In a large sample of clinically - referred children in practice settings who had depression, anxiety or conduct disorders, a
modular approach that allowed clinicians
to apply treatment procedures flexibly and in different sequences — including individual CBT for depression or anxiety or parent
training for conduct disorders — was associated with steeper trajectories of symptom improvement than standardised CBT or usual care.10 In the case of bipolar disorder, implementing individual, family or multifamily treatment protocols flexibly may lead
to greater engagement of parents and children and lower treatment costs.