Clinical targets approach refers to one of four (4) approaches to intuitive-logical clinical thinking at Step 2 of the inverted pyramid method of case conceptualization. Using this approach, the counselor looks at thoughts, feelings, behaviors, and physiology. Clinical thinking using this approach divides client presentations into four (4) domains: (1) irrational thoughts (2) distressing moods (3) dysfunctional and maladaptive actions, and (4) problematic physical aspects.