Case formulation using pattern-based formulation (PBF) methodology: clinical case 4. (December 2018)

• Record Type: Journal Article
• Authors: Fernando, Irosh; Lampe, Lisa
• Is Part Of: Australasian psychiatry. Volume 26:Number 6(2018:Dec.)
• Page Start: 662
• Page End: 666
• Publication Date: 2018-12
• Subjects: psychiatric case formulation -- clinical reasoning in psychiatry -- pattern-based case formulation; Psychiatry -- Australasia -- Periodicals; Psychiatry -- Periodicals; 616.89005
• DOI: 10.1177/1039856218789785
• Languages: English
• ISSNs: 1039-8562

Abstract

Objectives: To provide a further example of the utility of the pattern-based model in formulation, and to introduce some further patterns. Methods: A case study was carried out using the Pattern-based Formulation (PBF). Results: Based on the case of a patient with a past history of trauma who developed late onset somatic symptoms, post-traumatic stress disorder and major depression, the PBF approach enabled development of a comprehensive formulation to explain the patient's current presentation. Four patterns were utilised. Conclusions: The PBF method of using patterns as building blocks enables development of a psychobiological formulation that can accommodate considerable complexity. PBF represents a broadly applicable method that may assist psychiatry trainees and others to develop good quality formulations.