A specific problem? Brief therapies bring concrete solutions
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What are brief therapies?
Brief therapies encompass a set of psychotherapeutic approaches oriented toward solutions rather than problem analysis. Developed from the work of Milton Erickson, the Palo Alto School, and Steve de Shazer, they share a fundamental principle: it is not necessary to deeply understand a problem's origin to solve it.
These approaches include Ericksonian hypnosis, strategic therapy, solution-focused therapy, NLP (Neuro-Linguistic Programming), EMDR, EFT, and new-generation CBT (Cognitive-Behavioral Therapies). Each has specific tools but all aim for concrete change in a limited number of sessions, generally between 1 and 10.
The strength of brief therapies lies in their pragmatism. Rather than extensively exploring the past, the therapist focuses on the patient's resources, exceptions (moments when the problem does not manifest), and small changes that can produce large effects. This approach respects the patient's pace and mobilizes their own capacity for change.
How does brief therapy work?
The first session generally lasts 1 to 1.5 hours. The therapist clarifies your request very precisely: what is the concrete problem? In what situations does it occur? What have you already tried? What change do you want? This clear goal definition is essential for guiding therapeutic work.
From the first session, the therapist uses active techniques: reframing, metaphors, task prescriptions, conversational hypnosis or desensitization exercises. The goal is to produce an initial change, even minimal, that triggers positive momentum.
Subsequent sessions, shorter (45 minutes to 1 hour), evaluate changes and adjust therapeutic strategy. The therapist often prescribes exercises or observations between sessions. Appointments are generally spaced 2 to 4 weeks apart to allow changes to anchor.
Total support duration is short: 3 to 10 sessions on average. Therapist and patient regularly evaluate progress and jointly decide therapy's end when the goal is reached.
Benefits of brief therapies
The main advantage of brief therapies is the speed of results. By precisely targeting the problem and mobilizing patient resources, they produce measurable changes in a few sessions. This efficiency saves time and money while achieving lasting results.
Brief therapies are particularly effective for phobias, anxiety disorders, PTSD, addictions, eating disorders, insomnia, and emotional blocks. EMDR and Ericksonian hypnosis show 70 to 90% success rates on trauma within a few sessions.
The solution-focused approach strengthens patient autonomy. Rather than creating therapy dependence, it aims to make the patient an actor in their own change. Tools learned during therapy remain usable for life, creating increased resilience to future difficulties.
Brief therapy training
Brief therapy training varies by chosen method. Ericksonian hypnosis requires minimum 200 to 400 hours, EMDR about 50 certified training hours (EMDR France or EMDR Europe), NLP 250 to 500 hours depending on level, and CBT a specialized university degree.
Many brief therapy practitioners have foundational training in psychology, medicine, or social work, supplemented by specific technique training. Recognized institutes offer comprehensive curricula with theory, supervised practice, and certification.
Continuing education is essential in this constantly evolving field. Practitioners regularly participate in supervisions, conferences, and advanced workshops. On PratiConnect, each therapist's certifications and training are verified.
What issues can brief therapy address?
Brief therapies are particularly indicated for specific phobias (flying, spiders, blood, enclosed spaces), anxiety disorders (generalized anxiety, panic attacks, social anxiety), trauma and PTSD, and addictions (tobacco, alcohol, screens, food).
They effectively treat sleep disorders, emotional and professional blocks, eating disorders, chronic pain management, and preparation for stressful events (exams, public speaking, sports competitions, childbirth).
Brief therapies are also used for personal development: self-confidence, emotional management, assertive communication, time and priority management. In organizations, they help prevent burnout and support change.
For children and adolescents, brief therapies are often preferred as they are playful, non-intrusive, and produce rapid results: school phobias, bedwetting, behavioral disorders, separation anxiety, attention difficulties.
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