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With the exception of post-traumatic stress disorder (NICE, 2018b) and social anxiety disorder (NICE, 2013), all common mental health difficulties of mild-moderate severity should be initially considered for treatment with LICBT (Table 4.1).

Table 4.1

Recommendations are subject to change as the evidence base develops. For example, NICE guidance regarding obsessive-compulsive disorder (OCD; NICE, 2005) was previously only recommended for HICBT treatment at Step 3. However, recent evidence demonstrates that LICBT may confer some benefits for treating OCD including fewer patients needing to be stepped up subsequent to a LICBT intervention (Chapter 14; Lovell et al., 2017).