Just before the holidays in 2025, Julie Hart felt stuck.<\/p>\n
A nagging problem she had struggled with for years left her ruminating all day and questioning nearly everything she had ever said, done or could do.<\/p>\n
She was considering traditional therapy, but decided instead to try single-session counselling.<\/p>\n
Rather than committing to weekly therapy sessions, she would get only 60 minutes to tackle the problem.<\/p>\n
It worked.<\/p>\n
\u201cIt helped me get unstuck, is how I would describe it, in a very positive, meaningful and effective way,\u201d said Hart of Springfield, Virginia in the United States.<\/p>\n
She joined what experts say is an increasing number of people who, at least for now, have decided to forgo the weeks, months, or even years, that traditional therapy implies in favour of a more targeted approach.<\/p>\n
The therapy is what it sounds like: one session, typically an hour, where a counsellor helps the client identify concrete steps toward relieving a specific problem.<\/p>\n
The intention is not to completely solve a problem, but rather, to help clients walk away with a toolbox of strategies on how to approach it.<\/p>\n
\u201cThose strategies made all kinds of sense,\u201d Hart said.\u00a0\u201cBut you can\u2019t identify them when you\u2019re in it.\u201d<\/p>\n
Filling in the gap<\/p>\n
It\u2019s not new. Dr Sigmund Freud, the father of psychoanalysis, notably offered it.<\/p>\n
But it has become increasingly common as a way to fill gaps in access to mental health care, and the need is greater than ever, said Northwestern University psychology associate professor Dr Jessica Schleider.<\/p>\n
The cost of traditional therapy has risen to several hundred dollars a month in the US, and even those who can afford it or have insurance encounter long waiting lists.<\/p>\n
\u201cEven if we doubled miraculously the number of trained mental health professionals overnight, we still wouldn\u2019t come anywhere close to meeting the need for mental health support,\u201d said the founding director of the Lab for Scalable Mental Health.<\/p>\n
That doesn\u2019t factor in other barriers, such as people who can\u2019t take time off work to attend weekly sessions.<\/p>\n
Besides, data show that the most common number of sessions people are likely to receive is just one because many people start and don\u2019t come back, Schleider said.<\/p>\n
\u201cIt\u2019s a really elegant solution to get people support they need at the moment that need arises,\u201d she said.<\/p>\n
Psychologist Dr Sharon Thomas said both counsellor and client enter the session with expectations: \u201cThat the client will be able to have meaningful change in their life, and that we\u2019ll see an improvement in both their self-efficacy and a decline in their symptoms in just one visit.\u201d<\/p>\n
Rather than do a full assessment of the client\u2019s past and current circumstances, the counsellor targets a specific problem.<\/p>\n
By the end of the session, the client walks away with a written plan of steps toward alleviating it.<\/p>\n
\u201cNot everyone wants to discuss childhood trauma,\u201d said Thomas, who is the director of single-session therapy at the Ross Center in Washington DC.<\/p>\n
\u201cIt\u2019s very much focused on what the client wants to focus on in that moment.\u201d<\/p>\n
Most people can benefit from single-session therapy, whether they are struggling with a difficult circumstance like a work problem or something more persistent, such as anxiety, said Texas\u2019 Our Lady of the Lake University psychology visiting professor Dr Arnold Slive.<\/p>\n
Prof Slive, who helped pioneer walk-in single-session therapy clinics in Canada in the 1990s, said that counsellors still have an obligation to screen for risk of self-harm, and many people with chronic mental health issues could still benefit from traditional therapy or medication.<\/p>\n
\u201cIt\u2019s not meant to replace all those other things that mental health professionals do, but it can help people feel better,\u201d he said.<\/p>\n
Testing the water<\/p>\n
Another expectation is that every client walks in already having the strengths that will help them address their issue.<\/p>\n
Single sessions also often attract a different type of client, such as someone who might be sceptical about whether traditional therapy is right for them.<\/p>\n
\u201cIt\u2019s like putting a toe in the water,\u201d Prof Slive said.<\/p>\n
Schleider said that research on single-session intervention has \u201cblossomed in the past five or 10 years to where this has become a more well-established form of mental health support\u201d.<\/p>\n
Her lab conducted a meta-analysis of 415 clinical trials and found that in most cases, single-session approaches reduced mental health difficulties across various problems, including depression and anxiety, for both youth and adults, she said.<\/p>\n
For Hart, she has continued to feel better months later, and she said she felt more confident because she knew she could come back.<\/p>\n
\u201cI left feeling so optimistic,\u201d she said. \u2013 AP<\/p>\n","protected":false},"excerpt":{"rendered":"Just before the holidays in 2025, Julie Hart felt stuck. A nagging problem she had struggled with for…\n","protected":false},"author":2,"featured_media":583790,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[60],"tags":[97,259,260,54919,37164,26587],"class_list":{"0":"post-583789","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-mental-health","8":"tag-health","9":"tag-mental-health","10":"tag-mentalhealth","11":"tag-mind","12":"tag-therapy","13":"tag-treatment"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/583789","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=583789"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/583789\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/583790"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=583789"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=583789"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=583789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}