Wat is Single Session Therapy ?

Single Session Therapy (SST), ook wel bekend als ‘One At A Time Therapy’, is flexibele vorm van ondersteuning voor psychische problemen. De essentie van SST is niet de belofte dat één gesprek alles oplost, maar de erkenning dat verandering onvoorspelbaar is. Zowel de professional als de cliënt gaan het gesprek in met het idee dat één sessie voldoende zou kunnen zijn om het proces van probleemoplossing te starten, in de wetenschap dat er altijd meer hulp beschikbaar is als nodig.

Kenmerken van SST:

De SST-mindset

Cruciaal voor het succes van SST is de mindset van de professional. Deze kenmerkt zich door:
Bescheidenheid: Erkenning dat verandering onvoorspelbaar is en de professionele rol beperkt maar waardevol kan zijn
Focus op de kracht van de cliënt: Activeren van eigen oplossingen en hulpbronnen
Flexibiliteit: Snel schakelen en gericht inzetten van expertise
Vertrouwen in korte interventies: Geloof in de kracht van één goed getimede sessie

Hoe kan SST ingezet worden?

SST kan ingezet worden voor een breed scala aan vraagstukken en doelgroepen:

Mensen die snel hulp willen bij een actueel probleem
Cliënten die liever geen langdurig traject aangaan
Als aanvulling op andere behandelingen
Preventie en vroege interventie
Voor mensen die op de wachtlijst staan en hulp willen met iets wat nu speelt

De regie om een afspraak te plannen ligt bij de cliënt, terwijl de professional zorgt voor snelle beschikbaarheid. Als tijdens het gesprek blijkt dat er meer hulp, of een ander soort hulp nodig is, kan dat besproken worden. Meer helderheid over wat er speelt en wat iemand daar zelf mee kan, met de hulp van anderen uit de omgeving of professioneel, is een van de mogelijke waardevolle uitkomsten van een gesprek.

SST is geen vervanging voor psychotherapie maar een waardevolle aanvulling. Het is bedoeld om mensen te helpen eigen oplossingen te zoeken, te ondersteunen bij actuele vraagstukken en problemen, en snel bij te sturen op het moment dat er iets speelt. Deze aanpak kan zowel op zichzelf staan als een onderdeel zijn van een breder zorgaanbod, afhankelijk van de behoeften van de cliënt.

Wat kan SST wel en niet bieden?

SST kan:

Een proces van verandering in gang zetten
Nieuwe inzichten en perspectieven bieden
Concrete handvatten aanreiken
Hoop en motivatie versterken
Helpen eigen oplossingen te vinden

SST belooft niet:

Alle problemen in één sessie op te lossen
Een vervanging te zijn voor andere therapievormen
Voor iedereen en elke situatie geschikt te zijn

SST in de praktijk

Zowel psychologen als coaches kunnen met SST werken. Het vraagt om een flexibele mindset en de vaardigheid om snel tot de kern te komen. De professional zet zijn of haar expertise gericht in om de cliënt verder te helpen.

Snelle beschikbaarheid is essentieel bij SST. Door hulp aan te bieden op het moment dat de cliënt er behoefte aan heeft, kan optimaal gebruik gemaakt worden van de motivatie en urgentie van het moment. Dit verhoogt de kans op een effectieve interventie aanzienlijk.

SST is een krachtige aanvulling op het psychologische zorgaanbod. Het biedt laagdrempelige, snelle ondersteuning op het moment dat het nodig is. Daarmee kan SST bijdragen aan het verminderen van wachtlijsten en het vergroten van de toegankelijkheid van psychologische hulp, zonder de belofte te doen dat het alle problemen in één sessie zal oplossen.

Nascholing SST bij RINO Amsterdam & RINO Groep Utrecht

Wil jij ook leren om je eigen Single Session Therapy te ontwikkelen om mensen in één gesprek op weg te helpen?
Ilonka Hanneman en Helen van Empel geven SST trainingen in Amsterdam en Utrecht.
Meer informatie en inschrijven op de site van RINO Amsterdam en RINO Groep Utrecht.

Artikelen en boeken over de SST methode

Akerele, E., & Yuryev, A. (2017). Single session psychotherapy for humanitarian missions. International Journal of Mental Health, 46(2), 133-138. https://doi.org/10.1080/00207411.2017.1278962

Barreto, M., Tran, T., & Gaynor, S. (2019). A single-session of acceptance and commitment therapy for health-related behavior change: An open trial with a nonconcurrent matched comparison group. Journal of Contextual Behavioral Science, 13, 17-26. https://doi.org/10.1016/j.jcbs.2019.06.003

Bertuzzi, V., Fratini, G., Tarquinio, C., Cannistrà, F., Granese, V., Giusti, E. M., Castelnuovo, G., & Pietrabissa, G. (2021). Single-session therapy by appointment for the treatment of anxiety disorders in youth and adults: A systematic review of the literature. Frontiers in Psychology, 12, 721382. https://doi.org/10.3389/fpsyg.2021.721382

Bisby, M. A., Balakumar, T., Scott, A. J., Titov, N., & Dear, B. F. (2024). An online therapist-guided ultra-brief treatment for depression and anxiety: A randomized controlled trial. Psychological Medicine, 54(5), 902-913. https://doi.org/10.1017/S003329172300260X

Bisby, M. A., Scott, A. J., Hathway, T., Dudeney, J., Fisher, A., Gandy, M., … & Dear, B. F. (2022). Sudden gains in therapist-guided versus self-guided online treatments for anxiety or depression. Journal of Consulting and Clinical Psychology, 90(11), 861-872. https://doi.org/10.1037/ccp0000771

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Bloom, B. L. (2001). Focused single-session psychotherapy: A review of the clinical and research literature. Brief Treatment and Crisis Intervention, 1(1), 75-86. https://doi.org/10.1093/brief-treatment/1.1.75

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Bobele, M., Lopez, S. S.-G., Scamardo, M., & Solórzano, B. (2008). Single-Session/walk-in therapy with Mexican-American clients. Journal of Systemic Therapies, 27(4), 75-89. https://doi.org/10.1521/jsyt.2008.27.4.75

Bobele, M., & Slive, A. (2014). One walk-in single-session at a time: When you have a whole hour. In M. F. Hoyt & M. Talmon (Eds.), Capturing the moment: Single session therapy and walk-in services. Crown House Publishers.

Bobele, M., & Slive, A. (2019). Ideas for addressing doubts about walk-in/single-session therapy. Journal of Systemic Therapies, 38(4), 17-30. https://doi.org/10.1521/jsyt.2019.38.4.17

Bobele, M., & Slive, A. (2021). An open invitation to walk-in therapy: Opening access to mental health care. In M. F. Hoyt, J. Young, & P. Rycroft (Eds.), Single session thinking and practice in global, cultural, and familial contexts: Expanding applications. Routledge.

Bobele, M., Slive, A., & Hair, H. (in press). Reimagining the “Gold Standard”: Interviews with Monte Bobele, Arnold Slive, and Heather J. Hair. In P. Cornish & G. Berry (Eds.), The Power of Conundrums: Stepped Care 2.0. Springer Nature Switzerland AG.

Bor, R., Parker, J., & Papadopoulos, L. (2001). Brief, solution-focused initial treatment sessions for clients with a fear of flying. Counselling Psychology Review, 16(4), 32-40.

Boyhan, P. A. (1996). Client’s perceptions of single session consultations as an option to waiting for family therapy. Australian and New Zealand Journal of Family Therapy, 17(2), 85-96. https://doi.org/10.1002/j.1467-8438.1996.tb01078.x

Boyhan, P. (2006). Review of ‘Single Session Work (SSW): Implementation Resource Parcel’. Journal of Family Studies, 12(2), 286-290.

Cadwalader, A., Orellano, S., Tanguay, C., & Roshan, R. (2016). The effects of a single session of music therapy on the agitated behaviors of patients receiving hospice care. Journal of Palliative Medicine, 19(8), 870-873. https://doi.org/10.1089/jpm.2015.0503

Cameron, C. L. (2007). Single session and walk-in psychotherapy: A descriptive account of the literature. Counselling & Psychotherapy Research, 7(4), 245-249.

Campbell, A. (1999). Single session interventions: An example of clinical research in practice. Australian and New Zealand Journal of Family Therapy, 20(4), 183-194.

Campbell, A. (2012). Single session approaches to therapy: A time to review. The Australian and New Zealand Journal of Family Therapy, 33(1), 15-26. https://doi.org/10.1017/aft.2012.3

Cannistrà, F. (2019). Single Session Therapy: An introduction to principles and practices.

Cannistrà, F., & Piccirilli, F. (2021). Single-session therapy: Principles and practice. Giunti Psychometrics S.r.l.

Cannistrà, F., Piccirilli, F., D’Alia, P., Giannetti, A., Piva, L., Gobbato, F., … & Pietrabissa, G. (2020). Examining the incidence and clients’ experiences of single session therapy in Italy: A Feasibility Study. Australian and New Zealand Journal of Family Therapy, 41(3), 271-282. https://doi.org/10.1002/anzf.1421

Courtnage, A. (2020). Hoping for change: The role of hope in single-session therapy. Journal of Systemic Therapies, 39(1), 49-63. https://doi.org/10.1521/jsyt.2020.39.1.49

Crane, C., & Eckhardt, C. (2013). Evaluation of a single-session brief motivational enhancement intervention for partner abusive men. Journal of Counseling Psychology, 60(2), 180-187. https://doi.org/10.1037/a0032178

Curtis, A., Whittaker, A., Stevens, S., & Lennon, A. (2002). Single session family intervention in a local authority family centre setting. Journal of Social Work Practice, 16(1), 37-41.

Daniel, G. (1991, April 14). Therapists say a single session may be enough. The New York Times, p. 14.

Darnall, B. D., Roy, A., Chen, A. L., Ziadni, M. S., Keane, R. T., You, D. S., Slater, K., Poupore-King, H., Mackey, I. G., Kao, M., Cook, K. F., Lorig, K., Zhang, D., Hong, J., Tian, L., & Mackey, S. C. (2021). Comparison of a single-session pain management skills intervention with a single-session health education intervention and 8 sessions of cognitive behavioral therapy in adults with chronic low back pain. JAMA Network Open, 4(8), e2113401. https://doi.org/10.1001/jamanetworkopen.2021.13401

Davis III, T. E., Ollendick, T. H., & Öst, L. G. (Eds.). (2012). Intensive one-session treatment of specific phobias. Springer.

de Melo, J. (2018). Bull’s-Eye! O, The Oprah Magazine, 63.

de Ossorno Garcia, S., Salhi, L., Sefi, A., & Hanley, T. (2021). The session wants and need outcome measure: The development of a brief outcome measure for single-sessions of web-based support. Frontiers in Psychology, 12, 748145. https://doi.org/10.3389/fpsyg.2021.748145

De Shazer, S., Dolan, Y., Korman, H., Trepper, T., McCollum, E., & Berg, I. K. (2021). More than miracles: The state of the art of solution-focused brief therapy. Routledge.

Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64(1), 135-168.

Diskin, K., & Hodgins, D. (2009). A randomized controlled trial of a single session motivational intervention for concerned gamblers. Behaviour Research and Therapy, 47(5), 382-388. https://doi.org/10.1016/j.brat.2009.01.018

Dryden, W. (2019). Single-session one-at-a-time therapy: A rational emotive behaviour therapy approach. Routledge.

Dryden, W. (2019). Single-session therapy: Distinctive features. Routledge.

Dryden, W. (2020). Single‐Session One‐At‐A‐Time Therapy: A personal approach. Australian and New Zealand Journal of Family Therapy, 41(3), 283-301. https://doi.org/10.1002/anzf.1424

Dryden, W. (2020). Single-session coaching and one-at-a-time coaching: Distinctive features. Routledge.

Dryden, W. (2021). Help yourself with single-session therapy. Routledge.

Dryden, W. (2021). Single-session therapy and its future: What SST leaders think. Routledge.

Dryden, W. (2022). Single-session integrated CBT: Distinctive features (2nd ed.). Routledge.

Dryden, W. (2022). Attitude-focused therapy: 8 influential ideas in counselling and psychotherapy. Routledge.

Dryden, W. (2024). Single-session therapy (SST): 100 key points and techniques (2nd ed.). Routledge.

Duvall, J., Young, K., & Kays-Burden, A. (2012). No more, no less: Brief mental health services for children and youth. Ontario Centre of Excellence for Child and Youth Mental Health.

Elliott, A., Dokona, J., & Doussa, H. (2020). Following the river’s flow: A conversation about single session approaches with aboriginal families. Australian and New Zealand Journal of Family Therapy, 41(3), 249-257. https://doi.org/10.1002/anzf.1423

Ewen, V., Mushquash, A. R., Mushquash, C. J., Bailey, S. K., Haggarty, J. M., & Stones, M. J. (2018). Single-session therapy in outpatient mental health services: Examining the effect on mental health symptoms and functioning. Social Work in Mental Health, 16(5), 573–589. https://doi.org/10.1080/15332985.2018.1456503

Flora, C. (2006). The quick fix: Can therapy work in just a few sessions? Psychology Today, 39, 32.

Fry, D. (2012). Implementing single session family consultation: A reflective team approach. The Australian and New Zealand Journal of Family Therapy, 33(1), 54-69. https://doi.org/10.1017/aft.2012.6

Fullen, C. (2019). The therapeutic alliance in a single session: A conversation analysis. Journal of Systemic Therapies, 38(4), 45-61.

Ghosh, A., McDanal, R., & Schleider, J. L. (2023). Digital single-session interventions for child and adolescent mental health. Advances in Psychiatry and Behavioral Health. https://doi.org/10.1016/j.ypsc.2023.03.016

Gibbons, J., & Plath, D. (2005). “Everybody puts a lot into it!” Single session contacts in hospital social work. Social Work in Health Care, 42(1), 17-34.

Gibbons, J., & Plath, D. (2012). Single session work in hospitals. The Australian and New Zealand Journal of Family Therapy, 33(1), 39-53. https://doi.org/10.1017/aft.2012.5

Gladstone, J., & Reynolds, T. (1997). Single session group work intervention in response to employee stress during workforce transformation. Social Work with Groups, 20(1), 33-49.

Harper-Jaques, S., & Foucault, D. (2014). Walk-in single-session therapy: Client satisfaction and clinical outcomes. Journal of Systemic Therapies, 33(3), 29-49. https://doi.org/10.1521/jsyt.2014.33.3.29

Harper-Jaques, S., McElheran, N., Slive, A., & Leahey, M. (2008). A comparison of two approaches to the delivery of walk-in single session mental health therapy. Journal of Systemic Therapies, 27(4), 40-53.

Harris-Lane, L. M., Keeler-Villa, N. R., Bol, A., Swartzinski, S., Purcell, S., Saul, M., & Skinner, C. (2023). Implementing One-at-a-Time Therapy in community addiction and mental health centres: A retrospective exploration of the implementation process and initial outcomes. BMC Health Services Research, 23(1), 982. https://doi.org/10.1186/s12913-023-09923-5

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Hill, N. (2011). Externalizing conversations: Single session narrative group interventions in a partial hospital setting. Clinical Social Work Journal, 39(3), 279-287. https://doi.org/10.1007/s10615-010-0299-9

Hopkins, L., Lee, S., McGrane, T., & Barbara-May, R. (2017). Single session family therapy in youth mental health: Can it help? Australasian Psychiatry, 25(2), 108-111. https://doi.org/10.1177/1039856216658807

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Hoyt, M. F., Young, J., & Rycroft, P. (Eds.). (2021). Single session thinking and practice in global, cultural, and familial contexts: Expanding applications. Routledge.

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