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To facilitate reaching a probable diagnosis, a probable diagnosis decision support tool adapted from the IAPT Manual (NCCMH, 2018) can be helpful.

Figure 3.1 Probable diagnosis decision support tool (adapted from NCCMH, 2018)

LICBTs are reminded to use the questionnaire measures predominantly as a means to inform discussions in supervision regarding probable diagnoses and appropriate intensity of treatment, and for those diagnoses for which there are NICE evidence-based LICBT treatments, the same measures can be used throughout treatment to monitor progress.

The case example below can be used to simulate the decision-making processes for arriving at a probable diagnosis.