Table 3.

Quotes for each themes from the clinician's perspective

Themes	Quotations for illustration
Symptom reduction/clinical improvement	Quote 1: ‘The aim in fact is to always have an improvement in the symptoms. Usually measured by means of a questionnaire but also from a clinical point of view and what the patient tells you.’ (Participant 6, woman, age 37) Quote 2: ‘There are of course a number of symptoms that you look at. Um, both in mood and in activity, and in sleeping and eating and restoring contacts and, um, a reduction in anxiety. Um, so in fact you include all symptoms. You can do this using all sorts of questionnaires [measurement scales]. But this often brings you to a medical history and consultation, which can provide a lot of information.’ (Participant 8, woman, age 53)
Social functioning and interpersonal relationships	Quote 3: ‘Of course, you watch out for things: has someone become more active? Have they taken up their roles, their social and personal roles again? That's what we focus on in practice. So it's not just clinical, but, um, simply, “I notice I can take my child to school again.” “I'm getting up at 8 o'clock again.” “I have started running again.”’ (Participant 4, woman, age 60). Quote 4: ‘And as to whether or not you should go back to work, well, I'm not society, but I think it would very good if someone has a network again, that they have some form of social contact that goes a little further than the cashier at the grocery store, that someone builds up a network again, that people don't just think …, they take their pills and the worst is over, no, you also have to ensure that that things continue to go well, because it's an illness that's very chronic. And that's the biggest danger, that you're satisfied too soon. And that you therefore have to say to people, you have keep going or something like that, but that you have to consider that every time.’ (Participant 10, woman, age 59)
Patient satisfaction and quality of life	Quote 5: ‘Yeah, through a reduction in symptoms. And of course you also still have quality of life.’ (Participant 4, woman, age 60) Quote 6: ‘That you take as a guide: are you happy about it and have you achieved your goals?’ (Participant 9, woman, age 32) Quote 7: ‘At a certain point during treatment you simply notice that someone, um, and that it's actually been stable for quite some time. That the remission, um, you've had the remission for several weeks. That they themselves also come across differently and say that things are going well.’ (Participant 7, woman, age 34)
Achievement of predetermined personal goals	Quote 8: ‘I look at the level of symptoms, but I also look at whether someone has achieved their goals, um … So you really look at, what does someone want, what do they want, we try to make goals as specific as possible, in other words, what does someone want to change and to have achieved? And I then include that and we then do an evaluation. [the example cited is:] for example, I want to start exercising once a week again, it could be. Or someone says, I want more peace in my mind. Well, you have to make that more specific of course. Um, very often it involves picking up certain things again or doing less. Um, or fewer negative thoughts, thinking more positively about myself, those kind of things.’ (Participant 7, woman, age 34) Quote 9: ‘You draw up a treatment plan. And in the treatment plan, yeah, you indicate what you, what you in fact, what you want to achieve. Ideally, um, the objective should be achieved. Or in any case, um, should offer good prospects of being achieved.’ (Participant 5, man, age 64)