option to save and print the whole guide, including the parts you have added, in each section.
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When you solve a problem, it increases your confidence and makes you feel more able to solve problems in future. When you feel overwhelmed, it’s easy to forget that you already have the ability to solve problems – it’s how you’ve coped with life so far. This guide is designed to help you tap into that ability and boost your confidence.
Sometimes you can’t tell what the problem that’s affecting you most actually is – you might feel stuck and unable to think of anything that would help.
Work was becoming stressful for Paul after a new computer system was put in place. He’d been confident at work before, but was now finding it hard to get out of bed to go into the office. All his colleagues seemed to be managing fine, but Paul was making lots of mistakes. When his boss asked how he was doing, Paul felt like he had to say he was fine, as he was worried about being sacked. At home, his girlfriend had noticed a change in his mood – he wasn’t keen to go out or do anything they used to enjoy.
Mandy was a single parent. She looked after her sister’s child as well as her own 12-year-old daughter, Lizzie. She also cared for her elderly mum, who was unwell. Mandy found it difficult to find time for herself, and always felt like her house was a mess and cleaning was never done. She found herself becoming irritable, especially when people asked her to do things or asked her what was wrong. Mandy was angry that no one seemed to understand how busy she was.
From these examples, you may be able to see how sometimes problems can become overwhelming and hard to identify, while at other times you can see them clearly. In this guide you’ll continue to work on identifying your own problems, and work out a series of steps to solve them.
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There are a large number of different types of problem. Have a look at this list and see which type – or types – your problem could be.
Use the boxes below to type any problems you might experience that fall under these categories.
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Paul’s girlfriend helped him talk about his job more. He explained that he hated his job because he couldn’t get used to the new computer system and was always worried about making a mistake. Paul told her he felt like he had to stay late at work to avoid falling behind, and that meant he was too tired to go out when he got home.
Paul recognised he was so unhappy at work because he was terrified he’d make a mistake with the new computer system. He also recognised that trying to cope by staying late at work was causing another problem – he was too tired to do the things he enjoyed when he got home. This was making him more unhappy.
Mandy didn’t want to let anyone know how she was feeling, but one Saturday her sister asked if Mandy could drop her child off at a birthday party for her. Mandy lost her temper, and was shocked by how angry and upset she felt. Once she calmed down, she decided it was time to sit down and think about what was really going on.
Mandy recognised that all the different tasks she had to do for other people, and all the demands on her time, were making her feel frustrated and irritable. They were also making it hard to fit everything in. Mandy recognised that she found it hard to say no to other people. This left her feeling angry when she ended up with very little time to do her own tasks, or take time for herself to do things she enjoyed.
Think about your own situation. You’ve reached a point where you need to take action, which is why you’re completing this guide. Where do you think would be a good place to start?
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Sometimes it feels like it’s impossible to even start solving your problems, but that’s not the case. Here are some common challenges.
Paul had been avoiding bringing up the difficulties he was having with his girlfriend or his boss, because he didn’t want anyone to criticise him or think he wasn’t good enough at his job. This meant his boss didn’t know what the problem was when he noticed Paul taking longer with his tasks, and he didn’t know how to help. It also meant Paul’s girlfriend didn’t know why he wasn’t interested in activities in the evening anymore.
Mandy had been avoiding thinking about her problems, as she didn’t feel she had enough time. Instead, she was concentrating on everything she had to do every day, so she felt like she was coping. This meant she had little time for herself and other people didn’t realise she was finding it hard to cope.
Take a few minutes to think about whether you’ve been avoiding thinking about what your problem is. The next part of this guide will give you the chance to write out a list of your problems.
Writing a list of your problems helps to break your difficulties down so you can deal with one at a time. It also helps you to feel less overwhelmed.
It’s okay if you don’t know the solutions just now. This approach gives you a structure you can use to find possible solutions that are realistic for you. It’s important to be patient with yourself – you don’t have to have all the answers straight away.
Sometimes you can’t always identify what the problem is – to a stranger, it might seem like your life is perfect. But problems can include how you feel about yourself and your life too.
Do you ever do any of these things?
These thinking problems can also be tackled by the methods in this guide.
If you can’t think of any problems that could explain while you feel this way, even after working through this guide, you should consider looking at the other mental health self-help guides on NHS inform if you haven’t already. You could also make an appointment with your GP to discuss things further. You can find a local GP using Scotland’s Service Directory.
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The next step is writing out a list of your problems. You can either:
or
Please note: If you decide to download a sheet to fill in, the text you add to that sheet will only be saved to your device. If you use an iPhone, the only way to edit the problem list is by using a PDF app on your device.
Here are some tips to make writing your problem list easier:
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The goal of writing a problem list is to pick one problem to work on at a time. After writing your problem list, the next step is to select the one you want to work on first.
Which one you choose is up to you but we suggest starting with the one that looks the easiest, or least distressing, to solve. You could also choose the one that you feel is the most important.
The next step is coming up with ideas for solving that problem.
Mandy chose the problem “not having enough time to relax”. While getting her ideas down, she came up with the following list, to help her find the time to do this.
Use the solution sheet below to start writing out possible solutions to the problem you’ve chosen. The idea is to think up as many ways as possible of solving it, not come up with the perfect answer right away.
It’s important to write down every suggestion you think of, even if it seems unrealistic or ridiculous. The idea is to free up your creative thinking – thinking freely can help you consider things you normally wouldn’t.
You can include things you’re already doing to try and solve the problem.
You don’t have to fill out every line – if you can only come up with 2 or 3 solutions, that’s fine.
Ignore the part about pros and cons for now – this will be covered in the next section.
Download a solution sheet you can print or fill out on your device
Please note: the text you add to the solution sheet will only be saved to your device. If you use an iPhone, the only way to edit the solution sheet is by using a PDF app on your device.
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The next step is thinking about the pros (good things) and cons (bad things) of each solution you thought of. Writing these down can help.
As an example, here’s the list Mandy came up with for her chosen problem.
Problem: not having enough time to relax.
Suggestion | Pros | Cons |
Book Lizzie into an after-school club, like drama or dancing | It’d be good to get that extra time a couple of times a week. | I’d have to pick Lizzie up as she’d miss the school bus – and if she has shows or competitions it could end up taking more time, not less. |
Ask a friend or neighbour to watch Lizzie one evening a week | Having a whole evening on my own would let me go out with friends. | I’d likely have to return the favour, so I could end up with a lot more to do on another evening. |
Forget about housework for the next 3 years | It’d save a lot of time and effort! | The house would be a mess! |
Ask Lizzie to help with some of the household chores | It’d be good for Lizzie to start learning these things, and it would take some responsibility from me. | Lizzie will probably be resistant at first. |
Find a gym with a class Lizzie could do and go together | Getting more exercise would be great for both of us. | A gym class isn’t what I’d consider time to relax. |
Ask my sister for help with some of the things I have to do | It’d make things a lot easier for me – I’d have less running around to do. | My sister’s got her own busy schedule – she probably won’t have time to help me much. |
Get more confident about saying “no” to doing things when I’m busy | If I can get it right, I’ll be able to do it long-term and stop this happening again. | People might not like it at first so I could have to deal with family or friends being annoyed. |
Write the pros and cons of each solution in the boxes on your solution sheet.
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Listing the pros and cons should’ve made it easier for you to decide what to do next. If not, try reading over the list again and thinking of some more pros and cons for each solution.
There are a few things that can make it harder for you to decide on a solution.
There’s no such thing as a perfect solution – if there was, it’s likely you’d have solved the problem already. Are you setting your standards too high?
Your solution might not be perfect, but it doesn’t have to be perfect to start making things better.
There’s always a bit of guessing involved in choosing a solution, as we can’t look into the future and see what’s going to happen.
With a lot of problems, it’s better to do something different than leave things the way they are. Even if things don’t turn out the way you’d hoped, it’s still a good chance to learn something and practice these problem-solving skills. In the next steps you’ll also review whether your solution helped – if not, you can follow the steps to try a different solution.
If you can’t choose which looks best, it might not matter very much which one you choose – they could both work equally well. Try one and see how it goes.
Getting caught up in worry can end up becoming a problem on its own. If you find yourself getting stressed out by trying to think of a solution, there are a couple of things you can do.
If you’re struggling to choose a solution and feel you’re getting caught up in worry, it might be worth visiting the Depression or Anxiety self-help guides on our site. If you’ve come to this guide from one of these, feel free to go back and work through it again if you think it’ll help.
We also have a lot of material on coping with stress that you might find helpful.
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It can be helpful to make a plan for the solution you’ve chosen. Once you lay out a step-by-step plan, taking action on your problem stops being a big task and becomes a number of smaller, more manageable tasks.
For example, Mandy decided to get more confident about saying no to things. You can see her action plan in the examples below.
Use the boxes below to write out your action plan step by step. You can save and download this at the end of the guide.
Or, if you prefer, you can download an action plan below to fill out on your device.
Please note: the text you add to the action plan PDF will only be saved to your device. If you use an iPhone, the only way to edit the action plan is by using a PDF app on your device.
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This is the time to reflect on how problem-solving went. Remember, even if your solution didn’t go the way you hoped, it’s important to keep using this approach until you feel confident.
Well done! Your solution worked. Here are a couple of things to remember in future:
If the problem is slightly better, but not solved yet, there’s still a little more for you to do. There are a few things that could help:
If things aren’t any better, there are a few things you can do:
If there still isn’t any improvement after you’ve done these things, don’t worry. If possible, discuss the problem with a person you trust, like a close friend or family member. You could also talk to someone anonymously using a service like Breathing Space.
However it’s worked out, you should be proud of yourself for taking these steps. Keep using this problem-solving approach and it’ll get easier.
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This self-help guide is intended for people with mild-to-moderate mental health issues.
If you're feeling distressed, in a state of despair, suicidal or in need of emotional support you can phone NHS 24 on 111.
For an emergency ambulance phone 999.
Keep using the techniques from this guide – they’ll continue to help you. It’s important not to fall into old habits or forget how to use this problem-solving approach.
Remember that the problems you work on using these techniques don’t have to be big or life-changing – they can be day-to-day issues, or even decisions you need to make as part of work or study. The more you practice, the easier problem-solving will be.
If you’re feeling distressed, in a state of despair, suicidal or need emotional support you can phone NHS 24 on 111.
If you feel you need more help with your mental health, try speaking to your GP, or search for mental health and wellbeing services in your area.
For information and advice when you’re feeling down, you can phone Breathing Space on 0800 83 85 87.
The Breathing Space phoneline is available:
If you found this guide helpful and would like to do more work like this, Living Life offers a range of structured psychological interventions and therapies to improve mental health and wellbeing. This service is appointment-based and specifically for low mood, or mild/moderate depression or anxiety. Living Life are open Monday to Friday, from 1pm to 9pm, and you can phone them on 0800 328 9655 for an assessment appointment.
To learn more about coping with mental health issues, visit our other mental health self-help guides on NHS inform.
For information that could help solve problems related to your health, visit our Care, Support and Rights section.
To find services in your area that could help with a range of health and wellbeing issues, visit Scotland’s Service Directory.
Last updated:
4 March 2022