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10 Adlerian Therapy Activities and Exercises to do with your Clients

10 Adlerian Therapy Activities and Exercises to do with your Clients

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Adlerian Therapy, also known as Individual Psychology, was developed by Alfred Adler to be used with an array of clients and presenting concerns. Adler believed that as clinicians, we can understand our clients better by learning about their goals and drives, family constellations, social contexts, and their chosen lifestyle (Seligman, Reichenberg, 2010). Keep reading to learn about 10 Adlerian Therapy activities and exercises to do with your Clients.

For more valuable resources, view our Adlerian Therapy Tools and Resources hub

An important concept of Adlerian Therapy is that children who find themselves feeling inferior at a young age, to caregivers or siblings, will experience a significant impact on their development (Seligman, Reichenberg, 2010).  The way in which children learn to manage their feelings of inferiority, and lack thereof, can foreshadow later behaviors and attitudes.

Adler also paid great attention to a client’s birth order and the family constellation. Family constellation refers to the different roles that each person within a family has. Understandably so, we are impacted by the similarities and differences that we have within our immediate families (Seligman, Reichenberg, 2010).  Differences between family members provide an opportunity to see a new perspective regarding our chosen lifestyles.

There are five psychological positions that fall into Adler’s approach to birth order. This includes oldest children, second children, middle children, youngest children, and only children (Seligman, Reichenberg, 2010).  Each position has its own characteristics and experiences that can impact development.

According to Adler, characteristics of a healthy and well-functioning adult include independence, being physically and emotionally self-reliant, being useful and productive, and being able to cooperate with others for personal and social gains (Seligman, Reichenberg, 2010). During the counseling relationship, counselors work with their clients to help them see that their faulty logic has contributed to their feelings of inadequacy and pain and that these can be overcome and they can find themselves in a healthier lifestyle (Seligman, Reichenberg, 2010).

There are four stages associated with Adlerian Therapy:

  1.   Establishing therapeutic rapport and determining treatment goals
  2.   Understanding your client and their concerns through the use of assessment and analysis
  3.   Reeducation, insight, and intervention
  4.   Reorientation, reinforcement, termination, and follow-up

Mental Health Concerns That Can Benefit From Adlerian Therapy Activities

A notable strength of Adlerian Therapy is that it can be used to treat a variety of mental health concerns including mood disorders, anxiety disorders, and personality disorders (Seligman, Reichenberg, 2010).   Additionally, clients who are experiencing poverty, drug misuse and abuse, discrimination, and war can also benefit from this theoretical approach (Seligman, Reichenberg, 2010).

In addition to being used with a broad range of mental health concerns, Adlerian Therapy can be used in a variety of professional settings. This includes individual therapy, group therapy, couples therapy, family therapy, career development, education, training, supervision, consultation, and organizational development (Seligman, Reichenberg, 2010).

Adlerian Therapy Activities

Adlerian Therapy Activities can be applied to each of the stages of therapy. These activities can be interactive activities that help guide therapy sessions and promote further understanding of our clients. If you are interested in learning more about different Adlerian Therapy exercises, continue reading:

1. Earliest Recollections Exercise

If you are looking for an Adlerian Therapy exercise that can be applied to individual or group therapy sessions, focus your session on exploring and analyzing your client’s earliest recollections. Once their memory is shared, spend time processing their memory, analyzing their memory, and interpreting their memory. In closing, you can explore how these memories relate to their lifestyle and goals.  This can also be used as a journaling exercise if your client finds this as their ideal form of self-expression.

What It Is: A guided exploration and interpretation of early childhood memories.

How It Helps Clients: Identifies core beliefs, lifestyle themes, and private logic influencing present behavior.

How to Do It: Ask clients to share an early memory, then collaboratively analyze its meaning, emotional tone, and relevance to current goals. This can also be adapted as a journaling activity.

2. Family Constellation Exploration

The How I Remember My Family Worksheet available at TherapyByPro can be used as an Adlerian Therapy activity to explore your client’s family constellation.  This includes exploring how your client would describe their father, mother, their parent’s relationship with each other, their parent’s role as parents, and their siblings if they have any. This would be an appropriate exercise to begin exploring their family dynamic.

What It Is: A structured reflection on family roles, relationships, and perceived dynamics.

How It Helps Clients: Increases insight into relational patterns, attachment styles, and self-concept.

How to Do It: Use tools like the How I Remember My Family Worksheet to explore parental roles, sibling relationships, and early family atmosphere.

3. Acting “As If” Exercise

Ask your client to identify a challenge or problem that they have been concerned about being able to manage. Once they have described the situation, ask them to imagine themselves capable of responding successfully to this problem or concern. Have your client imagine a clear and vivid description of themselves being able to manage the situation. Now your client can describe how that version of themselves would manage the situation, and encourage your client to think of themselves as capable individuals who can handle difficult situations when they find themselves struggling. Encourage your client to share their experiences using this mindset when they feel challenged in future sessions to explore its impact.

What It Is: A guided visualization and role rehearsal of successful coping.

How It Helps Clients: Builds confidence, reduces helplessness, and supports adaptive behavior change.

How to Do It: Ask clients to vividly imagine handling a current challenge successfully and reflect on how that version of themselves thinks, feels, and acts.

4. Push the Button Technique

Using the Push The Button Technique can help clients identify and confront negative self-talk patterns and irrational beliefs that they are living with.  This commonly used technique can help clients gain control of their thoughts and behaviors by developing healthier thought patterns and improving the way that they think about themselves.

What It Is: A cognitive-emotional awareness exercise focused on self-talk.

How It Helps Clients: Increases emotional regulation and challenges irrational beliefs.

How to Do It: Help clients identify triggering thoughts and practice intentionally replacing them with more adaptive perspectives.

5. Birth Order Psychoeducation

When you begin exploring your client’s family constellation and the impacts of their birth order, it can be helpful to provide them with psychoeducation about the differences between the different birth orders. This knowledge can help them further understand themselves, feel validated for their experiences, and perhaps allow them to better understand others in their lives who have a different birth order.

What It Is: Psychoeducation on Adlerian birth order theory.

How It Helps Clients: Promotes self-understanding and empathy toward others.

How to Do It: Review birth order characteristics and explore which themes resonate with the client’s lived experience.

6. Misperception Log Exercise

The Misperception Log Exercise is an example of an Adlerian Therapy exercise that can work towards challenging unhealthy automatic thoughts. The worksheet available at TherapyByPro begins by describing the problem that they are facing, what it was like during that experience if they experienced disturbing thoughts or behaviors, their related beliefs, and exploring evidence that supports and contradicts their belief. Depending on your client, this exercise can be completed during the session or outside of the session.

What It Is: A structured worksheet-based cognitive reflection.

How It Helps Clients: Challenges automatic thoughts and increases cognitive flexibility.

How to Do It: Have clients document a situation, associated beliefs, and evidence for and against those beliefs during or between sessions.

7. Lifestyle Assessment Exercise

With Adlerian Therapy, a piece of your assessment and analysis will be exploring your client’s priorities and their ways of behaving. With the information you have, you can then determine which of the common lifestyles your client falls into. Adler and his associates provided the following list of common lifestyles:

  • Ruling and dominating others
  • Avoiding interpersonal and other challenges
  • Pleasing and seeking approval from others
  • Controlling and managing
  • Depending on others and needing to be cared for
  • Pursuing superiority and perfection
  • Seeking achievement
  • Being a martyr or victim
  • Seeking comfort
  • Promoting social welfare and progress

What It Is: An evaluative exploration of Adlerian lifestyle patterns.

How It Helps Clients: Clarifies motivation, interpersonal strategies, and coping styles.

How to Do It: Assess patterns such as pleasing, avoiding, controlling, or striving for superiority, and discuss how these patterns serve or hinder the client.

8. Crystal Ball Exercise

The Crystal Ball Exercise can be a great tool for clients to explore how their personal goals alight with their values and aspirations. This Adlerian Therapy exercise begins by exploring what your client would like their future to look like and what has happened in their life that works towards their future goals. Your client will then be asked to identify challenges that they can experience while working towards their goal which will then lead to an exploration of your client’s strengths and attributes that can be used to manage and respond to their identified challenge.

What It Is: A guided future-visualization and goal-alignment exercise.

How It Helps Clients: Enhances hope, motivation, and strengths-based problem solving.

How to Do It: Ask clients to envision their desired future, identify obstacles, and explore personal strengths that support goal attainment.

9. Dreamwork Exercise

Dreamwork is another example of an Adlerian Therapy exercise that can be applied during the stages of counseling. Adler believed that dreams can be used to form stronger self-awareness for clients and provide insight for clinicians (Seligman, Reichenberg, 2010). Adler believed that dreamwork should explore the emotional reaction that dreams have and how they relate to current life challenges (Seligman, Reichenberg, 2010).

What It Is: A reflective exploration of dream emotions and themes.

How It Helps Clients: Increases self-awareness and insight into unresolved concerns.

How to Do It: Explore the emotional tone of dreams and connect them to current life situations and goals.

10. The Question Technique

The Question Technique is a commonly used Adlerian Therapy exercise. The Question Technique begins by asking your client to identify a problem that they are facing, and how their life would differ if they did not have this problem. As your session progresses, you continue to explore how they would feel if this concern was no longer a problem and how their behaviors would change if it was not a concern anymore.  If you feel as though your client would benefit from having a worksheet to follow for this exercise, you could use t The Question Technique Worksheet available at TherapyByPro to guide your session. 

What It Is: A future-oriented questioning intervention.

How It Helps Clients: Encourages insight, motivation, and behavioral flexibility.

How to Do It: Ask how life would differ without the problem and explore emotional and behavioral shifts. Worksheets can be used to structure the process.

Frequently Asked Clinical Questions

Below are the practical questions clinicians ask when facilitating Adlerian therapy activities and experiential exercises to increase client self-awareness, challenge faulty logic, and cultivate social interest:

What primary clinical objective differentiates Adlerian therapy exercises from purely symptom-focused interventions?

Evaluate whether your target clinical strategy prioritizes rapid symptom reduction or a deep understanding of the client’s lifestyle and chosen goals. Adlerian exercises look beyond immediate distress to evaluate the client’s family constellation, early development, and chosen coping patterns. This comprehensive approach helps the clinician reveal how early experiences of inferiority and faulty private logic contribute to current psychological pain, allowing for a healthier long-term redirection of behavior.

How should a clinician address feelings of inferiority stemming from early childhood dynamics?

Deploy the Earliest Recollections Exercise to collaboratively uncover and analyze formative childhood memories. Instruct the client to share a vivid early memory, noting its specific emotional tone and relational dynamics. This structured interpretation allows the clinician to identify deep-seated core beliefs, highlighting the private logic that guides the client’s present behavior and expectations.

What explicit interventions are most effective for shifting a client from a state of behavioral helplessness to adaptive coping?

Facilitate the Acting “As If” Exercise to build immediate confidence and expand cognitive flexibility. When a client feels completely unable to manage a personal crisis, have them vividly imagine a capable version of themselves handling the issue successfully. This guided rehearsal disrupts automatic negative assumptions, prompting the client to explore alternate perspectives and practice healthier, self-reliant behaviors.

When analyzing family dynamics, how can a therapist utilize birth order psychoeducation to promote client validation?

Introduce birth order psychoeducation alongside a Family Constellation Exploration to clarify interpersonal roles and patterns. Reviewing characteristics specific to psychological positions—such as the oldest, middle, or only child—helps clients make sense of childhood rivalries or parent-child dynamics. This objective overview provides immediate clinical validation while fostering empathy for family members with different birth orders.

How can a clinician safely uncover hidden motivations or secondary gains behind a client’s resistance to change?

Utilize The Question Technique to expose behavioral flexibility and clarify how a client’s life would differ without their primary symptom. Ask the client directly how their daily actions and feelings would transform if the problem disappeared entirely. The resulting answer reveals what the problem might be helping the client avoid, identifying subconscious lifestyle traps—such as pleasing others, controlling situations, or evading challenges.

Final Thoughts On Choosing Adlerian Therapy Activities For Your Clients

Thank you for reading our resource on 10 Adlerian Therapy activities you can do with your clients. Adlerian Therapy is an empirically supported therapeutic approach that has been proven to help with a variety of mental health concerns. With the diverse application of Adlerian Therapy, this can be a valuable therapeutic approach to be trained and experienced in. By using Adlerian Therapy Exercises in your sessions, you can engage your client in self-exploration and increase self-awareness.

There are some limitations to be mindful of when you are using Adlerian Therapy in your work. This can include that some individuals may not have the capacity to engage in insightful conversation for whatever reason. Additionally, some clients may turn away from the strong focus on early experiences that occurs in Adlerian Therapy. In this situation, it may be helpful for clients to learn about why Adlerian Therapy has a strong emphasis on their early childhood experiences.

If you are interested in learning more about Adlerian Therapy, we encourage you to look for training and continuing education opportunities in your area. Developing a thorough understanding of Adlerian Therapy and practicing applying it to your work are important characteristics in developing a competency that would allow you to use Adlerian Therapy in your clinical work.

TherapyByPro is a trusted resource for mental health professionals worldwide. Our therapy tools are designed with one mission in mind: to save you time and help you focus on what truly matters-your clients. Every worksheet, counseling script, and therapy poster in our shop is professionally crafted to simplify your workflow, enhance your sessions, reduce stress, and most of all, help your clients.

Want to reach more clients? We can help! TherapyByPro is also a therapist directory designed to help you reach new clients, highlight your expertise, and make a meaningful impact in the lives of others.

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View all of our Adlerian Therapy Worksheets

Resources:

  • Seligman, L., & Reichenberg, L.W. (2010). Theories of Counseling and Psychotherapy: Systems, Strategies, and Skills (3rd ed., pp. 61-75).  Pearson Education, Inc.
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Kayla Loibl, MA, LMHC

Kayla is a Mental Health Counselor with more than 10 years of clinical experience supporting individuals across a range of treatment settings. She has provided psychotherapy in residential and outpatient addiction programs in New York, as well as in an inpatient rehabilitation facility in Ontario, Canada. Her work has involved helping clients navigate complex mental health concerns, including depression, anxiety, bipolar disorder, borderline personality disorder, and trauma.

The content provided on this blog post is intended for use by licensed mental health professionals as educational and informational tools to support their clinical practice. This content is not intended for direct use by clients or the general public without the guidance of a qualified mental health professional. These resources are designed to assist licensed professionals in developing tailored interventions for their clients. It is not a substitute for professional judgment, clinical expertise, or individualized assessment by a qualified mental health provider. All content should be adapted to meet the specific needs of each client, considering their unique circumstances, diagnosis, and treatment goals. Mental health professionals are responsible for ensuring that the application of any resources complies with applicable laws, ethical guidelines, and professional standards in their jurisdiction.

This blog does not provide medical or psychological advice directly to clients, and any use of these materials with clients should be supervised by a licensed professional. If you are not a licensed mental health professional, please consult one before using or applying any information from this site. In case of a mental health emergency, contact emergency services or a qualified healthcare provider immediately. Reliance on any information provided by this blog is solely at the user’s risk.

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