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Within LICBT, completing assessment sessions and deriving a problem formulation typically take 35–40 minutes (Richards and Whyte, 2011) and are delivered using a specific structure comprising a clear beginning, middle and end across six separate but interdependent sections (Table 2.1).

Table 2.1

Adopting common factor skills (Chapter 5) and working collaboratively throughout the assessment session will help develop a strong therapeutic alliance to build upon during treatment sessions. It is therefore essential that the assessment is appropriately paced to gain an accurate understanding of the patient's difficulties. When new to this way of working there can be a tendency to become overly focused on a list of questions. However, this can hinder active listening and responsiveness to what the patient is saying. A degree of flexibility to enable a better flow to the session whilst facilitating a specific focus on areas of importance that may arise, in particular risk, is therefore important. When working more flexibly however, consideration should always be given to fundamental characteristics of the LICBT clinical method (Chapter 1).