Biological and physical contributors

Medication and iatrogenic effects

Symptoms temporally related to medication, adverse effects, interactions, withdrawal or treatment experiences.

Treatment contextClinically reviewed

Biological

Fit, function and alternatives

Test this factor against the case

A contextual factor earns a place in the formulation when case evidence links it to the presentation, not because it is present.

Check alternatives

Do not infer the process from a label, search phrase or diagnosis alone. Assess actual circumstances and source-specific population limits.

Next steps

Elicit case evidence, examine alternatives, discuss the hypothesis with the person, and revise when relevant evidence changes.

Qualification

Do not assume deterioration is relapse. Conversely, timing alone does not prove drug causation. Prescribing needs separate guidance.

Caveats for this record

Educational formulation aid, not a diagnostic instrument, score or treatment order.
No generated history, trauma, protective factor, or patient preference may be asserted without case evidence.

Record status

Record type: Treatment context
Population: Adult-general clinical formulation; apply narrower source population limits
Review: Clinically reviewed

Evidence

S03Diagnosis and mental state

Royal Australian and New Zealand College of Psychiatrists · HTML text. Learning outcomes.

Competency source, not detailed diagnostic criteria or a medication guideline.

Link withheld: this source remains held and is cited as metadata only.

S04Management

Royal Australian and New Zealand College of Psychiatrists · HTML text. Learning outcomes.

Does not establish the efficacy of every intervention suggested by this guide.

Link withheld: this source remains held and is cited as metadata only.

Evidence references only. Each source's own limitations still apply.

Biological and physical contributors

Cognitive impairment / delirium Medical, neurological and endocrine contributors Neurodevelopmental and executive-function factors Pain and physical symptom burden Sleep and circadian disruption Substance intoxication, withdrawal and reinforcement

Guide modules

Rapid clinical formulation guide Foundations, terminology and evidence limits Practical assessment-to-formulation workflow Risk formulation and management linkage Documentation templates and worked examples

How to use this

Record the case evidence yourself. Nothing here is a patient finding, and no factor becomes a cause because it appears in the formulation.

Biological and physical contributors

Medication and iatrogenic effects

Symptoms temporally related to medication, adverse effects, interactions, withdrawal or treatment experiences.

Treatment contextClinically reviewed

Biological

Fit, function and alternatives

Test this factor against the case

A contextual factor earns a place in the formulation when case evidence links it to the presentation, not because it is present.

Check alternatives

Do not infer the process from a label, search phrase or diagnosis alone. Assess actual circumstances and source-specific population limits.

Next steps

Elicit case evidence, examine alternatives, discuss the hypothesis with the person, and revise when relevant evidence changes.

Qualification

Do not assume deterioration is relapse. Conversely, timing alone does not prove drug causation. Prescribing needs separate guidance.

Caveats for this record

Educational formulation aid, not a diagnostic instrument, score or treatment order.
No generated history, trauma, protective factor, or patient preference may be asserted without case evidence.

Record status

Record type: Treatment context
Population: Adult-general clinical formulation; apply narrower source population limits
Review: Clinically reviewed

Evidence

S03Diagnosis and mental state

Royal Australian and New Zealand College of Psychiatrists · HTML text. Learning outcomes.

Competency source, not detailed diagnostic criteria or a medication guideline.

Link withheld: this source remains held and is cited as metadata only.

S04Management

Royal Australian and New Zealand College of Psychiatrists · HTML text. Learning outcomes.

Does not establish the efficacy of every intervention suggested by this guide.

Link withheld: this source remains held and is cited as metadata only.

Evidence references only. Each source's own limitations still apply.

Biological and physical contributors

Guide modules

How to use this

Record the case evidence yourself. Nothing here is a patient finding, and no factor becomes a cause because it appears in the formulation.