To demonstrate how the Pattern-based Formulation can be used to integrate biological, psychological and sociocultural factors in constructing the case formulation in a patient who developed schizophrenia and post-psychotic depression.
Conclusions:
Three new patterns are introduced and used to construct a comprehensive case formulation. This expands the suite of patterns in the pattern-based method of psychiatric case formulation, and further demonstrates its broad utility as an educational resource in psychiatry training.
FernandoICohenMHenskensF.Pattern-based formulation: a methodology for psychiatric case formulation. Australas Psychiatry2012; 20: 121–126.
2.
FernandoICohenMHenskensF.A systematic approach to clinical reasoning in psychiatry. Australas Psychiatry2013; 21: 224–230.
3.
FernandoICohenM.Case formulation and management using pattern-based formulation (PBF) methodology: clinical case 1. Australas Psychiatry2014; 22: 32–40.
4.
FernandoIRajasooriyaM.Case formulation using pattern-based formulation (PBF) methodology: clinical case 2. Australas Psychiatry2017; 26: 65–69.
5.
FernandoI.Case formulation using pattern-based formulation (PBF) methodology: clinical case 3. Australas Psychiatry2018; 26: 318–322.
6.
EstradaGFatjo-VilasMMunozMJet al. Cannabis use and age at onset of psychosis: further evidence of interaction with COMT Val158Met polymorphism. Acta Psychiatr Scand2011; 123: 485–492.
7.
BaskakBBaranZDevrimci-OzguvenHet al. Effect of a social defeat experience on prefrontal activity in schizophrenia. Psychiatry Res2015; 233: 443–450.
8.
AlemanySAriasBFatjo-VilasMet al. Psychosis-inducing effects of cannabis are related to both childhood abuse and COMT genotypes. Acta Psychiatr Scand2014; 129: 54–62.
9.
HingleySM.Psychological theories of delusional thinking: in search of integration. Br J Med Psychol1992; 65: 347–356.
10.
PotikD.Self psychology conceptualization of postpsychotic depression and recovery among paranoid schizophrenic patients. Bull Menninger Clin2014; 78: 70–86.
11.
MackinnonBL.Postpsychotic depression and the need for personal significance. Am J Psychiatry1977; 134: 427–429.
12.
WittmannDKeshavanM.Grief and mourning in schizophrenia. Psychiatry2007; 70: 154–166.
13.
SirisSG.Depression in schizophrenia: perspective in the era of “Atypical” antipsychotic agents. Am J Psychiatry2000; 157: 1379–1389.
