I saw an awesome video (sadly, can't find it now) on fluid dynamics and how vents are just about pushing high pressure into lower pressure. Sounds like the same thing is going on with your room, unfortunately, where the vent can't move sufficient air to press the other air out of the room (without the aid of a vent, at least). If it's a basement, sometimes the leakage of air from the gaps in the framing can cause higher pressure. If it's an upper level, sometimes adding insulation (if it's possible) or putting a reflective radiant film on the window(s) can help in the summer. If the room allows it, just adding a vent to the door or wall (to allow the air to be displaced to another room with a vent) or cutting the bottom of the door such that it has a slight air gap to allow escape of air can also help. Or adding a powered fan to the one air vent that you do have to increase the pressure in the room (they flip on only when a temperature of either hot or cold air is detected).. Those are all lower-cost options than from adding a return vent, but not as effective as adding a return vent. If you're adding a return vent, be sure to consider the effect of any new sound getting echoed back (windy or insulated vents can help, but at the cost of increasing air friction). The cost might be reduced in your situation if you're able to do some of the work yourself (such as offering to do the drywall repairs after the metal work is completed). Also beware that while you're adding vents, most installers won't be able to predict whether something will be in the way (like a plumbing air vent, gas line, or electrical wire), so if possible, drill a hole and inspect with a camera or borescope before going all-crazy on tearing down drywall.