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The key characteristics of problems and symptoms identified during assessment (Chapter 2) and summarised in the problem statement inform the recognition and subsequent probable diagnosis using the ICD-10 (WHO, 1992). Those addressed below are focused on common mental health problems receiving a probable diagnosis within a stepped care service delivery model such as provides the organisation structure for the IAPT programme (Chapter 1). However, it should be recognised that people can present with symptoms associated with severe and enduring mental health difficulties. On these occasions the LICBT practitioner would refer the patient to the appropriate step in the stepped care model or follow the service risk protocol when necessary.