Abstract: This study aimed to examine the effectiveness of using visual art therapy in dealing with cognitive emotion regulation and anxiety of a single mother. Quasi-experimental methods involving pre-test and post-test were used to achieve the objectives. A total of 32 respondents from Kuala Terengganu and Marang involved in this study were selected using purposive sampling. They were divided into four groups consisting of eight people per group. Visual art therapy was implemented through structured group counseling for eight weeks. Two instruments were used for data collection, Cognitive Emotion Regulation Questionnaire (CERQ) to assess the level of cognitive emotion regulation and Symptoms Checklist 90 (SCL-90) to measure the level of anxiety before and after the therapy process. The findings showed that there were significant differences between pre-test and post-test of cognitive emotion regulation and anxiety for single mothers. The study was found effective in helping single mothers to think and evaluate the situations experienced thus addressing their concerns. In addition, it also contributed to the development of science in counseling.