{"id":25785,"date":"2026-07-23T07:02:36","date_gmt":"2026-07-23T07:02:36","guid":{"rendered":"https:\/\/thebusinessculture.co.uk\/hey\/know-how\/the-problem-with-6-free-sessions-and-why-mental-health-isnt-that-simple\/"},"modified":"2026-07-23T07:07:25","modified_gmt":"2026-07-23T07:07:25","slug":"the-problem-with-6-free-sessions-and-why-mental-health-isnt-that-simple","status":"publish","type":"know-how","link":"https:\/\/thebusinessculture.co.uk\/hey\/know-how\/the-problem-with-6-free-sessions-and-why-mental-health-isnt-that-simple\/","title":{"rendered":"The Problem with \u201c6 Free Sessions\u201d (And Why Mental Health Isn\u2019t That Simple)"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<p>At first glance, six free counselling sessions sounds like a positive thing.<\/p>\n<p><\/p>\n<p>And often, it is.<\/p>\n<p><\/p>\n<p>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.<\/p>\n<p><\/p>\n<p>But there's a question we don't ask often enough:<\/p>\n<p><\/p>\n<blockquote>\n<p><strong>Why six?<\/strong><\/p>\n<\/blockquote>\n<p><\/p>\n<p>Why not three?<\/p>\n<p><\/p>\n<p>Why not twelve?<\/p>\n<p><\/p>\n<p>Why not one?<\/p>\n<p><\/p>\n<p>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.<\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>The Challenge with Fixed Limits<\/strong><\/h2>\n<p><\/p>\n<p>The reality is that no two people arrive at counselling with the same needs.<\/p>\n<p><\/p>\n<p>One person might be seeking support with:<\/p>\n<ul>\n<ul>\n<ul>\n<li>Workplace stress<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>A major life decision<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Relationship difficulties<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Loss of confidence<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>Another might be dealing with:<\/p>\n<ul>\n<ul>\n<ul>\n<li>Bereavement<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Long-standing anxiety<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Depression<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Childhood experiences that continue to affect them decades later<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>Both are valid reasons to seek support.<\/p>\n<p><\/p>\n<p>But they're unlikely to require the same number of sessions.<\/p>\n<p><\/p>\n<p>That's why fixed-session models can sometimes feel at odds with the reality of human experience.<\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>Some People Need Two Sessions. Some Need Twenty-Two.<\/strong><\/h2>\n<p><\/p>\n<p>Counselling isn't a course of antibiotics.<\/p>\n<p><\/p>\n<p>There isn't a standard dose.<\/p>\n<p><\/p>\n<p>Sometimes a person attends one or two sessions, gains clarity, and moves forward.<\/p>\n<p><\/p>\n<p>Sometimes meaningful change takes much longer.<\/p>\n<p><\/p>\n<p>Neither outcome is better than the other.<\/p>\n<p><\/p>\n<p>The goal isn't to use every session available.<\/p>\n<p><\/p>\n<p>The goal is to get the support that's right for the individual.<\/p>\n<p><\/p>\n<p>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 <strong>50% of people who complete treatment move to recovery<\/strong>, while almost <strong>68% demonstrate reliable improvement<\/strong> in their symptoms. These are encouraging results, but they also highlight an important reality: there is no one-size-fits-all pathway to improvement.<\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>The Problem with Measuring Support by Session Count<\/strong><\/h2>\n<p><\/p>\n<p>When support is structured around a fixed allocation of sessions, it can unintentionally create an expectation:<\/p>\n<p><\/p>\n<blockquote>\n<p><em>\"After six sessions, I should be better.\"<\/em><\/p>\n<\/blockquote>\n<p><\/p>\n<p>But emotional wellbeing doesn't operate to a timetable.<\/p>\n<p><\/p>\n<p>Grief doesn't know when funding runs out.<\/p>\n<p><\/p>\n<p>Anxiety doesn't consult a calendar before deciding whether it's resolved.<\/p>\n<p><\/p>\n<p>And personal growth rarely happens in neat six-week blocks.<\/p>\n<p><\/p>\n<p>Sometimes six sessions is enough.<\/p>\n<p><\/p>\n<p>Sometimes it's the start of a much longer journey.<\/p>\n<p><\/p>\n<p>The issue isn't the number itself.<\/p>\n<p><\/p>\n<p>The issue is assuming it will be the right answer for everyone.<\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>What Happens When Someone Starts to Open Up?<\/strong><\/h2>\n<p><\/p>\n<p>One of the concerns people often raise about counselling is the fear of \"opening a can of worms.\"<\/p>\n<p><\/p>\n<p>It's not the most elegant phrase, but it's one many people recognise.<\/p>\n<p><\/p>\n<p>The concern usually sounds something like:<\/p>\n<p><\/p>\n<blockquote>\n<p><em>\"What if I start talking about things I've spent years trying not to think about?\"<\/em><\/p>\n<\/blockquote>\n<p><\/p>\n<p>It's a fair question.<\/p>\n<p><\/p>\n<p>Counselling often creates space for conversations that have been avoided, postponed, or carefully packed away.<\/p>\n<p><\/p>\n<p>Sometimes that brings relief.<\/p>\n<p><\/p>\n<p>Sometimes it uncovers deeper issues that need more attention than originally expected.<\/p>\n<p><\/p>\n<p>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.<\/p>\n<p><\/p>\n<p>That's not a sign that counselling has failed.<\/p>\n<p><\/p>\n<p>In many cases, it's a sign that it's working.<\/p>\n<p><\/p>\n<div>The challenge comes when support ends just as meaningful work is beginning.<\/div>\n<p><\/p>\n<div>&nbsp;<\/div>\n<p><\/p>\n<div>\n<h2><strong>Support Shouldn't End with a Cliff Edge<\/strong><\/h2>\n<p><\/p>\n<p>Most people understand that resources aren't unlimited.<\/p>\n<p><\/p>\n<p>Organisations have budgets.<\/p>\n<p><\/p>\n<p>Services have capacity.<\/p>\n<p><\/p>\n<p>Support programmes need boundaries.<\/p>\n<p><\/p>\n<p>The issue isn't that support has limits.<\/p>\n<p><\/p>\n<p>The issue is what happens next.<\/p>\n<p><\/p>\n<p>Good support shouldn't feel like:<\/p>\n<p><\/p>\n<blockquote>\n<p><em>\"Your six sessions are finished. Good luck.\"<\/em><\/p>\n<\/blockquote>\n<p><\/p>\n<p>Instead, there should be clarity around:<\/p>\n<ul>\n<ul>\n<ul>\n<li>What progress has been made<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>What challenges remain<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>What support options are available next<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Whether additional counselling might be beneficial<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>How someone can access further help if they need it<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>Support should feel like a journey, not a cliff edge.<\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>The Employer's Dilemma<\/strong><\/h2>\n<p><\/p>\n<p>Employers face a difficult balancing act.<\/p>\n<p><\/p>\n<p>Most genuinely want to support their people.<\/p>\n<p><\/p>\n<p>Many recognise that mental wellbeing affects:<\/p>\n<ul>\n<ul>\n<ul>\n<li>Performance<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Absence rates<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Staff retention<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Workplace culture<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>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.<\/p>\n<p><\/p>\n<p>But few employers are mental health professionals.<\/p>\n<p><\/p>\n<p>As a result, many rely on structured support programmes because they are straightforward to commission, easy to understand and simple to administer.<\/p>\n<p><\/p>\n<p>The problem is that people are rarely straightforward.<\/p>\n<p><\/p>\n<p>And neither are the challenges they bring to therapy.<\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>What the Experts Say<\/strong><\/h2>\n<p><\/p>\n<p>Psychiatrist and trauma specialist <strong>Dr Bessel van der Kolk<\/strong> has written:<\/p>\n<p><\/p>\n<blockquote>\n<p><em>\"People can learn to live with distressing memories, but they cannot recover from trauma while feeling unsafe.\"<\/em><\/p>\n<\/blockquote>\n<p><\/p>\n<p>While not every counselling journey involves trauma, the principle is an important one.<\/p>\n<p><\/p>\n<p>Meaningful change often depends on a person's circumstances, readiness, support network and sense of safety.<\/p>\n<p><\/p>\n<p>Not simply the number of sessions available.<\/p>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>What Good Support Looks Like<\/strong><\/h2>\n<p><\/p>\n<p>Whether support is funded through an employer, accessed privately, or received through another pathway, effective support focuses on the person rather than the package.<\/p>\n<p><\/p>\n<p>That means asking:<\/p>\n<ul>\n<ul>\n<ul>\n<li>What does this person need?<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Is meaningful progress being made?<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Are expectations realistic?<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>What support might be needed next?<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>The most important question isn't:<\/p>\n<p><\/p>\n<blockquote>\n<p><em>\"How many sessions have you had?\"<\/em><\/p>\n<\/blockquote>\n<p><\/p>\n<p>It's:<\/p>\n<p><\/p>\n<blockquote>\n<p><em>\"Are you getting the support you need?\"<\/em><\/p>\n<\/blockquote>\n<p><\/p>\n<p>&nbsp;<\/p>\n<p><\/p>\n<div>\n<h2><strong>It's Okay If Six Sessions Is Enough<\/strong><\/h2>\n<p><\/p>\n<p>It's important not to swing too far in the opposite direction.<\/p>\n<p><\/p>\n<p>This isn't an argument against short-term counselling.<\/p>\n<p><\/p>\n<p>Many people benefit enormously from brief interventions.<\/p>\n<p><\/p>\n<p>Sometimes all someone needs is:<\/p>\n<ul>\n<ul>\n<ul>\n<li>A safe conversation<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>A fresh perspective<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>A chance to think out loud<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p><\/p>\n<ul>\n<ul>\n<ul>\n<li>Support through a specific challenge<\/li>\n<\/ul>\n<\/ul>\n<\/ul>\n<p>Short-term work can be powerful.<\/p>\n<p><\/p>\n<p>The issue isn't six sessions.<\/p>\n<p><\/p>\n<p>The issue is assuming six sessions is right for everybody.<\/p>\n<p><\/p>\n<div>\n<p><\/p>\n<h2><strong><br \/>Final Thought<\/strong><\/h2>\n<p><\/p>\n<p>Carl Rogers, one of the founders of person-centred therapy, once wrote:<\/p>\n<p><\/p>\n<blockquote>\n<p><em>\"The curious paradox is that when I accept myself just as I am, then I can change.\"<\/em><\/p>\n<\/blockquote>\n<p><\/p>\n<p>Change rarely happens to a timetable.<\/p>\n<p><\/p>\n<p>It happens through understanding, trust, and the right support at the right time.<\/p>\n<p><\/p>\n<p>Some people will need one conversation.<\/p>\n<p><\/p>\n<p>Some will need many more.<\/p>\n<p><\/p>\n<p>The most effective support recognises that difference and responds accordingly.<\/p>\n<p><\/p>\n<p>Because wellbeing isn't measured by the number of sessions provided.<\/p>\n<p><\/p>\n<p>It's measured by whether people receive the support they need to move forward.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; 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,","protected":false},"author":12313426,"featured_media":25786,"template":"","know_how_category":[],"class_list":["post-25785","know-how","type-know-how","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/know-how\/25785","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/know-how"}],"about":[{"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/types\/know-how"}],"author":[{"embeddable":true,"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/users\/12313426"}],"version-history":[{"count":2,"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/know-how\/25785\/revisions"}],"predecessor-version":[{"id":25788,"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/know-how\/25785\/revisions\/25788"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/media\/25786"}],"wp:attachment":[{"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/media?parent=25785"}],"wp:term":[{"taxonomy":"know_how_category","embeddable":true,"href":"https:\/\/thebusinessculture.co.uk\/hey\/wp-json\/wp\/v2\/know_how_category?post=25785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}