In Client-Directed Outcome-Focused Psychotherapy, Dr. Scott D. Miller presents a meta-approach to talk therapy that is designed to help tailor the treatment to fit the client's particular therapeutic goals. Technique is deemphasized in favor of developing a strong therapeutic alliance and using the client's experience of the treatment as a guide for where treatment should go. This requires checking in with the client frequently to see whether therapy is working and using this formal feedback to guide treatment and evaluation.
In this session, Dr. Miller works with a young woman diagnosed with bipolar disorder who, because of pregnancy, has been off of her medication and is wrestling with her depression. This video shows a typical first session.