15 records

Rapid clinical formulation guide

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Top matchReview fit and alternatives
Emotional dysregulation
Emotional dysregulation is a transdiagnostic formulation mechanism that can amplify impulsivity, interpersonal rupture, avoidance, and risk.
AffectBehaviour+2
Attachment avoidance
Attachment avoidance may appear as self-sufficiency, emotional distance, minimisation of need, or disengagement under relational stress.
AttachmentInterpersonal+2
Negative core beliefs
Negative core beliefs bias attention and meaning-making, often linking early experience to current automatic thoughts, affect, and behaviour.
CognitionDevelopmental+2
Projection
Projection can protect against shame or conflict but may create suspicion, blame, and interpersonal escalation.
DefenceInterpersonal+2
Reassurance seeking
Reassurance seeking can soothe briefly but may maintain uncertainty intolerance, anxiety, dependency cycles, and interpersonal strain.
InterpersonalAttachment+2
Splitting
Splitting can simplify unbearable ambivalence but may destabilise relationships, teams, and self-experience.
DefenceInterpersonal+2

Contributing factors and context

Biological, social and cultural material that belongs in the formulation but is not a psychological mechanism. A factor needs case evidence before it explains anything.

Rapid clinical formulation guideExplain this person’s presentation now, using selected evidence and revisable hypotheses, then identify the implications for assessment and care.

Practical assessment-to-formulation workflowThe prompts below are an editorial checklist for reasoning.

Risk formulation and management linkageNICE NG225 advises against using risk scales or global low/medium/high stratification to predict suicide or repeated self-harm, or to decide treatment access or discharge.

Documentation templates and worked examplesDocumentation templates and worked examples

Foundations, terminology and evidence limitsFoundations, terminology and evidence limits

Affect intoleranceDistress about having an emotion, possibly followed by efforts to escape it.

Affect

Distress-driven impulsivity / negative urgencyRapid action during distress with limited opportunity for deliberation.

BehaviourAffect+1

Dynamic risk state and change from baselineCurrent safety-relevant change compared with the person’s own baseline.

Risk

Foreseeable scenarios, means/opportunity and mitigationsPlausible future circumstances, relevant access or opportunity, and preventive actions.

Risk

15 records

Rapid clinical formulation guide

Try another pattern

Top matchReview fit and alternatives
Emotional dysregulation
Emotional dysregulation is a transdiagnostic formulation mechanism that can amplify impulsivity, interpersonal rupture, avoidance, and risk.
AffectBehaviour+2
Attachment avoidance
Attachment avoidance may appear as self-sufficiency, emotional distance, minimisation of need, or disengagement under relational stress.
AttachmentInterpersonal+2
Negative core beliefs
Negative core beliefs bias attention and meaning-making, often linking early experience to current automatic thoughts, affect, and behaviour.
CognitionDevelopmental+2
Projection
Projection can protect against shame or conflict but may create suspicion, blame, and interpersonal escalation.
DefenceInterpersonal+2
Reassurance seeking
Reassurance seeking can soothe briefly but may maintain uncertainty intolerance, anxiety, dependency cycles, and interpersonal strain.
InterpersonalAttachment+2
Splitting
Splitting can simplify unbearable ambivalence but may destabilise relationships, teams, and self-experience.
DefenceInterpersonal+2

Contributing factors and context

Biological, social and cultural material that belongs in the formulation but is not a psychological mechanism. A factor needs case evidence before it explains anything.

Rapid clinical formulation guideExplain this person’s presentation now, using selected evidence and revisable hypotheses, then identify the implications for assessment and care.

Practical assessment-to-formulation workflowThe prompts below are an editorial checklist for reasoning.

Documentation templates and worked examplesDocumentation templates and worked examples

Foundations, terminology and evidence limitsFoundations, terminology and evidence limits

Affect intoleranceDistress about having an emotion, possibly followed by efforts to escape it.

Affect

Distress-driven impulsivity / negative urgencyRapid action during distress with limited opportunity for deliberation.

BehaviourAffect+1

Dynamic risk state and change from baselineCurrent safety-relevant change compared with the person’s own baseline.

Risk

Foreseeable scenarios, means/opportunity and mitigationsPlausible future circumstances, relevant access or opportunity, and preventive actions.

Risk