Narrative Therapy

Narrative therapy is a collaborative, respectful approach that treats people as separate from the problems they’re facing. Instead of defining you by a diagnosis or a challenge, narrative therapy helps you explore the context around your experiences and identify the skills, values, and supports you already have.

 

A central practice in narrative therapy is externalization—putting distance between you and the problem. Rather than “I am anxious,” the work may move toward “Anxiety is influencing my decisions.” This shift can reduce shame and create room for choice.

Core principles of narrative therapy

Externalizing the problem

 

The problem is treated as something you are dealing with, not something you are. Naming the problem can make it easier to understand how it shows up, what fuels it, and what weakens it.

 

Re-authoring the story

 

Many people arrive feeling stuck in a story that positions them as incapable, unworthy, or “always the one who fails.” Narrative therapy helps bring forward other parts of your history—times you acted with courage, care, persistence, or self-respect—so your identity is not reduced to the hardest chapters.

 

Examining outside pressures

 

Narrative work often includes looking at how family roles, workplace expectations, culture, and social messaging shape self-worth and behaviour. The goal is to keep what fits your values and challenge what does not.

 

Identifying “unique outcomes”

 

Even in long-standing struggles, there are usually exceptions—moments when the problem had less influence. Narrative therapy pays close attention to those moments and uses them as evidence for change.

 

Collaboration and choice

 

Narrative therapy is not directive. The therapist is not an authority telling you who you are. The work is done with you, guided by your goals, your language, and what matters to you.

What sessions may look like

Mapping the current story

 

You and your therapist explore the main narratives shaping how you see yourself (for example, “I’m not good enough,” “I have to hold everything together,” “I can’t trust myself”).

 

Separating you from the problem

 

Together, you clarify how the problem operates—when it’s strongest, what it convinces you to do, and what it costs you in daily life.

 

Challenging unhelpful assumptions

 

You examine whether the dominant story is accurate, fair, and aligned with your values. This step often involves questioning “rules” you’ve carried for years.

 

Building a preferred story

 

You co-create a more accurate and useful narrative—one that reflects strengths, priorities, and the kind of life you want to live.

 

Strengthening change in daily life

 

New narratives become more stable when they show up in actions. This might involve boundary-setting, values-based decisions, written reflections, or other practical steps that reinforce the direction you’ve chosen.

Concerns narrative therapy may support

Narrative therapy can be used for concerns such as:

  • Anxiety, stress, and worry patterns

  • Low mood and reduced motivation

  • Self-criticism and low self-esteem

  • Grief and life transitions

  • Trauma-related concerns

  • Identity exploration

  • Relationship and family dynamics

  • Workplace burnout and role strain

Common misconceptions

“It’s just talking about stories.”

Stories are the entry point. The work is about patterns, meaning, and behaviour—and how to change what feels stuck.

 

“The therapist tells you what your story should be.”

You decide what fits. The therapist supports the process and helps you notice options you may not be seeing yet.

 

“It avoids real problems.”

Narrative therapy addresses real problems directly by examining how they affect your life and how you want to respond.

Narrative therapy at The Cohen Clinic

At The Cohen Clinic, narrative therapy is offered in a supportive, non-judgmental setting focused on your goals and pace. If you are looking for narrative therapy in Toronto, our psychologists, psychotherapists, and social workers can help you explore what’s been shaping your experience and build practical steps toward change.