Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Abstract

Single session therapy (SST) postulates that one session can be sufficient for a client to take charge of the process and work toward their own solutions. Research has been conducted worldwide corroborating SST assumptions with several mental health conditions, but not in Italy. For the first time in Italy, this paper aims to explore: (1) if the most frequent number of sessions in traditional psychotherapy (not SST) is one (Study 1); and (2) the satisfaction of clients who attend SST services and the number who consider one session sufficient to address their presenting problem (Study 2). In Study 1, the records of 476 voluntary clients referred to three different traditional (not SST) psychological services in the west-central region of Latium, Italy, were retrospectively screened, and the number of sessions attended by each client recorded. In Study 2, 85 consecutive clients who voluntarily asked for SST with seven mental health professionals across Italy received a link to an online ad hoc survey, 1-3 weeks after the consultation, evaluating their experience. Study 1 found that the most frequent number of traditional psychotherapeutic (not intentionally SST) sessions was one (124 out of 476 clients (26%). Study 2 found that 44 out of 85 clients (52%) considered one session to be enough, as they felt better or much better and chose not to attend further sessions. Of those who asked for a second session (41 clients), 33 clients (80.5%) indicated that the first session was not enough and 8 clients (19.5%) wanted to address a new problem. These results converge with previous international studies and provide encouragement for the use of SST in both private and public psychological services to address the demand for timely mental health services in Italy. Further research is needed to support the efficacy of SST and to evaluate its cost-effectiveness.

Implementing One-at-a-Time Therapy in community addiction and mental health centres: a retrospective exploration of the implementation process and initial outcomes

“…While most clients were satisfied with the session they received, some indicated that one session was not enough. This finding is consistent with other client experiences [ 37 ] and work by field experts noting that OAAT therapy is not a suitable approach for everyone [ 38 ], further highlighting the importance of the SC2.0 integrated continuum of care.…”

Single Session Counseling Integrated with Expressive Art to Improve Students' Internet Altruistic Behavior

“…Single session counseling (SSC) is a single face-to-face meeting between counselor and counselee by not using the initial session or subsequent sessions in a counseling process (Mulawarman, 2019). In contrast to traditional counseling, single session counseling strategies can help problems responsively to the counselee's specific needs (Cannistrà et al, 2020). Previously, there were several studies on single session counseling that used several approaches or techniques in therapy, for example family therapy (O'Neill, 2017); rational emotive behavior therapy (REBT) (Dryden, 2020); online counseling (Chardon, Bagraith, & Robert, 2011;Rodda, Lubman, Cheetham, Dowling, & Jackson, 2015); and solution focused counseling (Littrell, Malia, & Vander Wood, 1995).…”

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Single-Session Therapy by Appointment for the Treatment of Anxiety Disorders in Youth and Adults: A Systematic Review of the Literature

“…However, healthcare systems weaknesses—including scarce mental health services and costs of treatment (World Health Organization., 2010 )—as well as lack of awareness or stigma perceived by people with anxiety problems, resulting in low use of mental health services for the treatment of mood disorders (Clement et al, 2015 ). Other challenges involve missed appointments and unexpected dropouts from treatment (Cannistrá et al, 2020 ). Clinicians and researchers are, therefore, required to look for alternative ways of providing access to both private and public therapeutic services in more efficient and cost-effective ways.…”