Formulation in psychiatry Flashcards
what is the biopsychosocial model
health and illness are determined by a mix of biological, psychological and social factors
does diagnosis = formulation
what is the difference
no
diagnosis tells you what someone ‘has’
formulation tells you how a person became ill from biological, social and psychological factors
what are the 4 P’s of formulation
Predisposing
Precipitating
Perpetuating
Protective
predisposing biological factors
genetics birth trauma illness medications drugs/alcohol pain
predisposing psychological factors
personality
coping strategies
self esteem
cognition
predisposing social factors
socioeconomic status
trauma
precipitating biological factors
illness
medication
drugs/alcohol
pain
precipitating psychological factors
stage of life
loss/grief
stress
precipitating social factors
occupation
finances
relationships
perpetuating biological factors
alcohol dependence
illness
medication side effects
perpetuating psychological factors
lack of self esteem
perpetuating social factors
finances
protective biological factors
good health
no substance misuse
protective psychological factors
good cognition
resilience
hobbies
insight and engagement
protective social factors
family
friends
actively seeking help
