The Problem with “6 Free Sessions” (And Why Mental Health Isn’t That Simple)

Posted by: 
The Focus Group

 

At first glance, six free counselling sessions sounds like a positive thing.

And often, it is.

Many people receive valuable support through workplace wellbeing programmes, employee assistance services, and funded counselling schemes. For some, a handful of sessions is all they need to gain perspective, make an important decision, or navigate a difficult period in their lives.

But there's a question we don't ask often enough:

Why six?

Why not three?

Why not twelve?

Why not one?

When it comes to mental health and emotional wellbeing, it's worth asking whether recovery, resilience and personal growth can really be measured by a predetermined number.

 

The Challenge with Fixed Limits

The reality is that no two people arrive at counselling with the same needs.

One person might be seeking support with:

      • Workplace stress

      • A major life decision

      • Relationship difficulties

      • Loss of confidence

Another might be dealing with:

      • Bereavement

      • Long-standing anxiety

      • Depression

      • Childhood experiences that continue to affect them decades later

Both are valid reasons to seek support.

But they're unlikely to require the same number of sessions.

That's why fixed-session models can sometimes feel at odds with the reality of human experience.

 

Some People Need Two Sessions. Some Need Twenty-Two.

Counselling isn't a course of antibiotics.

There isn't a standard dose.

Sometimes a person attends one or two sessions, gains clarity, and moves forward.

Sometimes meaningful change takes much longer.

Neither outcome is better than the other.

The goal isn't to use every session available.

The goal is to get the support that's right for the individual.

Research consistently shows that talking therapies can be highly effective, but that outcomes vary significantly from person to person. NHS Talking Therapies data shows that approximately 50% of people who complete treatment move to recovery, while almost 68% demonstrate reliable improvement in their symptoms. These are encouraging results, but they also highlight an important reality: there is no one-size-fits-all pathway to improvement.

 

The Problem with Measuring Support by Session Count

When support is structured around a fixed allocation of sessions, it can unintentionally create an expectation:

"After six sessions, I should be better."

But emotional wellbeing doesn't operate to a timetable.

Grief doesn't know when funding runs out.

Anxiety doesn't consult a calendar before deciding whether it's resolved.

And personal growth rarely happens in neat six-week blocks.

Sometimes six sessions is enough.

Sometimes it's the start of a much longer journey.

The issue isn't the number itself.

The issue is assuming it will be the right answer for everyone.

 

What Happens When Someone Starts to Open Up?

One of the concerns people often raise about counselling is the fear of "opening a can of worms."

It's not the most elegant phrase, but it's one many people recognise.

The concern usually sounds something like:

"What if I start talking about things I've spent years trying not to think about?"

It's a fair question.

Counselling often creates space for conversations that have been avoided, postponed, or carefully packed away.

Sometimes that brings relief.

Sometimes it uncovers deeper issues that need more attention than originally expected.

In fact, many practitioners would argue that one of the most important outcomes of the early stages of therapy is gaining a clearer understanding of the problem itself. What initially appears to be workplace stress may actually be linked to grief, burnout, relationship difficulties, loss of confidence, or long-standing patterns of anxiety.

That's not a sign that counselling has failed.

In many cases, it's a sign that it's working.

The challenge comes when support ends just as meaningful work is beginning.

 

Support Shouldn't End with a Cliff Edge

Most people understand that resources aren't unlimited.

Organisations have budgets.

Services have capacity.

Support programmes need boundaries.

The issue isn't that support has limits.

The issue is what happens next.

Good support shouldn't feel like:

"Your six sessions are finished. Good luck."

Instead, there should be clarity around:

      • What progress has been made

      • What challenges remain

      • What support options are available next

      • Whether additional counselling might be beneficial

      • How someone can access further help if they need it

Support should feel like a journey, not a cliff edge.

 

The Employer's Dilemma

Employers face a difficult balancing act.

Most genuinely want to support their people.

Many recognise that mental wellbeing affects:

      • Performance

      • Absence rates

      • Staff retention

      • Workplace culture

The business case is compelling. Research from Deloitte has consistently found that investment in workplace mental health can generate a positive return through reduced absenteeism, reduced presenteeism and improved employee retention.

But few employers are mental health professionals.

As a result, many rely on structured support programmes because they are straightforward to commission, easy to understand and simple to administer.

The problem is that people are rarely straightforward.

And neither are the challenges they bring to therapy.

 

What the Experts Say

Psychiatrist and trauma specialist Dr Bessel van der Kolk has written:

"People can learn to live with distressing memories, but they cannot recover from trauma while feeling unsafe."

While not every counselling journey involves trauma, the principle is an important one.

Meaningful change often depends on a person's circumstances, readiness, support network and sense of safety.

Not simply the number of sessions available.

 

What Good Support Looks Like

Whether support is funded through an employer, accessed privately, or received through another pathway, effective support focuses on the person rather than the package.

That means asking:

      • What does this person need?

      • Is meaningful progress being made?

      • Are expectations realistic?

      • What support might be needed next?

The most important question isn't:

"How many sessions have you had?"

It's:

"Are you getting the support you need?"

 

It's Okay If Six Sessions Is Enough

It's important not to swing too far in the opposite direction.

This isn't an argument against short-term counselling.

Many people benefit enormously from brief interventions.

Sometimes all someone needs is:

      • A safe conversation

      • A fresh perspective

      • A chance to think out loud

      • Support through a specific challenge

Short-term work can be powerful.

The issue isn't six sessions.

The issue is assuming six sessions is right for everybody.


Final Thought

Carl Rogers, one of the founders of person-centred therapy, once wrote:

"The curious paradox is that when I accept myself just as I am, then I can change."

Change rarely happens to a timetable.

It happens through understanding, trust, and the right support at the right time.

Some people will need one conversation.

Some will need many more.

The most effective support recognises that difference and responds accordingly.

Because wellbeing isn't measured by the number of sessions provided.

It's measured by whether people receive the support they need to move forward.

 


Share this story...

Copyright 2025 The Business Culture Hull Limited. All rights reserved. ICO Registration Number: ZB322312
crosschevron-down linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram