case formulation
Clinical hypothesis that integrates assessment findings to explain a patient's presenting problems and guide treatment planning.
Full Definition
Case formulation is a comprehensive clinical framework that synthesizes assessment data, diagnostic information, and theoretical understanding to create a coherent explanation of a patient's difficulties. It integrates biological, psychological, and social factors to explain how problems developed, what maintains them, and what might facilitate change. A well-developed case formulation guides treatment selection, predicts potential obstacles, and provides a roadmap for intervention. It differs from diagnosis by offering a personalized understanding of the individual's unique circumstances and treatment needs.
Usage
Usage note: Distinguish from treatment planning; formulation explains 'why' while plans address 'how'.
In Context
- "The case formulation identified trauma history as a key factor maintaining the patient's avoidance behaviors." — Clinical documentation
- "Treatment recommendations were based on a cognitive-behavioral case formulation approach." — Treatment planning meeting