Single Session Therapy: One Session and Out?
The increasing difficulty with obtaining insurance reimbursement for mental healthcare may have sparked new interest in an even briefer form of therapy that was discussed in a 1995 book by Michael Hoyt, Ph.D. (Brief Therapy and Managed Care, 1995). It is Hoyt's belief, after noting that up to 40% of psychotherapy clients stop after the first session, that therapy can be effective in only one 60-minute or less session.
While therapists may view the patient's failure to continue with therapy after one session, Hoyt sees it as an indication that perhaps only one or two sessions were needed after all. Other psychologists working as a team at the VA have indicated that just one, 60-minute session with even the seriously mentally ill can be effective. They call it a "motivational interview" and it helps to refocus on the primary problem(s) so that the client could zero in on the problem and begin to come up with a plan to resolve them.
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While therapists may view the patient's failure to continue with therapy after one session, Hoyt sees it as an indication that perhaps only one or two sessions were needed after all. Other psychologists working as a team at the VA have indicated that just one, 60-minute session with even the seriously mentally ill can be effective. They call it a "motivational interview" and it helps to refocus on the primary problem(s) so that the client could zero in on the problem and begin to come up with a plan to resolve them.
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