Clinical Case Formulation

Praise for Clinical Case Formulations Matching the Integrative Treatment Plan to the Client, SecondEdition "[Barbara Ingram has put] a career into the development of thisbook and it is wonderful! My students love that it was written withthem in mind and they love the statements designed to reduceanxiety and normalize the learning process. This is an excellentbook!"—Amy M. Rees-Turyn, PhD Associate Professor ofCounseling Psychology, Lewis & Clark College A step-by-step model for individualized caseconceptualization Fully revised and updated, the second edition of ClinicalCase Formulations provides step-by-step tools and insightfulguidance for moving from first contact with a client to thedevelopment of an effective, personalized treatment plan.Addressing the essential question every therapistfaces—How do I create a treatment plan that is the bestmatch for my client?—this unique resource provides asystematic and thoughtful method for integrating ideas, skills, andtechniques from different theoretical approaches. It combinesempirical research and clinical experience to create a caseformulation that is tailor-made for the client. This comprehensive resource offers two tools to guide caseformulations: a problem-oriented framework, with a list of 28standards for evaluating its application, and a set of 30 coreclinical hypotheses derived from the knowledge bases of psychology,psychiatry, counseling, and social work professions. The new edition includes: Hypotheses on Emotional Focus, Trauma, and MetacognitivePerspective More detailed attention given to empirically supported therapiessuch as Dialectical Behavior Therapy (DBT) and Acceptance andCommitment Therapy (ACT) Discussion on the importance of bringing cultural competence tocase formulation tasks with every client Skill-building activities throughout the text Offering a thorough framework to help clients experienceeffective clinical service, practitioners will learn toconceptualize clients' needs in ways that lead to strong andindividualized treatment plans, as well as advice and guidance onwhat to do when selected interventions fail to produce the expectedbenefits.

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

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 formulation lies at the heart of how mental health professionals understand psychological distress. It is the application of a framework that cohesively integrates scientific knowledge with the symptoms of distress. In essence, it is the creation of order to what is often experienced as disorder. The aim of this book is to bring awareness to the theoretical and practical opportunities for mental health professionals that exists by using atypical information when adapting typical formulation models. Each chapter reflects some variation in how formulation is defined, conceptualised and practiced, by using information that regularly materializes from professional encounters but often is omitted from the formulation of a particular presenting problem. Chapters on diet and exercise, sleep, spirituality, sexuality and meaning-making highlight how approaches to formulation can be extended to provide additional opportunities for intervention for the client and practitioner. A professional encounter orientated in the manner proposed will generate a type of formulation that will raise interesting and testable hypotheses that can assist in understanding ‘stuck’ points in therapy, difficulties within the therapeutic relationship, low motivation or inability to engage in particular approaches and will assist in devising person-specific mental health interventions. This book will appeal to clinical psychologists and psychotherapists in practice and training.

A major contribution for all clinicians committed to understanding and using what really works in therapy, this book belongs on the desks of practitioners, students, and residents in clinical psychology, psychiatry, counseling, and social work. It will serve as a text in graduate-level courses on cognitive-behavior therapy and in clinical practica.

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.

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.

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.