Once Upon a Walk-In (Érase Una Vez Sin Cita)

Abstract

In this article, we describe recent work inspired by our interest in adapting and modifying the Eurocentric psychotherapy practices that are frequently imported into México. We have challenged assumptions about the delivery of psychological services: appointments are the optimal way to provide access, a private, cloistered office is necessary, and that therapy takes a long time. We have been implementing walk-in/single session therapy in conventional mental health settings in México for several years. This article, however, illustrates application of these ideas in an indigenous population in a remote underserved area of Oaxaca with a brief case example. After providing a summary of single-session therapy and walk-in services, we will describe one of the sessions that was sensitive to the different cultural healing practices between the U.S. and rural Oaxaca.