Measurement-Based Care (MBC) Implementation, Effectiveness, and Mechanisms of Change

This study is testing a care approach called Measurement-Based Care (MBC), where therapists regularly track patient progress using brief questionnaires and adjust treatment based on the results. The goal is to understand whether this approach improves outcomes for people seeking therapy for depression or anxiety. **You may be eligible if...** - You are 18 or older - You are seeking psychotherapy primarily for depression, anxiety, or general psychological distress - Your symptoms meet a minimum threshold on standard questionnaires (PHQ-9, GAD-7, or BASE-6) **You may NOT be eligible if...** - You have a severe psychiatric condition such as active psychosis, intellectual disability, or a neurocognitive disorder - You are currently receiving therapy elsewhere - You are at serious risk of harming yourself or others and need immediate intervention - You are unable to complete short questionnaires, either in person or online Talk to your doctor to see if this trial is right for you.