Case Conceptualisation

Case Conceptualisation

Seeing what we Organising/ Where to go

have Making sense next?
• MSE • 4-P /Inverted • Treatment plan
• Case history Pyramid (What, • Goals & Objectives
• All the information how)
you’ve gathered • Theoretical lens
(Why)
4-P Model
Biological Psychological Social

Predisposing Factors

Precipitating Factors

Perpetuating Factors

Protective Factors
Inverted Pyramid Model
Biopsychosocial Approach
Biological
• What we are born with
• Genetics, family, physical
devt., characteristics,
temperament, health issues,
etc.
Psychological
• The individual and their mind
• Personality, coping/defense
mechanisms, emotional devt.,
cognitive & behavioural
patterns, etc.
Social
• The individual in relation to
the world/society
• Family, peers,
neighbourhood, work/school
environment, culture,
religion, socio economic
background
The Four P’s
Predisposing factors • Things in their biopsychosocial components that increases the
chance of them facing that/those particular issue(s)
(Why them?)
Precipitating factors • What are the things in their biopsychosocio scenario that
(Why now?) brought up this issue now?

Perpetuating factors • What are the things in their current scenario that is sustaining
this problem? What is it making it stay or intensify it?
(Why is it continuing?)

Protective factors • What are the biopsychosocial resources/strengths that are

working in their favour, or they can tap into?
(What can help them?)
4-P Model
Biological Psychological Social

Predisposing Factors
Continual body pain Depression DV in family
Poor eating habits Anxiety Mother was suicidal during his
adolescent years

Precipitating Factors Mother treating wife poorly.

Constant feeling of Increased experience of stress & anxiety Arguments
fatigue Inability to empathise Wife complaining about his lack of
empathy

Perpetuating Factors Insomnia Inability to recognise emotions

Suppression as coping Unresolved issues in family –
Eating as coping mother-father
Mother-grandmother
sister
Protective Factors
Physical strength, Cognitive habit of perspective taking,
Capable of getting fit Sense of humour
Curious and open