Problem Solving Treatment (PST)

Problem Solving Treatment (PST), also known as Problem-Solving Treatment – Primary Care (PST-PC), is a brief, evidence-based approach that is effective with a majority of patient populations, including patients of many different cultures. PST teaches and empowers patients to solve the here-and-now problems contributing to their depression and helps increase their self-efficacy. 

As part of a treatment plan, PST typically involves six to ten sessions, depending on the patient’s needs. The first appointment is approximately one hour long (this can be split into two separate ½ hour sessions if scheduling an hour is difficult) because it includes psychoeducation and an introduction to the PST model. Subsequent appointments are 30 minutes long.

Psychotherapy plays an important part in a patient's treatment plan, given patient preferences and the limitations of antidepressant medications. Organizations implementing an integrated care program should have capacity to offer an evidence-based psychotherapy such as PST. PST sessions are billable as psychotherapy visits and can be provided by a variety of certified health care providers. 

PST is the most widely used intervention to treat depression and anxiety in a primary care environment. Research shows it significantly improves patient outcomes in a wide range of settings and patient populations. PST is effective for depression among all adult populations (aged 18-100), including older adults with mild cognitive impairment. 

The document below contains selected references demonstrating the efficacy of PST in primary care. 

• Problem Solving Treatment: Selected References 

We offer two tiers of PST training for licensed clinicians: a shorter Course in PST (Tier 1) and full PST certification (Tier 2). We encourage clinicians to pursue Tier 2: PST Certification, as skill-based practice and expert feedback are important to meeting fidelity standards. Notably, the evidence base for the effectiveness of PST has been demonstrated using clinicians at this level of clinical skill. Click the links below for more information on the courses, including pricing and eligibility. 

Tier 1

A Course in PST consists of a series of online modules introducing PST principles, followed by 6 monthly case presentation calls.

Tier 2

PST Certification involves interactive online modules followed by individual phone-based practice sessions, 6 monthly group case presentation calls, and in-depth expert feedback on application of clinical skills based on session audiotape review. 

Become an Expert PST Trainer

Get certified as a PST Trainer, in these group training sessions participants will learn the skills needed to train others in PST. 

The University of Washington AIMS Center is approved by the American Psychological Association (APA) to sponsor continuing education (CE) for psychologists. The AIMS Center maintains responsibility for this program and its content. Participants are eligible for 5 CE credits (PST Tier 1) or 8 CE credits (PST Tier 2). To recieve credits participants must attend the entire course and pass a learning evaluation. The CE credits can be used by most licensed mental health providers, including psychologists, clinical social workers, professional counselors, and marriage and family therapists. Clinicians should check their specific state requirements to confirm that credits awarded by the APA apply to them.

Conflict of Interest Disclosure Information

Training author, Anna Ratzliff, MD, PhD,  receives royalties from Wiley Publishers. This financial relationship has been mitigated. There are no other relevant financial relationships to disclose for authors or planners of this content.