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 Chronicity, history and duration of disorder:Has the patient experienced these symptoms for a long time, or have they presented recently?Is this the patient's first episode or have they had more than one episode in the past?

 Functional impairment and impact: are the symptoms having a substantial impact on patient functioning – for example, in work, school, social, interpersonal domains?

 Treatment history: has the patient been treated for these symptoms before? What was the effectiveness of the treatment received?

 Relevant social or personal factors.

 Co-morbid mental and/or chronic physical health disorders.

For example, following assessment, immediate allocation to Step 3 may be recommended where a condition has been previously treated with LICBT to minimal effect (treatment history) and the patient expresses a preference for another treatment approach (NICE, 2011b).