The rate or rapidity of intervention is not what I believe is the issue in cases such as this. Most important is the establishment of cognitive "mind-set", for which an exercise in simple self-regulation is an excellent vehicle in my experience. Teaching the elements of cognitive regulation by initiating a structured learning experience promotes a modification in attitude, offers an opportunity to test client motivation, and leads into the dialogue of therapy with a concrete, real-time clinical focus. In my view, from a cognitive perspective, intervention and assessment are concurrent actions in treatment.