Using metaphors to build hope and hopefulness from depression.

Helplessness and hopelessness are common key dynamics of depression that often inhibit therapeutic progress and client recovery. Based on a case example, this article examines the processes for effectively communicating therapeutic interventions aimed toward building hope when other approaches have failed. It explores the use of therapeutic metaphors including assessing for positive outcomes, building the PRO Approach for creating therapeutic metaphors and using Hope Theory as an example of an evidence-based process for facilitating both hope and enhanced treatment outcomes. It concludes with an illustrative metaphor within a hypnotic model and a step-by-step process for building your own hope-enhancing metaphors.