When searching for ideas use imagination and stimulate that imagination by brain-storming with others and reading the latest publications on the topic -- remember that approaches for difficult issue are always changing. Ten years ago, antidepressants were prescribed almost automatically for depression, now the use of such medication and their side effects, especially in teens, is under scrutiny. Step 6: Evaluate the evidence

Sometimes writing things down can be helpful. When contemplating different strategies of approaching the topic, charting and rating evaluations of the tentative solutions provides clarity. Viewing any data and studies side-by-side can be useful as well. Compare and test these solutions in a series of hypothetical scenarios before trying them out in the real world.

Step 7: Make the educated guess (hypothesis)

After reviewing the evidence, boil down the client's situation into a general statement. Make an educated guess about what is the core problem; choose the best solution to address the issue. Then, make predictions as to how the client will react.

Step 8: Challenge the hypothesis

Before entering the session, challenge your assumptions. Consider alternatives -- are you stereotyping the client/relying too much on past experiences?

Step 9: Reach a conclusion

Communicate what you want to do with the client -- discuss your experiences with others, and the results of your research within ethical guidelines of privacy. Ask if others can test and confirm...

Fine tune your approach, moment-by-moment.
Step 14: Attributes and thinking skills

Approach the client's problem as if you are a team. Communicate honestly with the client, be objective, yet empathetic.

Works Cited

Decision-making worksheet. (2009). Decisionmaking.org. Retrieved February 22, 2009 at http://www.decisionmaking.org/worksheet.pdf

Fourteen decision-making steps