22/12/2025
Food for Thought 🍐🤔
Single Session Interventions:
Interesting words by Dr Eric Arzubi, Psychiatrist:
"One therapy session can't make a real difference."
We've taught that for decades.
The evidence says we're wrong.
Single-Session Interventions (SSIs) are transforming how we deliver mental health care.
And here's what most clinicians don't realize:
SSIs don't replace treatment as usual.
They make it work better.
What the evidence shows:
1/ SSIs function as bridges to care
↳ They double uptake of crisis resources
↳ They significantly boost linkage to providers
↳ 25% of participants in one trial sought additional therapy afterward
2/ SSIs solve the waitlist problem
↳ When implemented during wait times, they reduce no-show rates
↳ They prevent symptom deterioration while patients wait
↳ Patients clarify what they actually need before treatment begins
3/ SSIs go anywhere traditional therapy can't
↳ Primary care clinics
↳ Emergency departments
↳ Schools
↳ Social media platforms
↳ Delivered by clinicians, peers, lay providers, or self-guided digitally
4/ The evidence base is broader than you think
↳ Anxiety disorders (especially specific phobias)
↳ Depression symptoms
↳ Youth conduct problems and ADHD symptoms
↳ Substance use and smoking cessation
↳ Eating disorders and body dissatisfaction
↳ Suicidality through safety planning
5/ SSIs work across the lifespan
↳ Systematic reviews include participants ages 5 to 90
↳ They target transdiagnostic mechanisms like hopelessness and agency
This isn't a new concept. Empirical evaluations of single-session treatments date back to the 1980s.
What's new: We finally have the evidence to scale them.
My prediction: Within 5 years, SSIs will be the most widely available evidence-based psychotherapy approach in the world.
Not because they replace traditional care.
Because they build agency.
And connect patients to the broader
mental health system when they need it.”
Link to the Evidence: https://news.feinberg.northwestern.edu/2025/02/25/single-session-interventions-significantly-reduce-mental-health-issues-for-youth-and-adults/
Single Session Interventions will be offered by me in 2026. Referrals opening in February. Stay tuned.
It’s amazing what can happen in just one session!
Dr Rob 🍐 🎄 🔗
A first-of-its kind review conducted by Northwestern Medicine investigators has found that single-session interventions can significantly improve mental health outcomes in both youth and adults, according to recent findings.