Single Session Therapy (SST) is een evidence based methode om mensen in één, snel beschikbaar gesprek vooruit te helpen met wat er op dat moment speelt. Yet – One Session introduceert deze methode in Nederland. Geen intake, geen lange trajecten, maar één goed gesprek met een ervaren professional. Het is geen vervanging van psychotherapie, maar een waardevolle aanvulling.
We vertellen je graag over de achtergrond en het onderzoek naar deze methode.
Uitdagingen en obstakels zijn een normaal onderdeel van ieders leven.
Daar hebben we allemaal wel eens hulp nodig bij.
Soms van een professional met expertise op het gebied van de specifieke problemen en oplossingen. Zonder eigen belang en betrokkenheid in de situatie.
Zo kunnen ook ingewikkelde en gevoelige onderwerpen snel besproken worden.
Uit onderzoek blijkt dat één goed gesprek op het goede moment vaak genoeg is.
Dat betekent niet dat alles in dat ene gesprek is opgelost, maar dat iemand de inzichten, het vertrouwen en praktische ideeën heeft om zelf goed verder te kunnen.
SST is ontwikkeld om alles uit dat gesprek te halen, met als uitgangspunt dat één gesprek genoeg kan zijn, en dat meer hulp beschikbaar is als nodig.
Elk gesprek staat op zichzelf en er wordt geen vervolgafspraak gepland. De regie daarvoor ligt bij iemand zelf. Alleen al de wetenschap dat hulp beschikbaar is als nodig kan het vertrouwen versterken.
Wat zijn de uitgangspunten van de SST methode?
Elke sessie is compleet
Elk gesprek staat volledig op zichzelf, met kop en staart. Die verwachting, van twee kanten, zorgt voor een actieve houding en goede concentratie. Het doel is om het actuele vraagstuk te verhelderen en te zorgen dat iemand daar zelf goed mee verder kan.
Focus op directe verandering
De SST methode richt zich op het hier-en-nu, en helpt cliënten kleine, haalbare veranderingen in te zetten die een onmiddellijke impact hebben op hun leven. Het doel is om iemand in beweging te zetten en eigen oplossingen te vinden, in plaats van iemand aan de hand te nemen en het hele traject uit te stippelen.
Flexibel en cliëntgericht
SST is een manier van aanbieden, geen specifiek therapeutisch model of protocol, zo kunnen SST-sessies afgestemd worden op de unieke behoeften en doelen van de cliënt. Deze flexibiliteit zorgt ervoor dat je goed aan kan sluiten bij de huidige vraag en de persoonlijke oplossingen die het best passen.
Hoop en empowerment
Alleen al door de manier van aanbieden benadrukt SST het eigen vermogen om goed met moeilijkheden om te gaan. We hebben allemaal soms hulp nodig maar dat betekent niet dat er iets mis is met je en dat je dan meteen een label en een heel traject nodig hebt. De focus op de sessie ligt op eigen krachten en vaardigheden en op het inzetten van de hulpbronnen in de omgeving.
Duidelijke communicatie
Duidelijke verwachtingen van twee kanten zijn een voorwaarde voor een effectieve sessie. SST is geen intake en geen heel traject in één sessie, geen vervanging van een psychotherapeutische behandeling. Het vraagt om een actieve houding van professional en client en de bereidheid om zelf verantwoordelijkheid te nemen.
Eén sessie per keer
Verandering is onvoorspelbaar en je weet dus nooit hoeveel hulp er nodig is. De belofte van SST is niet dat alles in één sessie is opgelost, maar dat hulp beschikbaar is op het moment dat het nodig is. De angst dat mensen dan ‘de deur plat lopen’ is niet gegrond. Wereldwijd is de meest voorkomende lengte van een therapietraject één sessie, ook als er een langer traject aangeraden en vergoed wordt. Mocht er toch een intensiever traject nodig zijn, dan wordt dat in de sessie besproken en kan er inhoudelijk advies gegeven worden.
Voordelen van de Single-Session Methode
Directe toegankelijkheid
SST biedt snelle toegang tot therapie en coaching op het moment dat het er toe doet. Daarmee voorkom je verergering van de klachten en maak je gebruik van de motivatie van het moment.
Empowerment van cliënten
SST helpt met een praktische aanpak en het versterken van vertrouwen in eigen vaardigheden en middelen. Zo kunnen problemen meer zelfstandig aangepakt worden, in de wetenschap dat er meer hulp is als dat nodig is.
Effectief en efficiënt
Onderzoek toont aan dat veel cliënten na één sessie aanzienlijke en voldoende vooruitgang boeken om zelf goed verder te kunnen. SST is een efficiënte methode die ervoor zorgt dat elke sessie impactvol is.
SST training voor ervaren professionals
We delen onze mooie manier van werken graag met ervaren collega’s.
Heb je een universitaire opleiding psychologie, of een andere relevante vooropleiding, een brede nascholing en ruime ervaring? Wil je jouw aanbod uitbreiden met deze, in Nederland nieuwe) manier van werken? Ilonka Hanneman en Helen van Empel verzorgen SST trainingen bij RINO in Amsterdam en RINO Groep in Utrecht.
Deze training is een combinatie van theorie en praktijk. Dat betekent naast inzicht in de achtergrond en elementen van SST: veel oefenen. Je gebruikt daarbij je eigen vraagstukken die voor jou op dat moment spelen. Zo kun je echt ervaren hoe het is om met deze methode te werken.
Je vindt meer informatie en kunt je inschrijven op de site van RINO Amsterdam en RINO groep Utrecht.
De trainingen bij RINO zijn in het Nederlands. In-company trainingen zijn op aanvraag in beschikbaar in het Nederlands en Engels.
Lezen over de SST methode
De recente umbrella review van onderzoek naar Single Session Therapy (SST) interventies, ofwel SSI, geeft een mooi breed overzicht van de effectiviteit van SST bij mentale gezondheidsproblemen bij kinderen, adolescenten en volwassenen.
SST-interventies zijn interventies die bewust zijn opgezet als één opzichzelfstaand gesprek met een professional, of één opzichzelfstaand (online) programma.
In deze review zijn de resultaten van vierentwintig systematische reviews geanalyseerd.
Zestien van de vierentwintig gebruikte reviews bevatten ook meta-analyses, waarbij 322 gerandomiseerde onderzoeken naar SST zijn geanalyseerd, met in totaal ongeveer 40.629 cliënten.
Van de vierentwintig systematische reviews lieten twintig een duidelijk positief effect zien van SST op problemen zoals angst, depressie en middelengebruik.
Geen enkel onderzoek rapporteerde een significant negatief effect van SST op mentale gezondheid.
Deze resultaten zijn hoopgevend. SST interventies kunnen helpen om meer mensen de hulp te bieden die ze nodig hebben, op het moment dat ze die nodig hebben.
Soms blijkt SST zelfs net zo effectief als langere therapie trajecten. Dat betekent natuurlijk niet dat SST effectieve behandelingen kan vervangen. Wel dat het idee dat ‘meer altijd beter is’ niet klopt.
Om, met de groeiende vraag, te zorgen dat mensen de hulp krijgen die ze nodig hebben, is een flexibel systeem nodig. SST kan daar een waardevol onderdeel van zijn.
“Little Treatments, Big Effects” is about a new approach to mental health care. It blends recent psychology research, real stories, and hands-on activities. The book introduces single-session interventions as a solution to make mental health care more accessible and impactful. It discusses the need for change in mental health systems and how these brief, yet powerful sessions can help people worldwide.
Little Treatments, Big Effects: How to Build Meaningful Moments that Can Transform Your Mental Health
Jessica Schleider (2023)
This book shows that a single therapy session can be not only helpful but often enough. Drawing from multiple theoretical approaches and cultural contexts, this is the book to read if you want to learn ways to help people as soon as possible – maybe even in one visit. It teaches you to be present in each and every session and offers you various ways of empowering your clients in the here and now.
The book features insights from over twenty experts, including well-known names like Ernest Rossi, Steven Andreas, Dawson Church, and many others. They all contribute their knowledge and experience to help you understand and apply this effective approach to therapy.
Capturing the Moment: Single-session therapy and walk-in services.
Edited by Talmon & Hoyt (2017)
Meer boeken en artikelen over de Single Session Therapy 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
Bloom, B. L. (1981). Focused single-session therapy: Initial development and evaluation. In S. Budman (Ed.), Forms of Brief Therapy (pp. 167-216). Guilford Press.
Bloom, B. L. (1992). Planned short-term psychotherapy: A clinical handbook. Allyn & Bacon.
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
Bobele, M., & Ceja, D. (2020). Érase una vez sin cita. In A. Tena Suck (Ed.), Psicoterapia integrativa: una aproximación a la práctica clínica basada en evidencias. Editorial El Manual Moderno.
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.
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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.
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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.
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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
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