This study aims to examine the effectiveness of Adlerian counseling integrated with Sandtray Therapy in reducing anxiety levels among final-year university students. A quasi-experimental design with a one-group pretest–posttest model was employed. The participants consisted of 10 final-year students who exhibited moderate to high levels of anxiety as measured by an Adlerian-based anxiety scale. The instrument was validated using Spearman’s rank correlation and demonstrated satisfactory reliability based on Cronbach’s Alpha coefficient. Data were analyzed using the Wilcoxon Signed-Rank Test to compare anxiety scores before and after the intervention. The results showed a significant reduction in anxiety levels, with the average score decreasing from 73.0 (pretest) to 55.1 (posttest), and an average reduction of 17.9 points. Statistical analysis indicated a significant difference between pretest and posttest scores (Z = -2.803, p = 0.005). These findings indicate that Adlerian counseling integrated with Sandtray Therapy is effective in reducing anxiety among final-year students. This study suggests using this approach as a practical intervention strategy in university counseling services to help students manage anxiety and improve psychological well-being.
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