Client Issue:
Client feels stressed and limited by back pain. Wants more control and better daily functioning.

Miracle Question:
“If you woke up tomorrow and felt better, what would be the first small sign things improved?”

Scaling Question:
Client rates current control at 4/10.

Exception Question:
Client reports feeling better on days they use heat therapy and take short breaks.

Strengths Identified:

• Heat helps
• Movement reduces tension
• Client is motivated to improve

Small Goal:
Increase sense of control from 4 to 6 in two weeks.

Action Plan:

• Use heat therapy 2–3 times weekly
• Take 5‑minute movement breaks
• Track pain level daily
• Notice one “better moment” each day