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| clinical case formulation example: Case Conceptualization Len Sperry, Jon Sperry, 2020-05-27 Integrating recent research and developments in the field, this revised second edition introduces an easy-to-master strategy for developing and writing culturally sensitive case conceptualizations and treatment plans. Concrete guidelines and updated case material are provided for developing conceptualizations for the five most common therapy models: Cognitive-Behavioral Therapy (CBT), Psychodynamic, Biopsychosocial, Adlerian, and Acceptance and Commitment Therapy. The chapters also include specific exercises and activities for mastering case conceptualization and related competencies and skills. Also new to this edition is a chapter on couple and family case conceptualizations, and an emphasis throughout on trauma. Practitioners, as well as graduate students in counseling and in clinical psychology, will gain the essential skills and knowledge they need to master case conceptualizations. |
| clinical case formulation example: Clinical Case Formulations Barbara Lichner Ingram, 2011-03-10 A step-by-step model for individualized case conceptualization This innovative new guide addresses the essential question facing every therapist with a new client: How do I create a treatment plan that is the best match for my client? This unique resource provides a systematic method to integrate ideas, skills, and techniques from different theoretical approaches, empirical research, and clinical experience to create a case formulation that is tailor-made for the client. Clinical Case Formulations is divided into three parts: * Getting Started--provides an overview that sets forth a framework for case formulation and data gathering. * 28 Core Clinical Hypotheses--offers a meta-framework embracing all theories, orientations, and mental health intervention models and presents clinical hypotheses within seven categories: Biological Hypotheses; Crisis, Stressful Situations, and Transitions; Behavioral and Learning Models; Cognitive Models; Existential and Spiritual Models; Psychodynamic Models; and Social, Cultural, and Environmental Factors. These hypotheses are combined and integrated to develop a coherent conceptualization of the client's problems. * Steps to a Complete Case Formulation--provides a structured framework known as the Problem-Oriented Method (POM). Using the POM and integrating multiple hypotheses, the therapist learns how to think intelligently, critically, and creatively in order to develop a tailor-made treatment plan. A list of thirty-three standards for evaluating the application of this method is provided. With this practical guide you will learn to conceptualize your clients' needs in ways that lead to effective treatment plans while finding the tools for troubleshooting when interventions fail to produce expected benefits. |
| clinical case formulation example: The Case Formulation Approach to Cognitive-Behavior Therapy Jacqueline B. Persons, 2008-08-14 This eagerly awaited book shows how skillful case formulation addresses a critical challenge in psychotherapy today: how to use empirically supported therapies (ESTs) in real-world clinical contexts. The author explains the basic theories of cognition, learning, and emotion that underlie available ESTs and shows how the theories also guide systematic case formulation. By crafting a sound formulation and continually refining and monitoring it as treatment progresses, the therapist can smoothly shift theoretical gears and weave together elements of different ESTs to meet the needs of individual patients, who typically present with multiple problems. Hands-on tools, reproducibles, and many concrete examples are included. |
| clinical case formulation example: Case Formulation with Children and Adolescents Katharina Manassis, 2014-05-19 Highly practical and accessible, this book shows how to synthesize complex information about child and adolescent mental health problems into clinically useful, dynamic case formulations. Strategies and tools are provided for analyzing the biological, psychological, social, cultural, spiritual, and developmental factors that may be contributing to the difficulties of clients ages 4-18. Numerous case examples illustrate the steps in crafting a comprehensive formulation and using it to plan effective, individualized treatment. Strategies for overcoming frequently encountered pitfalls in case formulation are highlighted throughout. |
| clinical case formulation example: Case Formulation for Personality Disorders Ueli Kramer, 2019-01-22 Case Formulation for Personality Disorders provides clinical guidance on how to build effective treatment plans for patients presenting with personality disorders. Anchored within a disorder-specific approach, the present volume reviews the evidence base of case formulation methodology. The book takes an integrative and differentiated approach to case formulation, with multiple methods of case formulation, all specifically adapted to the psychotherapy of personality disorders, illustrated with many case examples. - Provides individualized assessment and measurement in practice - Uses 18 case formulation methods for treating personality disorders - Identifies evidence-based effective treatment - Includes real life case examples |
| clinical case formulation example: Clinical Case Formulation Peter Sturmey, 2009-11-02 Case formulation is a key skill for mental health practitioners, and this book provides examples of ten case formulations representing the most common mental health problems in a variety of populations and contexts, offering commentary on contrasting formulations of the same case. Provides an overview of the general features of case formulation and how it can drive treatment Features clinical cases from a variety of populations, focusing on a range of different problems Covers all the major theoretical perspectives in clinical practice – behavioural, cognitive behavioural, psychodynamic, medical , and eclectic Offers commentary on contrasting formulations of the same case for five different clinical problems |
| clinical case formulation example: Collaborative Case Conceptualization Willem Kuyken, Christine A. Padesky, Robert Dudley, 2011-10-20 Presenting an innovative framework for tailoring cognitive-behavioral interventions to each client's needs, this accessible book is packed with practical pointers and sample dialogues. Step by step, the authors show how to collaborate with clients to develop and test conceptualizations that illuminate personal strengths as well as problems, and that deepen in explanatory power as treatment progresses. An extended case illustration demonstrates the three-stage conceptualization process over the entire course of therapy with a multiproblem client. The approach emphasizes building resilience and coping while decreasing psychological distress. Special features include self-assessment checklists and learning exercises to help therapists build their conceptualization skills. |
| clinical case formulation example: Clinical Psychology for Trainees Andrew C. Page, Werner G. K. Stritzke, 2014-12-04 Fully updated for DSM-5, this book provides clinical psychology trainees with a practical template for incorporating the scientist-practitioner model into clinical practice. |
| clinical case formulation example: Psychoanalytic Case Formulation Nancy McWilliams, 1999-03-26 What kinds of questions do experienced clinicians ask themselves when meeting a new client for the first time? What are the main issues that must be explored to gain a basic grasp of each individual's unique psychology? How can clinical expertise be taught? From the author of Psychoanalytic Diagnosis, the volume takes clinicians step-by-step through developing a dynamic case formulation and using this information to guide and inform treatment decisions. Synthesizing extensive clinical literature, diverse psychoanalytic viewpoints, and empirical research in psychology and psychiatry, Nancy McWilliams does more than simply bring assessment to life - she illuminates the entire psychotherapeutic process. |
| clinical case formulation example: Clinical Practice of Cognitive Therapy with Children and Adolescents, Second Edition Robert D. Friedberg, Jessica M. McClure, 2018-02-21 Widely regarded as the definitive practitioner reference and teaching text, this book provides a complete introduction to doing cognitive-behavioral therapy (CBT) with 6- to 18-year-olds. The authors offer a blueprint for formulating cases and tailoring treatment to each child's or adolescent's unique developmental and clinical needs. Coverage includes how to orient children and families to cognitive therapy, structure each session, and implement a wide range of CBT techniques. Rich case material illustrates ways that CBT can help children struggling with specific emotional and behavioral problems. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2 x 11 size. New to This Edition *Incorporates the latest advances in CBT with youth and gives increased attention to cultural issues, including new case examples. *Chapter on working with patients with autism spectrum disorder. *Chapter on cognitive-behavioral family therapy. *Pull-out boxes throughout that summarize key points. *Epilogue on developing clinical wisdom. See also the authors' Cognitive Therapy Techniques for Children and Adolescents: Tools for Enhancing Practice, which presents creative ways to address challenging problems. |
| clinical case formulation example: Case Formulation in Cognitive Behaviour Therapy Nicholas Tarrier, Judith Johnson, 2015-07-06 Since the successful first edition of Case Formulation in Cognitive Behaviour Therapy, there has been a proliferation of psychological research supporting the effectiveness of CBT for a range of disorders. Case formulation is the starting point for CBT treatment, and Case Formulation in Cognitive Behaviour Therapy is unique in both its focus upon formulation, and the scope and range of ideas and disorders it covers. With a range of expert contributions, this substantially updated second edition of the book includes chapters addressing; the evidence base and rationale for using a formulation-driven approach in CBT; disorder-specific formulation models; the formulation process amongst populations with varying needs; formulation in supervision and with staff groups. New to the book are chapters that discuss: Formulation amongst populations with physical health difficulties Formulation approaches to suicidal behaviour Formulation with staff groups Case Formulation in Cognitive Behaviour Therapy will be an indispensable guide for experienced therapists and clinical psychologists and counsellors seeking to continue their professional development and aiming to update their knowledge with the latest developments in CBT formulation. |
| clinical case formulation example: Specialty Competencies in Group Psychology Sally H. Barlow, Sally Barlow, 2013-04-25 Written by recognized experts in their respective fields, the books of the Series in Specialty Competencies in Professional Psychology are comprehensive, up-to-date, and accessible. These volumes offer invaluable guidance to not only practicing mental health professionals, but those training for specialty practice as well. |
| clinical case formulation example: Assessment and Case Formulation in Counselling and Psychotherapy Biljana van Rijn, 2014-12-01 This is a thorough and well-structured piece of work, which brings in the recent work of excellent authorities such as Barbara Ingram. It is well arranged, with many examples and case vignettes, which bring the material to life in an engaging way. I enjoyed reading it, and would recommend it unreservedly.’ John Rowan, humanistic therapist, private practice ‘This is a must-read book for students on courses in counselling, psychotherapy, clinical psychology and psychiatry.’ Heather Fowlie, Head of the Transactional Analysis Department, Metanoia Institute, London Conducting a competent assessment and case formulation can be a daunting task for trainee therapists engaging in clinical assessment for the first time. This book is designed to help, by unpicking the many aspects involved in assessment and case formulation across modalities, practice settings and client groups. The book: · Explores key elements of clinical assessment including diagnosis, risk assessment, ethical considerations and accounting for difference. · Highlights the necessary skills, techniques and legal requirements at each stage of the process. · Takes into account the impact of culture, context and theoretical and practical considerations. · Uses case studies and reflective questions to illustrate difficult concepts in context. Equipping you with the knowledge and tools to make successful assessments and case formulations, this is an essential read for trainees and for qualified practitioners wishing to brush up on their understanding. Dr Biljana van Rijn, Faculty Head of Applied Research and Clinical Practice, Metanoia Institute. |
| clinical case formulation example: Psychodynamic Formulation Deborah L. Cabaniss, Sabrina Cherry, Carolyn J. Douglas, Ruth L. Graver, Anna R. Schwartz, 2013-03-22 How do our patients come to be the way they are? What forces shape their conscious and unconscious thoughts and feelings? How can we use this information to best help them? Constructing psychodynamic formulations is one of the best ways for mental health professionals to answer questions like these. It can help clinicians in all mental health setting understand their patients, set treatment goals, choose therapeutic strategies, construct meaningful interventions and conduct treatment. Despite the centrality of psychodynamic formulation to our work with patients, few students are taught how to construct them in a clear systematic way. This book offers students and practitioners from all fields of mental health a clear, practical, operationalized method for constructing psychodynamic formulations, with an emphasis on the following steps: DESCRIBING problems and patterns REVIEWING the developmental history LINKING problems and patterns to history using organizing ideas about development. The unique, up-to-date perspective of this book integrates psychodynamic theories with ideas about the role of genetics, trauma, and early cognitive and emotional difficulties on development to help clinicians develop effective formulations. Psychodynamic Formulation is written in the same clear, concise style of Psychodynamic Psychotherapy: A Clinical Manual (Wiley 2011). It is reader friendly, full of useful examples, eminently practical, suitable for either classroom or individual use, and applicable for all mental health professionals. It can stand alone or be used as a companion volume to the Clinical Manual. |
| clinical case formulation example: Cognitive Behavioral Therapy for Eating Disorders Glenn Waller, Helen Cordery, Emma Corstorphine, Hendrik Hinrichsen, Rachel Lawson, Victoria Mountford, Katie Russell, 2007-04-12 This book describes the application of cognitive behavioural principles to patients with a wide range of eating disorders - it covers those with straightforward problems and those with more complex conditions or co-morbid states. The book takes a highly pragmatic view. It is based on the published evidence, but stresses the importance of individualized, principle-based clinical work. It describes the techniques within the widest clinical context, for use across the age range and from referral to discharge. Throughout the text, the links between theory and practice are highlighted in order to stress the importance of the flexible application of skills to each new situation. Case studies and sample dialogs are employed to demonstrate the principles in action and the book concludes with a set of useful handouts for patients and other tools. This book will be essential reading for all those working with eating-disordered patients including psychologists, psychiatrists, nurses, counsellors, dieticians, and occupational therapists. |
| clinical case formulation example: Formulation in Psychology and Psychotherapy Lucy Johnstone, Rudi Dallos, 2013-07-18 The first edition of Formulation in Psychology and Psychotherapy caught the wave of growing interest in formulation in a clinical context. This completely updated and revised edition summarises recent practice, research, developments and debates while retaining the features that made the first a leading text in the field. It contains new chapters on personal construct formulation, formulation in health settings, and the innovative practice of using formulation in teams. The book sees formulation as a dynamic process which explores personal meaning collaboratively and reflectively, taking account of relational and social contexts. Two case studies, one adult and one child, illustrate the use of formulation from the perspectives of expert clinicians from six different theoretical positions. The book encourages the reader to take a constructively critical perspective on the many philosophical, professional and ethical debates raised by the process of formulating people’s problems. Among the issues explored are: The social and political context of formulation Formulation in relation to psychiatric diagnosis The limitations of formulation Controversies and debates about formulation This readable and comprehensive guide to the field provides a clear, up to date and thought-provoking overview of formulation from a number of perspectives, essential for clinicians working in all areas of mental health and social care, psychology, therapy and counselling. |
| clinical case formulation example: Essential Components of Cognitive-behavior Therapy for Depression Jacqueline B. Persons, Joan Davidson, Michael A. Tompkins, 2001 Though grounded in traditional cognitive behavior therapy, this book refines the practical aspects of its application. The method described is flexible enough to be used for disorders other than depression. |
| clinical case formulation example: ACT in Practice Patricia A. Bach, Daniel J. Moran, 2008-05-01 Acceptance and commitment therapy (ACT) is more than just a set of techniques for structuring psychotherapeutic treatment; it also offers a new, insightful, transdiagnostic approach to case conceptualization and to mental health in general. Learn to put this popular new psychotherapeutic model to work in your practice with this book, the first guide that explains how to do case conceptualization within an ACT framework. ACT in Practice offers an introduction to ACT, an overview of its impact, and a brief introduction to the six core processes of ACT treatment--the six points of the hexaflex model and its pathological alter ego, the so-called inflexahex. It describes how to accomplish case conceptualizations in general and offers précis of the literature that establish the importance and value of case conceptualization. This guide also offers possible alternative case conceptualization for cases from different therapeutic traditions, a great help to therapists who come from a more traditional CBT background. Exercises throughout help you to evaluate the information you have just learned so that you may effectively integrate ACT into your practice. |
| clinical case formulation example: Specialty Competencies in Psychoanalysis in Psychology Dolores O. Morris, Rafael Art Javier, William G. Herron, 2014 In Specialty Competencies in Psychoanalysis in Psychology, Morris, Javier, and Herron discuss and delineate the functional and foundational competencies of psychoanalytic practice. |
| clinical case formulation example: A Practical Guide to Acceptance and Commitment Therapy Steven C. Hayes, Kirk D. Strosahl, 2013-03-19 This book is the most practical clinical guide on Acceptance and Commit ment Therapy (ACT said as one word, not as initials) yet available. It is designed to show how the ACT model and techniques apply to various disorders, settings, and delivery options. The authors of these chapters are experts in applying ACT in these various areas, and it is intriguing how the same core principles of ACT are given a nip here and a tuck there to fit it to so many issues. The purpose of this book, in part, is to emboldened researchers and clinicians to begin to apply ACT wherever it seems to fit. The chapters in the book demonstrate that ACT may be a useful treat ment approach for a very wide range of clinical problems. Already there are controlled data in many of these areas, and soon that database will be much larger. The theory underlying ACT (Relational Frame Theory or RFT-and yes, here you say the initials) makes a powerful claim: psy chopathology is, to a significant degree, built into human language. Fur ther, it suggests ways to diminish destructive language-based functions and ways of augmenting helpful ones. To the extent that this model is cor rect, ACT should apply to a very wide variety of behavioral issues because of the centrality of language and cognition in human functioning. |
| clinical case formulation example: Assessments in Forensic Practice Kevin D. Browne, Anthony R. Beech, Leam A. Craig, Shihning Chou, 2017-05-08 Assessments in Forensic Practice: A Handbook provides practical guidance in the assessment of the most frequently encountered offender subgroups found within the criminal justice system. Topics include: criminal justice assessments offenders with mental disorders family violence policy and practice |
| clinical case formulation example: Bridging Case Conceptualization, Assessment, and Intervention Scott T. Meier, 2003 Many training programs assume that if students receive separate courses in research design, assessment, and counseling, they will naturally integrate this information into their work with clients. Unfortunately this mode of science-practice integration often fails. Bridging Case Conceptualization, Assessment, and Intervention presents a new approach to the integration of science and practice in clinical work. Author Scott T. Meier systematically connects case conceptualization, assessment, and analysis of intervention effects. This integrative approach differs from traditional methods of teaching counseling in its emphasis on the inclusion of assessment data in the intervention process. This innovative, transtheoretical volume examines Key elements of conceptualization, assessment, and analysis The role of structured feedback in the clinical process Outcome elements for multiple and selected problems Assessment methods and psychometric principles Graphical, qualitative, and quantitative analytic techniques Numerous case studies Possible future directions for science-practice efforts Bridging Case Conceptualization, Assessment, and Intervention provides an effective method for thinking about, organizing, and focusing on the key elements of counseling processes and outcomes. By integrating case conceptualization and assessment data into intervention decisions, students and clinicians will understand when and why counseling is ineffective and have a basis for adjusting treatment to improve clinical outcomes. With its emphasis on concepts and procedure, Bridging Case Conceptualization, Assessment, and Intervention is intended as a manual for students in psychology, psychiatry, social work, or counseling and practicing psychotherapists, psychiatrists, or counselors. |
| clinical case formulation example: Forensic Case Formulation Peter Sturmey, Mary McMurran, 2011-09-19 Forensic Case Formulation is the first text that describes the principles and application of case formulation specifically to forensic clinical practice. Addresses risk assessment and its implications for case formulation and treatment Covers a range of serious forensic problems such as violence, sexual offending, personality disorder, and substance misuse Offers guidance in training clinicians on ways to create useful formulations |
| clinical case formulation example: Psychiatric Diagnosis Revisited Stijn Vanheule, 2017-02-22 This book explores the purpose of clinical psychological and psychiatric diagnosis, and provides a persuasive case for moving away from the traditional practice of psychiatric classification. It discusses the validity and reliability of classification-based approaches to clinical diagnosis, and frames them in their broader historical and societal context. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is used across the world in research and a range of mental health settings; here, Stijn Vanheule argues that the diagnostic reliability of the DSM is overrated, built on a limited biomedical approach to mental disorders that neglects context, and ultimately breeds stigma. The book subsequently makes a passionate plea for a more detailed approach to the study of mental suffering by means of case formulation. Starting from literature on qualitative research the author makes clear how to guarantee the quality of clinical case formulations. |
| clinical case formulation example: Specialty Competencies in Clinical Child and Adolescent Psychology , 2012-02-03 In this volume the authors provide a comprehensive demonstration of the competencies involved in clinical child psychology, offering an evidence-based best practices model of intervention informed by an integration of multiple professional competencies from a range of specialty areas. |
| clinical case formulation example: Neuropsychological Formulation Jamie A.B. Macniven, 2015-09-09 This forward-looking reference defines and illustrates the process and themes of formulation in neuropsychology and places it in the vanguard of current practice. The book explains the types of information that go into formulations, how they are gathered, and how they are synthesized into a clinically useful presentation describing psychological conditions resulting from neurological illness or injury. Cases highlight the relevance and flexibility of narrative- and diagram-based formulation methods in approaching a diverse range of issues and conditions, from decisional capacity to cultural considerations, Huntington's disease to deep dyslexia. Throughout this volume, formulation is shown as integral to treatment and rehabilitation planning alongside clinical assessment, cognitive testing, and diagnosis. Included among the topics: The interface of neuroimaging with neuropsychological findings in traumatic brain injury. Neuropsychological aspects of temporal-lobe epilepsy: seeking evidence-based practice. An integrative approach to differential diagnosis of subarachnoid hemorrhage and Korsakoff’s dementia. Educational disengagement following mild TBI in childhood. Themes in the formulation of repeat assessments. Cognitive neuropsychological formulation. Formulation is essential in good neuropsychological assessment as it provides the foundation for appropriate intervention by bringi ng together the results of different evaluations into a coherent whole. . . . Macniven’s compelling and constructive book has assembled internationally known experts from diverse backgrounds to provide illumination of their own views and approaches to formulation, which makes the book a pleasure to read and should establish it as essential reading on clinical psychology and neuropsychology training courses. – Professor Barbara A. Wilson OBE, Ph.D., D.Sc. Neuropsychologists, clinical psychologists, and rehabilitation specialists will find Neuropsychological Formulation of critical importance not only to the literature of the field, but also to the developing role of clinical neuropsychology within healthcare systems. |
| clinical case formulation example: The Oxford Handbook of Clinical Psychology David H. Barlow, 2014 The Oxford Handbook of Clinical Psychology synthesizes a half-century of clinical psychology literature in one extraordinary volume. Comprising chapters from the foremost scholars in the field, this handbook provides even and authoritative coverage of the research, practice, and policy factors that combine to form today's clinical psychology landscape. It is a landmark publication that is sure to serve as the field's benchmark reference publication for years to come. |
| clinical case formulation example: Clinical Case Formulations Barbara Lichner Ingram, 2011-11-01 Praise for Clinical Case Formulations Matching the Integrative Treatment Plan to the Client, Second Edition [Barbara Ingram has put] a career into the development of this book and it is wonderful! My students love that it was written with them in mind and they love the statements designed to reduce anxiety and normalize the learning process. This is an excellent book!—Amy M. Rees-Turyn, PhD Associate Professor of Counseling Psychology, Lewis & Clark College A step-by-step model for individualized case conceptualization Fully revised and updated, the second edition of Clinical Case Formulations provides step-by-step tools and insightful guidance for moving from first contact with a client to the development of an effective, personalized treatment plan. Addressing the essential question every therapist faces—How do I create a treatment plan that is the best match for my client?—this unique resource provides a systematic and thoughtful method for integrating ideas, skills, and techniques from different theoretical approaches. It combines empirical research and clinical experience to create a case formulation that is tailor-made for the client. This comprehensive resource offers two tools to guide case formulations: a problem-oriented framework, with a list of 28 standards for evaluating its application, and a set of 30 core clinical hypotheses derived from the knowledge bases of psychology, psychiatry, counseling, and social work professions. The new edition includes: Hypotheses on Emotional Focus, Trauma, and Metacognitive Perspective More detailed attention given to empirically supported therapies such as Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT) Discussion on the importance of bringing cultural competence to case formulation tasks with every client Skill-building activities throughout the text Offering a thorough framework to help clients experience effective clinical service, practitioners will learn to conceptualize clients' needs in ways that lead to strong and individualized treatment plans, as well as advice and guidance on what to do when selected interventions fail to produce the expected benefits. |
| clinical case formulation example: Formulation as a Basis for Planning Psychotherapy Treatment, Second Edition Mardi J. Horowitz, M.D., 2018-11-12 Formulation as a Basis for Planning Psychotherapy Treatment utilizes a step-by-step structure and copious case illustrations to teach psychiatrists, residents in psychiatry and psychology, social workers, and marriage and family counselors how to plan treatment after the initial diagnosis. This new edition arrives two decades after the first, with revised content, updated case studies, and new insights gleaned over the author's noteworthy career. Clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualization of the information obtained from a clinical assessment. Although formulation systems vary by different schools of psychotherapy, the author has adopted and here explores a systematic approach based on an integrative effort. This system of configurational analysis combines concepts derived from psychodynamic, interpersonal, cognitive-behavioral, and family system approaches. After an overview of psychological change processes, each of the five steps of configurational analysis is covered systematically: - Step one involves selecting and describing the patient's currently most important symptoms, signs, problems, and topics of concern. For example, symptoms may consist of trouble sleeping or feelings of depression; signs may include discordant verbal and physical expression; problems may include reluctance to go to work or care for family members; and topics of concern might be unresolved grief the patient feels helpless to process without assistance. Since both patient and therapist want to know if these observable phenomena are changing, this list is modified as treatment progresses. - Step two entails describing states in which the patterns of phenomena do and do not occur, with attention to patterns of shifts in states, especially maladaptive state cycles. The therapist is taught how to aggregate and organize this information by describing states of mind-for example, undermodulated (e.g., unthinking rage) or overmodulated (e.g., numbness and lack of affect). - Step three involves describing the challenging topics that patients may both approach and avoid because they are conflicted or unresolved, as well as the obstacles patients may create to divert attention from those topics. For example, patients may avoid a topic or shift attention from it by changing the subject and so forth. - Step four entails describing the organizing roles, beliefs, and scripts of expression and action that seem to organize repetitions in each state, with an effort made to identify dysfunctional attitudes and how these may have evolved from past attachments and traumas. - Finally, step five involves figuring out how to stabilize working states by enhancing the therapeutic alliance and helping the patient contain and master emotional attitudes. At this point, the clinician plans how to counteract avoidances by direction of attention and promotes adaptive social cognitive capacities. From surface observation to deeper inferences, Formulation as a Basis for Planning Psychotherapy Treatment transcends DSM diagnoses, helping clinicians to use information gleaned in the immediacy of the moment to make sound, sensitive, and effective psychotherapeutic decisions. |
| clinical case formulation example: Cognitive-Behavioral Case Formulation and Treatment Design Arthur M. Nezu, PhD, ABPP, Christine Maguth Nezu, PhD, ABPP, Elizabeth R. Lombardo, PhD, 2004-03-15 This user-friendly guide will help the clinician develop Cognitive-Behavioral treatment plans for 11 common psychological disorders (e.g., major depressive disorder, generalized anxiety, borderline personality disorder, anger problems). Based on a problem-solving model and empirical literature, the authors focus on two major clinical tasks involved in this process: case formulation and treatment design. They delineate short-term goals, long-term goals, treatment targets, and potential interventions. Appendices include quick guides to CBT treatment planning for the 11 disorders and selected major CBT clinical intervention strategies noted throughout the book. |
| clinical case formulation example: Cognitive-Behavioral Therapy for Anxiety Disorders Gillian Butler, Melanie Fennell, Ann Hackmann, 2010-04-20 Helping therapists bring about enduring change when treating clients with any anxiety disorder, this invaluable book combines expert guidance, in-depth exploration, and innovative clinical strategies. The authors draw on extensive experience and research to provide a framework for constructing lucid formulations of complex cases. They identify obstacles that frequently arise during the early, middle, and later stages of treatment and present a wide range of practical solutions. The volume demonstrates clear-cut yet flexible ways to enhance client engagement, foster metacognitive awareness, facilitate emotional processing, address low self-esteem and fear of uncertainty, and much more. Reproducible handouts and forms are included. |
| clinical case formulation example: Interpersonal Psychotherapy for Depressed Adolescents , 2011-01-24 Grounded in extensive research and clinical experience, this manual provides a complete guide to interpersonal psychotherapy for depressed adolescents (IPT-A). IPT-A is an evidence-based brief intervention designed to meet the specific developmental needs of teenagers. Clinicians learn how to educate adolescents and their families about depression, work with associated relationship difficulties, and help clients manage their symptoms while developing more effective communication and interpersonal problem-solving skills. The book includes illustrative clinical vignettes, an extended case example, and information on the model's conceptual and empirical underpinnings. Helpful session checklists and sample assessment tools are featured in the appendices. |
| clinical case formulation example: Individual Case Formulation Richard S. Hallam, 2013-01-10 Individual Case Formulation presents formulation as a process that can be taught systematically to trainee therapists. The book begins by discussing assorted theories of case formulation, and critiques their ability to be applied in real world situations. The individual case formulation approach is then defined and discussed as a way to integrate the best of what different theoretical orientations have to offer in conjunction with the expertise and clinical judgment of the therapist. The book proposes a systemic/functional framework that focuses on difficulties as defined by the client and emphasizes constructive solutions to problems rather than symptom reduction. Moving from theory to application, the book then guides therapists in how to conduct assessment interviews, how to reach a provisional formulation, how to test that formulation for accuracy and reformulate if necessary, how a therapist can make explicit what their clinical reasoning was in making the case formulation, and provides case examples and transcripts so readers will better grasp the concepts in action. Intended both for the starting or trainee therapist and the experienced clinician, Individual Case Formulation provides a practical guide for those looking to improve their case formulation skills. - Reviews, critiques and compares multiple theories on formulation - Identifies benefits of utilizing the individual case approach - Guides trainee therapists how to conduct assessment interviews and reach a provisional formulation - Presents a conceptual framework for developing and testing a formulation - Helps trainees make explicit their clinical reasoning - Field-tested for several decades - Provides case examples with annotated transcripts to illustrate the process of formulation |
| clinical case formulation example: Treatment Planning with Choice Theory and Reality Therapy Michael H. Fulkerson LPCC-S, 2020-05-06 Choice Theory/Reality Therapy Treatment Planning describes how to write a theory-driven treatment plan, compatible with person-centered recovery planning principles and satisfy the expectations of insurance companies. Designed to be a primer for mental health practitioners desiring from a choice theory /reality therapy perspective, the author describes how to conceptualize a case study from a choice theory lens and how to implement a treatment plan using reality therapy. Formerly entitled, Treatment Planning from a Reality Therapy Perspective, this third edition includes three new chapters, including one on case conceptualization, integrating choice theory /reality therapy with person-centered recovery planning, and a case study example with a case conceptualization, treatment plan, and a description of the treatment plan implementation. Author Michael H. Fulkerson provides an explanation of how choice theory /reality therapy treatment planning differs from traditional treatment planning models, which are usually bsed on the medical model and/or external control psychology. He offers a synopsis of his experience and research using reality therapy as a treatment modality, presents a review of different treatment models and compares them to reality therapy, provides examples of how to write treatment plans from a public health model rather than a medical model, covers documentation of progress notes, and discusses case studies. |
| clinical case formulation example: Mindfulness-Based Treatment Approaches Ruth A. Baer, 2015-07-14 Eastern spiritual traditions have long maintained that mindfulness meditation can improve well-being. More recently, mindfulness-based treatment approaches have been successfully utilized to treat anxiety, depressive relapse, eating disorders, psychosis, and borderline personality disorder. This book discusses the conceptual foundation, implementation, and evidence base for the four best-researched mindfulness treatments: mindfulness-based stress reduction (MBSR), mindfulness-based cognitive therapy (MBCT), dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT). All chapters were written by researchers with extensive clinical experience. Each chapter includes the conceptual rationale for using a mindfulness-based treatment and a review of the relevant evidence base. A detailed case study illustrates how the intervention is implemented in real life, exploring the clinical and practical issues that may arise and how they can be managed. This book will be of use to clinicians and researchers interested in understanding and implementing mindfulness based treatments. * Comprehensive introduction to the best-researched mindfulness-based treatments * Covers wide range of problems & disorders (anxiety, depression, eating, psychosis, personality disorders, stress, pain, relationship problems, etc) * Discusses a wide range of populations (children, adolescents, older adults, couples) * Includes wide range of settings (outpatient, inpatient, medical, mental health, workplace) * Clinically rich, illustrative case study in every chapter * International perspectives represented (authors from US, Canada, Britain, Sweden) |
| clinical case formulation example: CBT for Older People Ken Laidlaw, 2014-12-15 Going beyond simple procedural modifications, this is the first book to address how the application of gerontology to CBT practice can augment CBT’s effectiveness and appropriateness with older people. Taking you step-by-step through the CBT process and supported by clinical case examples, therapeutic dialogue, points for reflection and hints and tips, the book examines: - basic theoretical models in CBT and how to relate them to work with older people - main behavioural interventions and their practical application - social context and relevant theories of aging - implications of assessment, diagnosis and treatment - issues of anxiety, worry and depression, and more specialist applications of CBT for chronic illnesses - latest developments, thinking and empirical evidence. This is an invaluable companion for any clinical psychology, counselling, CBT/IAPT, and social care trainee or professional new to working with older people, especially those who are keen to understand how the application of CBT may be different. Professor Ken Laidlaw is Head of the Department of Clinical Psychology, University of East Anglia. |
| clinical case formulation example: Mentalization-Based Group Therapy (MBT-G) Sigmund Karterud, 2015-09-03 Mentalization-based treatment (MBT) has gained international acclaim as an efficient treatment for patients with borderline personality disorder. The approach is also helpful for other personality disorders and conditions that are difficult to treat, e.g. addiction and eating disorders. MBT consists of a psychoeducational, an individual, and a group therapy component. This is the first comprehensive manual for mentalization-based group therapy. The author has developed the manual in close cooperation with Anthony Bateman and a team of group analysts. It covers all the aspects of MBT which are necessary to produce an informed and qualified group therapist. The book covers the theory behind mentalization and borderline personality disorder (especially its evolutionary roots), the structure of MBT and a discussion of previous experiences with group psychotherapy for borderline patients. The core of the book explains the main principles of MBT-G and provides a powerful means for ensuring that therapists adhere to these principles in a qualified way. The last part contains a full transcript from a real MBT group composed of borderline patients. As the first book dedicated to Group MBT, this book is a valuable and unique addition to the Mentalization literature. |
| clinical case formulation example: Treatment Plans and Interventions for Insomnia Rachel Manber, Colleen Carney, 2015 |
| clinical case formulation example: Clinical Guide to Psychiatric Assessment of Infants and Young Children Karen A. Frankel, Joyce Harrison, Wanjiku F.M. Njoroge, 2019-04-02 This book provides a clinical guide to the psychiatric assessment of infants and young children, birth through five years, and their families. It offers a comprehensive, data-rich framework for conducting mental health assessments of infants, toddlers, and preschoolers. The book includes a step-by-step guide for evaluation and assessment, reviewing relevant literature and best practices for working with very young children. It begins with an overview of the purpose and principles of psychiatric assessment and offers a protocol for planning and executing a thorough evaluation. Chapters examine critical aspects of the assessment process, including children’s relationships with parents/caregivers, assessment of parents, cultural considerations, and play behaviors. Chapters also provide illustrative case vignettes and information on specialized tools that can be adapted for use in a private office or training clinic. Topics featured in this book include: Play-based assessment models for accessing the inner world of young children. The effect of caregivers and their reflective functioning on the mental health of young children. The use of adult-report rating scales in the clinical assessment of young children. Psychopharmacologic considerations in early childhood. The Clinical Guide to Psychiatric Assessment of Infants and Young Children is a must-have resource for researchers, clinicians, and related professionals, and graduate students in infancy and early childhood development, pediatrics, social work, psychiatry, and public health. “The volume is both highly practical and up to date, impressively bridging the gap between science and practice. The book is an invaluable guide for students and trainees and an important reference for seasoned clinicians.” David Oppenheim, Ph.D., University of Haifa “The book integrates relational, developmental and social-emotional health dimensions within each chapter, reviewing subjective and objective measures in a range of domains. The book is clear and user-friendly. I wholeheartedly recommend it!” Daniel S. Schechter, M.D., New York University School of Medicine “This important new volume provides multiple perspectives on the entire range of assessment methods and procedures used in early childhood mental health. This is a vital read for students and practitioners.” Charles H. Zeanah, M.D., Tulane University |
| clinical case formulation example: Cultural Formulation Juan E. Mezzich, Giovanni Caracci, 2008 The publication of the Cultural Formulation Outline in the DSM-IV represented a significant event in the history of standard diagnostic systems. It was the first systematic attempt at placing cultural and contextual factors as an integral component of the diagnostic process. The year was 1994 and its coming was ripe since the multicultural explosion due to migration, refugees and globalization impact on the ethnic composition of the U.S. population made it compelling to strive for culturally attuned psychiatric care. Understanding the limitations of a dry symptomatological approach in helping clinicians grasp the intricacies of the experience, presentation and course of mental illness, the NIMH Group on Culture and Diagnosis proposed to appraise, in close collaboration with the patient, the cultural framework of patients' identity, illness experience, contextual factors, and clinician-patient relationship, and to narrate this along the lines of five major domains. By articulating the patient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the data base from which effective treatment can be planned.ient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the data base from which effective treatment can be planned.ient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the data base from which effective treatment can be planned.ient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the data base from which effective treatment can be planned. |
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CLINICAL Definition & Meaning - Merriam-Webster
The meaning of CLINICAL is of, relating to, or conducted in or as if in a clinic. How to use clinical in a sentence.
CLINICAL | English meaning - Cambridge Dictionary
CLINICAL definition: 1. used to refer to medical work or teaching that relates to the examination and treatment of ill…. …
Clinical Trials & Research Studies | NYU Langone Medica…
At NYU Langone Health, our doctors and researchers perform clinical trials and research studies with the aim of translating findings into new, more …
CLINICAL definition and meaning | Collins English Dictio…
Clinical means involving or relating to the direct medical treatment or testing of patients.
ClinicalTrials.gov
Study record managers: refer to the Data Element Definitions if submitting registration or results information.
CLINICAL Definition & Meaning - Merriam-Webster
The meaning of CLINICAL is of, relating to, or conducted in or as if in a clinic. How to use clinical in a sentence.
CLINICAL | English meaning - Cambridge Dictionary
CLINICAL definition: 1. used to refer to medical work or teaching that relates to the examination and treatment of ill…. Learn more.
Clinical Trials & Research Studies | NYU Langone Medical Center
At NYU Langone Health, our doctors and researchers perform clinical trials and research studies with the aim of translating findings into new, more effective treatments.
CLINICAL definition and meaning | Collins English Dictionary
Clinical means involving or relating to the direct medical treatment or testing of patients.
CLINICAL | meaning - Cambridge Learner's Dictionary
CLINICAL definition: 1. relating to medical treatment and tests: 2. only considering facts and not influenced by…. Learn more.
Clinical Definition & Meaning | Britannica Dictionary
CLINICAL meaning: 1 : relating to or based on work done with real patients of or relating to the medical treatment that is given to patients in hospitals, clinics, etc.; 2 : requiring treatment as a …
Clinical - Definition, Meaning & Synonyms | Vocabulary.com
Something that's clinical is based on or connected to the study of patients. Clinical medications have actually been used by real people, not just studied theoretically.
Basil Clinical | Clinical Research New York | 270 Doughty …
Basil Clinical is a leading clinical research site in New York City serving diverse communities throughout the local area. Our team of expert principal investigators have worked on dozens of …
Clinical - definition of clinical by The Free Dictionary
1. pertaining to a clinic. 2. concerned with or based on actual observation and treatment of disease in patients rather than experimentation or theory. 3. dispassionately analytic; …
