DBT for Substance Abuse: Diagnostic Formulation

Private Practice

The diagnostic formulation involves understanding the client’s situation by exploring triggers, basic personality patterns, and the DSM-5 diagnosis.
The clinical formulation looks for predisposing factors underlying the client’s problem, examining past experiences and their current environment.
In this clinical case, treatment formulation focuses on developing an intervention plan to change the client’s approach to addiction, including treatment goals, strategies, specific interventions, and DBT skills.

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The conceptualization process has three main components: diagnostic, clinical, and treatment formulations.

Diagnostic formulation: begin by exploring the client’s situation. Through a real-life case study, Dr. Petracek explores a client’s triggers, personality patterns, and DSM-5 diagnosis. An accurate and comprehensive understanding of his circumstances informs the subsequent clinical and treatment formulations.
Clinical formulation: addresses the question of why the client developed addictions. Dr. Petracek examines predisposing factors, including past experiences and the current environment, to gain insight into underlying causes.
Treatment formulation: developing a plan to facilitate change, deciding on treatment goals, strategies, and interventions aimed at supporting the client to overcome addictions and take other beneficial steps.

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