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psychotherapy-outcomes

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Measuring psychotherapy effectiveness — outcome instruments, reliable change, and benchmarking clinical significance.

skills/psychotherapy-outcomes/SKILL.md

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## Overview

psychotherapy-outcomes covers how to measure whether therapy works: choosing outcome instruments,
designing outcome studies, computing reliable and clinically significant change, and benchmarking
against expected recovery curves. It bridges clinical practice and research — from the solo
practitioner doing measurement-based care to the trialist running an RCT.

The core discipline: symptom scores are not outcomes until you show the change is reliable (beyond
measurement error), clinically meaningful (not just statistically significant), and attributable to
treatment (not time, regression, or placebo).

## When to use

- Selecting outcome measures for a practice or study (PHQ-9, GAD-7, OQ-45, CORE-OM, etc.).