One-to-one therapy at school helped struggling teenagers put things off less
Who it’s about: Children, Students

- Helped
Weekly one-to-one talks on unhelpful thoughts, stress and solving problems helped teens put things off less than waiting.
- Action: Challenge unhelpful thoughtstested
- Action: Solve problems step by steptested
- Rule: With a coach or therapistused
- Rule: In weekly sessionsused
Randomised trial of 129 struggling teenagers at school in Pakistan · vs teenagers who waited 8 weeks · they rated themselves · ⚠ many people dropped out; only counted people who finished; numbers unreliable; results look too good to be true
The study
Who took part
129 science students aged 14 to 18 at five schools in Pakistan were split into two groups. They scored high on burnout from school, anxiety and putting things off, and had low grades. Only 63 were checked at the end.
What they did
One group had 6 to 8 weekly one-hour sessions at school, alone with a clinical psychology student who had a supervisor. Sessions covered unhelpful thoughts, stress, solving problems and managing goals and tasks, with homework. The other group waited 8 weeks.
What happened
At the end, the therapy group rated themselves as putting things off much less, while the waiting group stayed about the same. About 6 in 10 teenagers dropped out, only those who stayed were counted, and the paper's numbers don't add up. The difference looks too large to be believable, so treat it with care.
Source
Cognitive behavior therapy for academic burnout, procrastination, self-handicapping behavior, and test anxiety among adolescents: a randomized control trial (2025)
DOI: 10.1186/s40359-025-02371-2 (opens in a new tab)Tools in this study

Action5
Challenge unhelpful thoughtsCognitive restructuring of beliefs such as perfectionism or catastrophising.

Action2
Solve problems step by stepStructured problem solving: define, list options, choose, try, review.





