What externalising a problem actually sounds like
Externalising treats a problem as separate from you and changes how questions are asked in therapy.
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If you have seen the word externalising in a therapist listing you are not alone in wondering what it actually sounds like. This piece explains, in simple terms, how a narrative therapist might talk about a problem and why the exact words they use can feel different.
Narrative Therapy originated with Michael White and David Epston in Australia and New Zealand in the 1980s. Listings on this site show Narrative Therapy among their approaches. This is not advice or diagnosis. A clinician who is actually talking with you is the person who can say.
What externalising means in plain language
Externalising is a way of talking that treats a problem as something outside of you rather than as the whole of who you are. It puts the issue on the table as a thing to look at and discuss.
People often say that hearing the problem named separately can change the tone of a conversation. That change is what externalising aims for: to make space between you and the difficulty so you can talk about how it shows up, what it does, and the role it plays in your life without the sense that you are the problem.
Three short examples of questions you might hear
These are simple examples of the kind of questions a narrative therapist might ask. Each is short on purpose.
- "When does the worry show up most?"
- "How does the overthinking try to affect your day?"
- "What name would you give the voice that tells you you cannot do it?"
Notice that each question talks about the experience as something that acts or appears. The wording separates the experience from you so you are invited to describe it rather than be described by it.
Why the wording matters
The exact words matter because they shape how you can respond. If a problem is spoken about as separate, you may find it easier to describe its patterns, its tactics and the times it is strongest. That can make practical conversations possible without implying anything about your worth or identity.
People commonly report that this way of talking opens up choices about how to respond. It does not mean the problem disappears or that the same approach suits everyone. It is simply a way of making the problem an object of conversation.
What it might feel like in a session
In session you might be asked to tell stories about times the problem showed up. The therapist might ask you to name the problem or describe what it does. The pace is usually conversational and curious.
Some people find this gentle separation relieving. Others find it unfamiliar at first. People have described the work as quieter, focused on description and meaning rather than medical labels. If you are feeling distressed while reading this, that is understood and valid.
Reading a listing and preparing to ask questions
If a listing says a therapist lists Narrative Therapy among their approaches it means they use that approach sometimes. It does not mean they are trained, certified or qualified in Narrative Therapy. Listings show Narrative Therapy among their approaches. You may want to ask, when you make contact, how they use externalising in their work and what a typical session might be like.
Ask whether they are licensed or registered where you live. The body that keeps the register differs by country and state. Asking this simply helps you know who you are talking with and what their professional standing is where you live.
A few practical notes and safety reminders
This information is not advice or diagnosis. A clinician who is actually talking with you is the person who can say what fits your situation. Nothing here is a substitute for a conversation with a professional.
If you are in acute distress, thinking about harming yourself, or in immediate danger, contact your local emergency service or a crisis line in your country. If you are unsure where to find a number, check a local health website or search for a crisis line in your area.
If you want to read more about the approach itself, the site has a page at /about-narrative-therapy/. If you would like to look for someone who lists this approach, see /therapists/ to browse listings and contact options.
A note on this guide
This is general reading, not medical advice, and it cannot tell you what you are experiencing. It was written for this site and has not been reviewed by a clinician. Anything that sounds like it applies to you is worth raising with a therapist or doctor who is actually talking to you.
Read next
- How to read a therapist's list of approaches (about 4 minutes)
- Twelve questions for a first conversation (about 3 minutes)
- What happens in a first session (about 4 minutes)
- Online therapy and licences, explained (about 4 minutes)
- Find a therapist »