Problem-Solving Therapy (PST) addresses an underappreciated driver of body image: actual, real-world problems that therapy doesn't directly resolve.
The Problem-Solving Model of Body Image
PST proposes that body image often reflects deficits in problem-solving ability — making real stressors feel unsolvable, which drives hopelessness and body image.
The Problem-Solving Process for Body Image
- Problem orientation: Recognize problems as solvable, not catastrophic
- Problem definition: Clearly define what you're actually dealing with
- Generate alternatives: Brainstorm multiple possible responses
- Decision-making: Evaluate options against values and feasibility
- Implementation: Carry out the solution
- Evaluation: Assess results and adjust
When PST Is Especially Helpful for Body Image
PST is particularly effective when body image is driven by or worsened by concrete life stressors — financial problems, relationship conflicts, work challenges. Addressing these directly often produces significant body image relief.