ABSTRACT
This chapter discusses the role of assessment and case formulation in single-session integrated cognitive behaviour therapy (SSI-CBT). It provides the nominated problem and the importance of identifying the ‘B’ in the ‘ABC’ framework. Different CBT therapists will have different ideas about what cognitive activity to focus on when assessing ‘B’. Those therapists who practise Acceptance and Commitment Therapy will focus on the thoughts with which their clients struggle. In this form of CBT, it is the struggle that clients have with their thinking rather than the thinking itself which is regarded as problematic. In ongoing CBT, the therapist may wish to do a complete case formulation before intervening. In SSI-CBT, there is insufficient time to do this. However, in SSI-CBT, the therapist does have to work with both the specific and the general aspects of the client’s nominated problem.
