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Case formulation using pattern-based formulation (PBF) methodology: clinical case 4
1Staff Specialist Psychiatrist, Hunter New England Local Health District, Newcastle Mental Health Service, Newcastle, NSW, and; Conjoint Senior Lecturer, School of Medicine and Public Health, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia.
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.
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