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To explore clients’ experiences of formulation in cognitive behaviour therapy for depression and/or anxiety, as reported after the end of therapy.

A qualitative study using inductive thematic analysis.

Ten clients who had completed a course of cognitive behaviour therapy for depression and/or anxiety participated in semi‐structured interviews within a month of finishing therapy.

Four overarching themes were identified: Formulation helps me to understand my problems; formulation leads to feeling understood and accepted; formulation leads to an emotional shift and formulation enables me to move forward.

Formulation is a powerful therapeutic tool that can be highly beneficial to clients, leading to an increased understanding of their difficulties, feeling understood and accepted and a sense of relief. The process of formulation can also result in distress, however …