If the client is overwhelmed, dissociated, or extremely fused, we start up top with being present: grounding and dropping anchor.
If we want to help the client get moving, we shift to the right side of the triflex: doing what matters (values and committed action). We clarify values, set goals, create action plans, and teach skills.
If the client is deeply stuck, going nowhere, paralyzed by fusion and experiential avoidance, we shift to the left side: opening up (defusion and acceptance).
If we run into barriers at either the left or right side (or both), we come back to center: being present (grounding, dropping anchor).
If the client is successfully doing what matters, we return to being present: we help the client to engage fully in her experience and focus on what she’s doing. And if she’s doing something potentially enjoyable, we help her learn how to appreciate and savor it.