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An Open Invitation to Walk-In Therapy: Opening Access to Mental Health Care1

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... However, this case exhibits how SST could be guided by solution-focused therapy when working with a Latina woman who was struggling with recurrent thoughts that made it difficult for her to drive due to a recent car accident. The case demonstrates how the therapists incorporated ideas stemming from single-session therapy, and others (e.g., Bobele & Slive 2021;de Shazer et al., 2007;Erickson, 1959;Flemons, 2002), who understand how change can be fostered in a single session. The therapists embrace these ideas to connect with a Latina woman. ...
... Our session is roughly structured by using Bobele and Slive's (2014) strategy for organizing single-session therapy (SST) to gather information and to help the client with their realistic outcome. This strategy consists of the following stages: the introduction, establishing a realistic outcome, identifying strengths, resources, and previous successes, helping the client achieve their realistic outcome, and the closing (Bobele & Slive, 2021). During the introduction, the therapist may introduce themself to the client, orienting them to the SST approach and covering the limits of confidentiality. ...
... In the final section of the session, the therapist may reflect on the client's resources and strengths described by the client or observed by the therapist throughout the session. Bobele and Slive (2021) also recommend checking in with your client to see how the session helped and to discuss the next steps for the client. The therapist may end the session by reminding the client that they are welcome to come back to another counseling session in the future if they feel they need it. ...
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The purpose of this article is to discuss the value of the single-session mindset within the Latinx community. We explore the single-session mindset with a composite case of a middle-aged Latinx woman. The given case was a psychotherapy session at Our Lady of the Lake's community clinic where therapists-in-training are supervised by licensed professionals throughout their masters and doctoral programs. The case illustrates working within a single-session framework guided by solution-focused therapy. Additionally, it demonstrates working with a Latina client and what has been traditionally labeled as “posttraumatic stress disorder” (PTSD). The authors further highlight how peoples’ strengths and resources may be utilized to help the client within a single session. A discussion is presented of how such changes were made possible through the use of cultural humility and the establishment of a strong therapeutic alliance, despite the therapists’ initial concerns that language might pose a barrier.
... Many clients and clinicians prefer the former route, since they can schedule and prepare for the single session (Hoyt et al., 2021, pp. 9-11), whereas others may prefer the walk-in (or, with modern technology, telephone call-in or computer click-in) portal since open-access walk-ins "seize the moment," they work, and they are efficient (Bobele & Slive, 2021;Cornish et al., 2020). Either way, once the client arrives, the SST process is much the same: ...
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Single-session thinking and practice are being increasingly recognized as an important component in the landscape of mental health service delivery. At the same time, however, there are some common misunderstandings that may impede applications and further developments. Inspired by Jay Haley's (1969) ironic “The Art of Being a Failure as a Therapist” and others of his articles, the authors describe some ways to avoid successful single-session therapy (SST), including insisting that therapy be only one session; disbelieving that therapy could be only one session; lowering hopeful expectations; avoiding clarifying a specific goal for the session; disregarding real-life issues; insisting on one model of therapy; ignoring context and working against the client's culture; thinking that the only single-session goal should be total resolution of whatever problems have brought the client to therapy; and neglecting implementation, supervision, and administrative support.
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Mindset, or the therapist’s series of beliefs which influence the actions and decisions taken in the course of their work, is considered fundamental in its impact on the effectiveness and length of a course of therapy. This article gives a definition of “mindset” and analyses its implications for psychotherapy in general and Single Session Therapy (SST) in particular. This is followed by an analysis of the literature surrounding SST, leading to the description of fourteen principles which make up the typical mindset of a single session therapist. The application of the principles is illustrated by a clinical case study.
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Despite more than 50 years of research on client attrition from therapy, obstacles to the delivery and success of treatments remain poorly understood, and effective methods to engage and retain clients in therapy are lacking. This article offers a review of the literature on attrition, highlighting the methodological challenges in effectively addressing the complex nature of this problem. Current interventions for reducing attrition are reviewed, and recommendations for implementing these interventions into psychotherapy practice are discussed.