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Clinical Practice To Determine the Suitability of Step 2 and 3 Treatments consider:

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 Presenting problem/provisional diagnosis: identified through structured interviewing techniques and Routine Outcome Measures (ROM's; Chapter 2).

 Diagnostic criteria: outlined in classification systems, Diagnostic and Statistical Manual of Mental Disorder-V (DSM; APA, 2013); International Classification of Disease-11 (ICD-11; WHO, 2018).

 Step 2 and Step 3 intervention selection criteria outlined in clinical guidelines (NICE, 2011b).

Whilst decision-making may be protocol-driven, it remains important to consider patient-specific factors to maintain a patient-centred approach. If unacknowledged, these factors may result in LICBT treatment being unhelpful or potentially even harmful (Papworth et al., 2015). Maintaining patient-centredness may include adapting practice to accommodate sensory or intellectual disabilities, language, intervention acceptability (Farrand et al., 2019) and existence of co-morbid conditions and/or symptoms.

Low-intensity CBT Skills and Interventions

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