Fundamental concept
Gathering and organizing intake information so the gaps become visible and the formulation has something to stand on.
Read: The Biopsychosocial Assessment →Scenario
A 38-year-old is completing an initial intake after being referred by her physician for "stress." You are organizing what she has told you so far.
Sort each piece of intake information into its biopsychosocial domain.
Items
Denies any thoughts of harming herself or others
Recently moved in with her sister after a rent increase
Takes levothyroxine daily for hypothyroidism
Says she has "never been good at handling pressure"
Describes constant worry she cannot switch off
Has two close friends she sees monthly
Sleeps four to five hours nightly, wakes at 3am
Biological
Drop items here
Psychological
Drop items here
Social
Drop items here
Safety & risk
Drop items here
