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1 results

  • 22 - Case Formulation for Complexity and Comorbidity in Anxiety Disorders and Depression

  • from Part Five - Complexity and Comorbidity in Anxiety Disorders and Depression:
  • Edited by Gillian Todd, University of East Anglia, Rhena Branch, University of East Anglia
  • Book:
    Evidence-Based Treatment for Anxiety Disorders and Depression
    Published online:
    06 January 2022
    Print publication:
    13 January 2022, pp 461-474

  • Summary

    Anxiety disorders and depression are the most prevalent mental disorders, and although psychological interventions (particularly CBT) have been shown to be effective, treatment response is often suboptimal, given that, in many cases, patients have complex presentations and frequent comorbidities. Especially in such cases, a good case formulation is essential. Case formulation derives from the initial assessment and guides intervention by conceptualizing the presenting symptoms, the underlying etiological mechanisms, and their origin. A good conceptualization should successfully inform treatment and should be evidence-based, combining research data with personalized features of each case. According to the level of analysis, we can distinguish between case, diagnosis/presenting problem formulation, and symptom level/specific problem formulation. For complex and comorbid depression and anxiety disorders, we should include additional elements and also select the most appropriate conceptualization model for our particular case.