Clinical Case Formulation Assistant
Generate comprehensive biopsychosocial case formulations integrating diagnostics and treatment pl...
What You Can Do
This skill generates sophisticated case formulations that integrate biological, psychological, and social factors while maintaining clinical precision and theoretical coherence. You can structure complex diagnostic data into narratives that explain symptom emergence and maintenance, guide treatment selection, and support clinical reasoning. It accelerates formulation development for new client presentations, supervision discussions, multidisciplinary consultations, and complex cases with comorbid presentations.
Features
Synthesizes biological vulnerabilities, psychological mechanisms, and social stressors into coherent clinical narratives
Integrates multiple diagnostic presentations and conflicting clinical data into unified conceptualizations
Articulates how and why symptoms emerged and what maintains them, moving beyond symptom description
Grounds formulations in contemporary psychological theory and empirical evidence
Connects case formulation directly to specific, prioritized intervention targets
Generates formulations structured for peer consultation, team review, and professional accountability
Handles comorbidity, trauma histories, and atypical presentations with clinical nuance
Example Output
Example 1: Anxiety Disorder with Trauma History
Diagnostic Formulation: 34-year-old female presenting with Generalized Anxiety Disorder and subclinical PTSD symptoms following motor vehicle accident (2 years ago). Baseline trait anxiety elevated since adolescence; heightened interoceptive sensitivity predisposes to panic misattribution.
Maintaining Factors: Safety-seeking behaviors (avoidance of highways) reinforce threat beliefs; sleep disruption maintains hyperarousal; catastrophic interpretations of bodily sensations sustain anxiety cycle.
Recommended Approach: Trauma-informed CBT with graded exposure hierarchy; concurrent sleep hygiene intervention; interoceptive exposure to normalize autonomic sensations.
Example 2: Depression with Personality Factors
Clinical Formulation: 52-year-old male with chronic depression, recent Major Depressive Episode triggered by career setback. Underlying perfectionist traits and conditional self-worth amplify demoralization. Social withdrawal reduces support access; rumination deepens depressive cognitions.
Biological Contribution: Sleep architecture disruption; possible age-related metabolic factors.
Treatment Priority: Behavioral activation with values-aligned goal setting; cognitive restructuring targeting perfectionism; family involvement to address isolation.
What's Included
- SKILL.md instruction file with clinical use cases and framework overview:
- Case Formulation Template: Structured sections for presenting problem, biopsychosocial history, diagnostic summary, maintaining factors, and treatment planning
- Biopsychosocial Prompt Framework: Specific data points to gather and integrate (genetic factors, trauma history, personality, social systems)
- Diagnostic Integration Checklist: Ensures all diagnostic criteria, comorbidities, and clinical presentations are addressed
- Treatment Planning Bridge Guide: Maps formulation insights directly to evidence-based intervention selection and prioritization
Who It's For
- Licensed clinical psychologists developing comprehensive case conceptualizations
- Psychiatrists integrating psychosocial factors into diagnostic and medication decisions
- Clinical supervisors teaching case formulation skills to trainees and supervisees
- Mental health clinicians preparing cases for peer consultation or supervision
- Multidisciplinary mental health teams documenting complex client presentations
Best For
- Initial intake assessments requiring comprehensive clinical documentation
- Complex cases with comorbid disorders, trauma, or atypical presentations
- Revising formulations when treatment response is inadequate or unexpected
- Supervision and consultation discussions requiring structured clinical reasoning
- Teaching clinical conceptualization to graduate students or early-career clinicians
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