Case Conceptualization Outline 2025

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They conceptualized a way to look at clients and their problems, systematically and holistically taking into consideration the (1) Presenting problem, (2) Predisposing factors, (3) Precipitating factors, (4) Perpetuating factors, and (5) Protective factors.
The four Ps of case formulation (predisposing, precipitating, perpetuating, and protective factors) also provide a useful framework for organizing the factors that may contribute to the development of anticipatory distress (Barker, 1988; Carr, 1999; Winters, Hanson, Stoyanova, 2007).
Case conceptualization is a method and clinical strategy for obtaining and organizing information about a client, understanding and explaining the clients situation and maladaptive patterns, guiding and focusing treatment, anticipating challenges and roadblocks, and preparing for successful termination.
In this chapter, a structure for developing these tools is intro- duced that includes four steps: (a) selecting the theoretical perspective that is most appropriate to the client; (b) utilizing a premise, supporting material, and a conclusion as key features of a case conceptualization; (c) utilizing a treatment plan
These elements are described in terms of eight Ps: presentation, predisposition (including culture), precipitants, protective factors and strengths, pattern, perpetuants, (treatment) plan, and prognosis.

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What should I include? A good case conceptualization includes a description of symptoms, diagnosis (if applicable), developmental history, family and relationship dynamics, traumas, coping skills, motivation for change, and goals. It helps determine the factors perpetuating the issues and maintaining the status quo.

example of case conceptualization