ABSTRACT
Single-session therapy by walk-in or appointment has, over the last few years, attracted increasing attention across the world as service providers grapple with lengthening waiting lists, pressure on public funding for services and greater community expectations for accessible, high-quality, client-led services. Over time, author have realised this is not a problem, but it does require a major conceptual change in thinking about the first and subsequent sessions, and about therapeutic change in general. The fundamental shift author have had to make is to approach the first session 'as if' it is going to be the last, even if it is not. The author will first ask reader to predict the future, whether the reader like it or not, then to look at which direction the reader would like to see the field develop, and, finally, what developments reader fear might happen, that reader would prefer not to see.
