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- Treatment Outcome Expectations Variability Over Clinical Practice – A longitudinal approachPublication . Souto, Israel GonçalvesAlthough the correlational findings on Outcome Expectations (OE) in psychotherapy are limited, existing evidence suggests a strong connection between clients’ early positive OE and their therapeutic improvement. However, research exploring changes in OE throughout therapy remains scarce. This study aims to: (1) assess the impact of initial symptom severity on early expectations; (2) investigate whether changes in symptomatology during therapy influence OE; and (3) compare trajectories of OE and therapeutic alliance across different therapy stages.