Clinical formulation Flashcards
What is a psychological formulation?
This is a provisional explanation or hypothesis of how an individual comes to present with a certain disorder at a particular point in time, forming a framework of the patients problems or need, how it developed and how it’s being maintained
What is summarised in a psychological formulation
It summarises the core problems, suggests how they may relate to one another and aims to explain the development and maintenance of the difficulties
It indicates a plan of intervention based on psychological processes and principles
What are the basic steps of psychological formulation?
- Observe and describe the clinical information
- Infer, interpret and organise the observed information
- Move beyond collection of descriptive data
- Test the formulation with intervention
- Revise or reformulate
Why should formulations be done in MDTs
This should be done in teams (Shows the best benefit) as it can enhance work with complex clients, challenge myths about servace users, help staff to manage risk and is already used to underpin treatments in Young Person’s psychiatric units
What is the medical model of formulation?
- Presenting symptoms
- Biological signs or markers
- Diagnosis
- Prognosis
- Treatment
What is the biomedical model of formulation?
Formulation based upon the description of various biological, psychological and social factors which are involved in the predisposition to, the onset of and the maintenance of common psychiatric disorders
What is the CBT model of formulation?
- Emotions
- Thoughts
- Behaviours
What is the 5Ps model of formulation?
Presenting problem
Perpetuating factors
Predisposing factors
Precipitating factors
Protective factors
What is meant by presenting problem?
Current difficulty
What is meant by perpetuating factors
- Factors that maintain these current difficulties
What is meant by predisposing factors?
Factors that contributed to these difficulties over lifetime
What is meant by precipitating factors?
Factors that trigger the onset of the difficulties
What is meant by protective factors?
Factors that lessen or prevent the difficulties or certain distresses
