With the continuous development of evidence-based medicine， psychotherapy is also developing in the direction of evidence-based and objective， gradually changing from standardized treatment at the overall level to customized treatment at the individual level. In this review， we describe the framework of measurement-based psychotherapy， and introduce the choice of psychotherapy decision-making， as well as the evaluation， progress monitoring and adjustment of the treatment process， in order to provide reference for promoting accurate individualized treatment， identify and reduce the risk of treatment failure， and maximize the benefits of psychotherapy.