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Clinical case formulations (CCFs) can be organized and communicated in several ways but one of the most effective is through CCF causal diagrams (CCFCDs). Haynes et al., Psychological Assessment, 2020, 32, 541 illustrated how the psychometric evaluation of CCFCDs could be facilitated by assigning quantitative values to the clinician's judgments in a CCF. Although quantification could facilitate the psychometric evaluation CCFCDs, it is less clear that it can help clinicians make decisions about the best treatment foci. This article