title: Case formulation and management using pattern-based formulation (PBF) methodology: clinical case 1.
abstract: OBJECTIVE
  A tool for psychiatric case formulation known as pattern-based formulation (PBF) has been recently introduced. This paper presents an application of this methodology in formulating and managing complex clinical cases.
  
  
  METHODS
  The symptomatology of the clinical presentation has been parsed into individual clinical phenomena and interpreted by selecting explanatory models.
  
  
  RESULTS
  The clinical presentation demonstrates how PBF has been used as a clinical tool to guide clinicians' thinking, that takes a structured approach to manage multiple issues using a broad range of management strategies. In doing so, the paper also introduces a number of patterns related to the observed clinical phenomena that can be re-used as explanatory models when formulating other clinical cases.
  
  
  CONCLUSIONS
  It is expected that this paper will assist clinicians, and particularly trainees, to better understand PBF methodology and apply it to improve their formulation skills.
authors.affiliation: Staff Specialist Psychiatrist, Hunter New England Area Health Service, The Mater Hospital, Waratah, NSW, and; PhD Candidate, School of Electrical Engineering & Computer Science, University of Newcastle, Callaghan, NSW, and; Conjoint Lecturer, School of Medicine and Public Health, Faculty of Health, University of Newcastle, Callaghan, NSW, Australia.
authors.forename: Irosh
authors.initials: I
authors.lastname: Fernando
authors.forename: Martin
authors.initials: M
authors.lastname: Cohen
mesh_terms: D000786:Anger; D000928:Antidepressive Agents / Q000506:poisoning; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D058445:Bullying / Q000523:psychology; D003866:Depressive Disorder / Q000209:etiology / Q000523:psychology; D062787:Drug Overdose; D004351:Drug Resistance; D004565:Electroconvulsive Therapy; D005260:Female; D006167:Guilt; D006801:Humans; D007398:Interpersonal Relations; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology*; D009035:Mothers; D011570:Psychiatry / Q000379:methods*; D017406:Sexual Harassment / Q000523:psychology; D012752:Shame; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy; D013406:Suicide, Attempted; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents
keywords: clinical reasoning in psychiatry; pattern-based psychiatric case formulation; psychiatry case formulation