Background: Unlike modern, structured approaches such as cognitive-behavioral therapy, narrative therapy lacks fixed, standardized protocols. Instead of following predetermined guidelines, the therapeutic process is shaped through collaboration with the client and guided by the approach's principles, goals, and philosophy. However, for conducting efficacy studies, it is necessary to develop structured protocols that remain aligned with theoretical foundations. The present study aimed to design and describe a six-session narrative therapy protocol for children and adolescents exhibiting symptoms of anxiety and depression.
Methods: This study was an intervention development article employing a qualitative developmental approach and was conducted between 2024 and 2025. The design process included a systematic review of the literature, conceptual analysis of the theoretical foundations of narrative therapy, integration of findings into structured therapeutic sessions, and expert review of the protocol content.
Results: The final protocol consists of six individual one-hour sessions designed based on narrative therapy maps. The use of these maps provides structure and coherence for research while preserving the authenticity and flexibility of the approach. Moreover, activities such as drawing during the externalization, between-session assignments, and active involvement of parents and significant others contributed to therapeutic goals.
Conclusion: Grounded in the principles, goals, and philosophy of narrative therapy, the proposed protocol offers a balanced response to both the scientific requirements of research and the approach's core tenets. It may serve as a theoretical and practical model for designing and implementing future research studies in the field of narrative therapy for children and adolescents.