Problem-Solving Skills Training (PSST)

Strengthening Decision-Making and Impulse Control Skills

Problem-Solving Skills Training (PSST) is an evidence-based treatment designed to help children and teens develop stronger impulse control and decision-making skills. This structured approach helps young people move from reactive behavior to thoughtful, goal-directed responses.

At Tender Hearts Child Therapy Center, our Child and Teen Counselors use Problem-Solving Skills Training (PSST) to teach children and teens how to slow down, think through challenges, and make healthier choices.

When Acting Before Thinking Becomes a Pattern

When PSST May Be Recommended

PSST may be beneficial if your child or teen is struggling with:

Impulse control difficulties
Acting before thinking
Difficulty evaluating consequences
Peer conflict or bullying situations
Challenges making appropriate social decisions

When young people struggle to pause and evaluate options, structured skills training can create meaningful change.

How We Help

Building Thoughtful Responses and Better Choices

PSST focuses on teaching children and teens a clear, step-by-step process for handling problems. Rather than reacting emotionally, children and teens learn how to stop, identify the problem, generate possible solutions, evaluate consequences, and choose the best course of action.

This model is practical, skill-based, and designed to be applied in real-life situations at home, school, and in social settings.

How Problem-Solving Skills Training Works

Teach “Stop and Think” Skills

Children and teens learn to interrupt impulsive reactions and pause before responding to challenging situations.

Evaluate Consequences

PSST helps young people think through short-term and long-term consequences of their choices before acting.

Generate Alternative Solutions

Children and teens are taught how to consider multiple possible responses to a problem rather than defaulting to one reactive behavior.

Improve Assertiveness in Peer Situations

PSST is especially useful in bullying situations. It teaches children and teens how to respond assertively and appropriately when faced with peer conflict or peer pressure.

Benefits of Problem-Solving Skills Training

Improved impulse control
Reduced behavioral outbursts
Better decision-making skills
Increased confidence in social situations
Stronger conflict-resolution abilities
More appropriate responses to peer pressure or bullying

These skills promote long-term emotional regulation and healthier relationships.

What to Expect at Tender Hearts

PSST begins with an assessment of your child or teen’s behavioral patterns and problem-solving abilities.

Sessions are structured and interactive. Young people practice identifying problems, brainstorming solutions, and evaluating consequences in guided exercises.

Parents may also receive guidance on reinforcing these skills at home to ensure consistency and progress.

Find Answers

Frequently Asked Questions

PSST is typically used with school-aged children and teens who can engage in structured problem-solving exercises.

Yes. PSST is recognized as an Evidence-Based Treatment for impulse control and behavioral challenges.

Yes. It teaches assertive and appropriate responses in peer conflict situations.

Length of treatment varies depending on the child or teen’s needs and consistency of practice.

Contact our office to schedule an appointment at either the Cape Girardeau, Farmington, Arnold, or Fenton location.