formulation: narrative of influential factors, biopsychosocial info → tailored treatment, occupational functioning, order of intervention that might be necessary

“Formulation asks what is wrong, how it got that way, and what can be done about it.”

Biopsychosocial model used to understand patients condition, dictating management direction by combining presumed and known risk factors with symptoms into coherent framework

consider all biological influences, psychological influences and social influences

Predisposing: "why me?"

• factors which render the patient vulnerable to presenting symptoms
• can be family history, psychiatric/medical history, social stressors

Precipitating "why now?"

• inciting stressors (conflicts, transitions, concurrent illness)

Perpetuating

• "why does it continue"
• make the condition endure, such as severity of condition, compliance issues, unresolved predisposing or precipitating factors

Protective