My approach really is: "what is best for this person". I try to look at the full picture as mental health is complex. I try to always look at the big picture. What are the life stressors, the family dynamics, the genetic makeup, the past history? What has worked, and what hasn't?
I believe I have a good understanding of mental illness and generally follow an evidence based approach, but above all I tailor treatment to be very specific to the person.
I will always meet you where you are at. Not ready to quit your bad habit? That's fine, lets talk about why you showed up today and what we can do to lessen the load for you.