This study aims to describe changes in symptoms of depression, anxiety, and stress. The study employed an online existential counseling intervention with an early-adult client experiencing emotional distress related to romantic relationship problems. The study used a single case study design with a descriptive approach. The client was a 24-year-old woman with depression, anxiety, and stress symptoms in the moderate category based on the DASS-21, with initial scores of 14, 12, and 20, respectively. Existential counseling was conducted online across four sessions. Measurement results showed a decrease in DASS-21 scores over the course of counseling, with final scores of 4 for depression, 6 for anxiety, and 8 for stress. In addition, counseling process notes indicated that the client became increasingly able to reflect on her experiences and to recognize the thoughts and emotions related to the problems she faced. The findings of this study provide a description of changes in psychological condition and the counseling process in an individual case. However, the change in scores cannot be interpreted as evidence of intervention effectiveness, as the study employed a single case study design without a comparison group, a stable repeated baseline, or follow-up measurement.
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