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The Professional Counselor. Let`s move on. Generalized anxiety disorder: A preliminary test of a conceptual model. A Metacognitive model of procrastination. A cognitive model of the positive symptoms of psychosis. hA 4-`76>m{dKs. Clinical Psychology, 25, 6-10. endobj However, these understanding can be inaccurate or unhelpful. 0000001856 00000 n 40 0 obj A., Bharucha, Z., Nikevi, A. V., Marino, C., & Spada, M. M. (2017). Contrary to the formulation of the CBT situation, the 5 Ps begin to go beyond the here and now to take into account the historical factors that have contributed to the development of an individual`s difficulties. This simple CBT formulation worksheet explores the origin and maintenance of a problem. Case formulations are best done together, with clients positioned as experts themselves. Simply put, case formulation is a method in which the client and the therapy come to a common understanding of a difficulty. Motivation is a necessary precursor to change, yet many clients are ambivalent about the process of change. 1264 0 obj <>stream There is often some overlap between presentation factors and immortalization factors, but to maintain the factors, we look at things that maintain current difficulties, such as thought patterns or behaviors that lead to negative consequences. Use the workbook in the Appendix and the Web site to help you identify the data needed to assess and . The 5 Ps structure can be an easy way to organize information with the client in the therapy room, as well as a holistic approach to team formulations, especially since it is a model often familiar to many disciplines. It is assumed that these models may overlook positive factors such as a person`s strengths and resilience, which can protect them from the effects of difficult past experiences and/or provide them with useful tools to positively manage their mental health issues. Find out how we can provide support and contact (2000). 2020 Mentalhealthworksheets.com | All Rights Reserved. The 5-Ps identify Predisposing, Precipitating, Perpetuating, Protective, and Predictive Factors that each and every practitioner should know about a persons life situation as a basis for developing a clinical case formulation, documentation, and work with a person. endobj Whew. The Five Ps' approach is a short expansion on Weerasekera's model of case formulation. recent life experiences/stressors, bullying etc. The British Psychological Society (2011). CBT Information Leaflets & Self Help Guides (free downloads). Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This chapter helps a client Human beings actively try to understand their world and what happens to them. (1990). 0000014220 00000 n It e Case conceptualizations (formulations) help therapists and clients come to a shared understanding of a problem. 3 0 obj The DSM also emphasizes the importance of the clients Insomnia is characterized by difficulty with sleep quality or quantity. If you are feeling unwell then you should contact a medical health professional for immediate help. Developing and Using a Case Formulation to Guide Cognitive-Behavior Therapy. Vlaeyen, J. W. S., & Linton, S. J. Ehlers, A., & Clark, D. M. (2000). Individuals with body dysmorphic disorder (BDD) experience distress associated with their body image. Borkovec, T. D., Alcaine, O., & Behar, E. (2004). 0000006923 00000 n They do not collect or store any personal information. All of this helps us balance power. Below are links to a few more worksheets which are closely related to the worksheet above. A case formulation is not set in stoneIt should evolve as you get to know the client, and as therapy progresses. Correspondence may be addressed to Scott Peters, One University Way, San Antonio, TX 78224, scott.peters@tamusa.edu. 1189 0 obj <> endobj A number of types of formulation have been described: Generalized Anxiety Disorder (GAD) And Worry. Foundation Ltd 2023. (e.g. These organizers are tools for supervisors and supervisees to make efficient use of the clinical supervision time and to build reasoning skills in practitioners. Do not work at school and from an early age in a workshop. 9 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/Parent 4 0 R/MediaBox[0 0 595 842]/Rotate 90/Type/Page/Contents 8 0 R>> A strength of the 5 Ps, therefore, is that it makes us actively consider these two areas: this friendly formulation diagram presents all these 5 Ps in an accessible way, framed by the question How did the problem evolve?. Prepare five envelopes that contain preliminary information from your microsystem about the 5 P's (purpose, patients, professionals, processes, patterns), one P per envelope. 1189 76 0000241200 00000 n 0000010086 00000 n 0000119267 00000 n https://www.psychologytools.com/resource/what-keeps-body-dysmorphic-disorder-bdd-going, https://www.psychologytools.com/resource/what-keeps-bulimia-going. It is a tool used for organizing information about a persons life situation to help reveal importation fact patterns necessary developing a clinical understanding. Browse our A to Z of the doctors who work for us. Then theres a place for you here at headspace. <>stream This simple CBT formulation worksheet explores the origin and maintenance of a problem in an approachable and engaging format. The Motivation And Ambivalence worksheets At the heart of Compassion Focused Therapy (CFT) is an evolutionary model of human motivational systems. 0000119448 00000 n Responsibility Worksheets for Kindergarten: Version 2, Responsibility Worksheets for Kindergarten, Social Anxiety Coping Skills Worksheets: Version 2, Working through Trauma Worksheets: Version 2. B., & Lisa, S. T. (2015). startxref e.B. For specific condition or approach, find viaProblemsorSolutionspages. Cognitive-Behavioral Treatment for Severe and Persistent Health Anxiety (Hypochondriasis). NOTE: An improved version of this resource is available here: Therapy Blueprint (Universal). 0000004501 00000 n Case formulations can vary according to their purpose, and according to the information they attempt to convey. ABN 26 137 533 843. For context, our formulation aims to have it take place as Anakin has just transformed into Darth Vader and focuses on his presentation difficulties at this point. Butler, G. (1998). The BPS framework provided below synthesizes data into easily understood components, called the 5-Ps. A community Group Chat session is your opportunity to speak anonymously online to our mental health professionals and hear from others about a topic that will be discussed. If you would feel more comfortable speaking to us 1-on-1 we have the options available. Extensive experience in Project Control, Progress Monitoring & Analysis using Tableau, Power BI, Oracle & P6 Analytics Dashboards . 0000003178 00000 n In the Case Formulation worksheet, a clients vulnerabilities (e.g. Persons, J. In the Case Formulation worksheet, a client's vulnerabilities (e.g. However, 5Ps are often associated with the CBT model, as observed by Johnstone and Dallos (2014). For more information about how our resources may or may not be used, see our help page. People suffer Depression is characterized by an extended period of low mood, anhedonia, and reduction in activity. This can be edited and saved in Adobe Acrobat, or other PDF editing software. (2012). x3P0T5T0P04\\z&Ff@X(++(kn`fR06\Gr~DK>W ,#Ca1 = Low self-esteem: A cognitive perspective. SNACIy` iOUOb&U}+v$]MH"{8v%h= _ These 5-Ps are applied across a persons physical, psychological, and social history and present situation to develop clinical insights that will be useful in planning interventions, supports, and services. Case Formulation Worksheet Gary G. Gintner, Ph.D. A formulation tells us more about a young person and the context and effects of their strengths and difficulties. guidance and other literature that you may find useful. 0000155309 00000 n While this sounds like a pseudo-scientific term from a cheesy 1980s sci-fi movie, it simply means that the formulation takes into account three themes of factors that contribute to a person`s difficulties: So here it is our understanding of Anakin Skywalker/Darth Vader with the 5 Ps: So, let`s be real formulation. Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Understanding what influences your mental health and wellbeing 5Ps. 123-134. However, don`t worry if you`re more into psychology than science fiction here having seen the Star Wars movies isn`t necessary to understand this formulation! St. Nicholas Hospital Developed by Paul Gilbert it is a helpful len An important treatment implication of the cognitive behavioral model of OCD is that clinicians can work at the level of the meaning of the intrusion. The next step is to examine which internal or external events triggered the onset of Anakin`s presentation issues. 29 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/Parent 4 0 R/MediaBox[0 0 595 842]/Rotate 90/Type/Page/Contents 28 0 R>> We are based across the North East and North Cumbria. Assessing competence in collaborative case conceptualization: Development and preliminary psychometric properties of the Collaborative Case Conceptualization Rating Scale (CCC-RS). This simple CBT formulation worksheet explores the origin and maintenance of a problem in an approachable and engaging format. Instructions on how to use the 5 Ps formulation worksheet. Formulation: A multiperspective model. +O1\lp#\ All sheets alphabetical: Sheets A - M Sheets N - Z(without images), Purchase & download document packs - Word, PDF& PPT. endobj Friendly and concis 2023 Psychology Tools. The ICD-10 clas Bipolar disorder is characterized by distinct episodes of mania or hypomania, and episodes of depression. What is the core fear in social phobia? This worksheet will help you to analyze the problem and see why it was caused and which factors you can use to deal with it. The Case Formulation Worksheet examines the pertinent factors influencing a person in services and build understanding of the whole picture of the person in context of a persons life experience. Many therapies, such as CBT, recommend involving clients in their case formulation. 0000005575 00000 n The Panic Formulation An important task during the assessment phase of therapy is to identify client difficulties. Kuyken, W., Padesky, C. A., Dudley, R. (2008). All rights reserved, Predisposing factors which made the individual vulnerable to the problem, Precipitating factors which triggered the problem, Perpetuating factors such as mechanisms which keep a problem going or unintended consequences of an attempt to cope with the problem. 0000155834 00000 n 0000180256 00000 n endstream This website uses cookies to improve your experience while you navigate through the website. These are the cookies that help certain non-essential functionalities on our website. A quick guide to ACT case conceptualization, ACT assessment / case formulation process, The case formulation approach to cognitive behavior therapy| Jacqueline Persons | 2014, A case formulation approach to cognitive-behavior therapy | Jacqueline Persons | 2015, The role of a case conceptualization model and core tasks of intervention | Donald Miechenbaum, Cafe formulation in cognitive-behavioral therapy | Caleb Lack. In addition, it goes beyond simply taking into account the inner experiences of the individual (e.g. endobj e{s[F&6s+^0jKv(>v@W0WB}{"sG(S9_2rKe(V>5SOF~YP.bOEG.3efG6w. The worksheets found on Mentalhealthworksheets.com do not replace medical advice, therapy or diagnosis from a registered medical health provider. It is therefore understandable that it is so widely used. 0000000016 00000 n This simple CBT formulation worksheet Functional analysis examines the causes and consequences of behavior. Espie, C. A. Planning is an essential part of the strategy formulation process, so take time to Brainstorm new opportunities. The wording contextualizes the difficulty and makes its origin and maintenance understandable. DSM-5 conceptual changes: Innovations, limitations and clinical implications. U>)isqk@3~ZJ8A+^CH'W__hH4Tc9yoW@ ]EFR On this page, we provided you with a 5 Ps formulation worksheet, which hopefully helped you to analyze your problem using the 5ps model. and I would recommend this as a great way to spend your time in lockdown. x3P0T5T0P04\\z&Ff@X(++(kn`fR06\Gr~DK>W (#Cah 1 e (2011). Jubilee Road The presenting problem is the current issue client is facing, the predisposing factors are those factors like biological, or personality factors that put a person at risk to current issues, the precipitating factors are the triggers that set the problems, then the perpetuating factors maintain the issue and the protective are the ones that help a person to overcome such issues. A Cognitive-Behavioral Conceptualization of Complicated Grief. x3P0T5T0P04\\z&Ff@X(++(kn`fR06\Gr~DK>W ,#Cad 1 ?9 0000240043 00000 n As you can see, this is a fairly simple concept for a formulation. Some clients find it difficult to generate treatment goals for therapy. Oakland, CA: New Harbinger Publications. Better late than never anyway, Dark.. Like what. headspace recommends a formulation framework using the five Ps, as follows: Presenting problem (s): Initial signs, symptoms or other difficulties that are clinically important for the young person. x3P0T5T0P04\\z&Ff@X(++(kn`fR06\Gr~DK>W (#Ca1 ` Psychology Tools 9k followers More information 5 Ps Formulation (Friendly Formulation) Worksheet PDF | Psychology Tools Cbt Worksheets ACE Activity Accept-Choose-TakeAction ADHD Adrenaline Affirmations Anger Anxiety Anorexia APPLE APPLE for Uncertainty Apps for self help Assertiveness Attention Deficit / HD Avoidance BACES: Self Care Battery Bipolar Books Breathe: Mindful Breathing Bulimia & Binge Eating Cards CBT Self Help Course CBT Worksheets & guides all of a patients symptoms, disorders, and problems; hypotheses about the mechanisms causing the disorders and the problems; proposes the recent precipitants of the current problems and disorders; Kuyken, W., Beshai, S., Dudley, R., Abel, A., Grg, N., Gower, P., & Padesky, C. A. Erk The Clinical Reasoning Worksheet works to guide supervisees towards a clinical question for the supervision session, and to organize for oral presentation of a case for supervision. The 5 Ps are the titles of the five different sections of this formulation under which the information is organized. Psychology Tools for Overcoming Panictakes a cognitive behavioral therapy (CBT) approach to this common anxiety problem. This simple CBT formulation worksheet explores the origin and maintenance of a problem. A very complete formulation that tries to understand the motivations of one of the most popular and complex villains in cinema. 0000002760 00000 n Generalized Anxiety Disorder (GAD) And Worry. This simple WORKsheet on THE FORMULATION OF CBT examines the origin and maintenance of a problem in an accessible and attractive format. Case formulation is presented as a means of encouraging a dynamic and comprehensive approach to the development and implementation of practical interventions within the health behavior change . The DSM-5 also require A manic episode is characterized by a period of elevated, irritable, or expansive mood that is abnormal for the individual. A new model to facilitate individualized case conceptualization and treatment. This website uses cookies to enhance your browsing experience. The following are organizers for practice and casework based on a traditional bio-psycho-social grid. The following downloadable worksheets can be used to provide an electronic record of the 5P Approach. You can download this worksheet here. Recogn Dysthymia is characterized by a depressed mood that occurs for most of the day, more days than not, and has been present for at least two years. headspace National Youth Mental Health x3P0T5T0P04\\z&Ff@X(++(kn`fR06\Gr~DK>W ,#Ca1 >/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/Parent 4 0 R/MediaBox[0 0 595 842]/Rotate 90/Type/Page/Contents 24 0 R>> From finding your first job to deciding what to study, we can help. Spencer, H. M., Dudley, R., Johnston, L., Freeston, M. H., Turkington, D., & Tully, S. (2022). Case conceptualizations (formulations) help therapists and clients come to a shared understanding of a problem. The following definitions are based on Johnson and Dallos (2014). We can think of these types of situation cycles when we describe perpetuation factors (e.g. Overall, the main problem is probably that Anakin turns into a Sith lord and uses the dark side of the Force to build an evil empire dictatorship. Case Conceptualization Worksheet: Individual Counseling helps counselors develop a case conceptualization for individual clients. 39 0 obj NE3 3XT, Copyright 2017-2023 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust. The Professional Counselor but we will stick to our psychological terms to learn things. This organizer is particularly suited for new practitioners. Where appropriate, case examples and annotations are also included. (1995). They were unable to leave their slave owner (Watto) or make decisions about their own lives. 0000013350 00000 n This guide is also useful in preparing supervisees for sessions by clarifying what occurs during clinical supervisions sessions and setting a standard of expectation for preparation and participation in sessions. ), Perpetuating factors: Factors that cause the young persons symptoms/problems to continue or to progressively get worse (e.g. Case Formulation Author: Therapist Aid LLC Created Date: 5/15/2019 11:03:36 AM . We value their cultures, identities, and continuing connection to country, waters, kin and community. EkeB9U8-ypE0@w?lvxc$`Raw Presenting the cognitive model to clients. To organize them a little more clearly, I organized them into CBT categories of thoughts and emotions, physiology, behavior, and environment. This is the same as what was used in the situational formulation in my previous article. The "5-Ps" identify Predisposing, Precipitating, Perpetuating, Protective, and Predictive Factors that each and every practitioner should know about a person's life situation as a basis for developing a clinical case formulation, documentation, and work with a person. 0000187506 00000 n so, that`s it! This classic A-B-C functional analysis worksheet can be used to collect information about what came before a behavior (antecedents), the behavior itse By encouraging your clients to reflect upon the role of emotions in their life you can help them to discuss current difficulties. The following definitions are based on Johnson and Dallos (2014). 0000012481 00000 n STOPPThought Challenge Sheet in 5 columns, BACE WeeklyActivity Diary / Planner with split cells, Behavioural Experiment Record Sheet:James Bennett-Levy, Card pack: 56 cards for self help(to purchase), Court Case Worksheet: alternative thought challenge, Dealing with Distress5 column DBT worksheet, Dealing with Distress8 step DBT worksheet, GAD: Beliefs about WorryThought Record Sheet, OCD Obsessions & CompulsionsThought Record Sheet, Personal Recovery and Maintenance Plan for Psychosis, Positive Data Log2 column with brief introduction, Positive Data Logwith 3rd "meaning" column, Positive Personal Qualities Survey: describe me in 3 words, Positive Self Talk coping thoughts worksheet, Preventing Setbacks: relapse prevention blueprint, PTSDDiscrimination Worksheet for Flashbacks, Self Coaching Session Form- for client led session, Suicidal Thoughts: Alternative Thoughts & Actions, Suicidal Thoughts:Commitment to Life Contract, Suicidal Thoughts: Crisis Management Plan, GenericFormulations & Therapist Resources, 3 Questionsto ask whens starting therapy, 5 Aspects: Voices (auditory hallucinations), Mental Crusher Making experience fit with core beliefs, MultiModal Structural Profile Inventory35 item questionnaire, MultiModal Structural Profile 7 item questionnaire, www.thedecider.org.uk/www.facebook.com/getselfhelp. Cognitive and Behavioural Practice, 16. Scroll down to access the worksheets by clicking on the document image - no tool or download programme is required other than your normal PDF reader. 33 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/Parent 4 0 R/MediaBox[0 0 595 842]/Rotate 90/Type/Page/Contents 32 0 R>> (e.g. Case conceptualizations (formulations) help therapists and clients come to a shared understanding of a problem. Recognizing Bulimia Nervosa Depersonalization / Derealization Disorder (DPD) is characterised by experiences of unreality and detachment from oneself and the world. 0000016707 00000 n <>stream 0000006105 00000 n mM|V3Hl[s(8^-Ha:7 Gosforth endstream Salkovskis, P. M., Warwick, H. M. C., Deale, A. C. (2003). She has worked in Clinical settings (as Special Ed. endstream At headspace, we offer a variety of tools and resources to help support you. 0000156014 00000 n This chapter discusses the Interpersonal issues and relationship problems form an important part of what clients bring to therapy: they might present as clients current conce Case conceptualizations (formulations) help therapists and clients come to a shared understanding of a problem. 0000239964 00000 n This ACT-informed worksheet explores the key domains of values and encourages clients to reflect upon what is imp Vertical Arrow / Downward Arrow / Vertical Descent is a form of Socratic questioning in which the therapist asks a succession of questions to uncover Case conceptualizations (formulations) are designed to help clients and therapists come to a shared understanding of a problem. 0000238570 00000 n Relapse prevention: Theoretical rationale and overview of the. The Stages Of Change model is helpful for conceptualizing the mental states of individuals at different stages of their change journey. The Exploring Problems Using A Cross-Sectiona An Antecedent-Behavior-Consequence (ABC) diagram is a form of functional analysis and is a helpful way of conceptualizing a behavior of interest. Fear of bodily sensations is present in a number of conditions, most notably panic disorder. Copyright Notice: Therapist Aid LLC is the owner of the copyright for this website and all original materials/works that are included. (Psychology Tools For Overcoming Panic), https://www.psychologytools.com/resource/how-does-this-all-add-up-to-a-panic-attack-psychology-tools-for-overcoming-panic, https://www.psychologytools.com/resource/interpersonal-beliefs-and-styles, https://www.psychologytools.com/resource/longitudinal-formulation-1, https://www.psychologytools.com/resource/longitudinal-formulation-2, https://www.psychologytools.com/resource/low-self-esteem-formulation, Making Sense Of Your Panic (Psychology Tools For Overcoming Panic), https://www.psychologytools.com/resource/making-sense-of-your-panic-psychology-tools-for-overcoming-panic, https://www.psychologytools.com/resource/motivation-and-ambivalence, Motivational Systems (Emotional Regulation Systems), https://www.psychologytools.com/resource/motivational-systems-emotional-regulation-systems, Obsessive Compulsive Disorder (OCD) Formulation, https://www.psychologytools.com/resource/obsessive-compulsive-disorder-ocd-formulation, https://www.psychologytools.com/resource/operant-conditioning, https://www.psychologytools.com/resource/panic-formulation, https://www.psychologytools.com/resource/problem-list, https://www.psychologytools.com/resource/process-focused-case-formulation, https://www.psychologytools.com/resource/ptsd-formulation, Putting It All Together (Psychology Tools For Living Well), https://www.psychologytools.com/resource/putting-it-all-together-psychology-tools-for-living-well, https://www.psychologytools.com/resource/rebt-problem-formulation, https://www.psychologytools.com/resource/reciprocal-cbt-formulation, https://www.psychologytools.com/resource/recognizing-a-hypomanic-episode, https://www.psychologytools.com/resource/recognizing-a-manic-episode, https://www.psychologytools.com/resource/recognizing-agoraphobia, https://www.psychologytools.com/resource/recognizing-anorexia-nervosa, Recognizing Attention Deficit Hyperactivity Disorder (ADHD), https://www.psychologytools.com/resource/recognizing-attention-deficit-hyperactivity-disorder-adhd, https://www.psychologytools.com/resource/recognizing-bipolar-disorder, https://www.psychologytools.com/resource/recognizing-bulimia-nervosa, Recognizing Depersonalization / Derealization Disorder (DPD), https://www.psychologytools.com/resource/recognizing-depersonalization-derealization-disorder-dpd, https://www.psychologytools.com/resource/recognizing-depression, Recognizing Generalized Anxiety Disorder (GAD), https://www.psychologytools.com/resource/recognizing-generalized-anxiety-disorder-gad, https://www.psychologytools.com/resource/recognizing-insomnia, Recognizing Obsessive Compulsive Disorder (OCD), https://www.psychologytools.com/resource/recognizing-obsessive-compulsive-disorder-ocd, Recognizing Panic Attacks And Panic Disorder, https://www.psychologytools.com/resource/recognizing-panic-attacks-and-panic-disorder, Recognizing Persistent Depressive Disorder (Dysthymia), https://www.psychologytools.com/resource/recognizing-persistent-depressive-disorder-dysthymia, Recognizing Post Traumatic Stress Disorder (PTSD), https://www.psychologytools.com/resource/recognizing-post-traumatic-stress-disorder-ptsd, https://www.psychologytools.com/resource/recognizing-social-anxiety-disorder, https://www.psychologytools.com/resource/recognizing-specific-phobia, https://www.psychologytools.com/resource/schema-formulation, https://www.psychologytools.com/resource/social-anxiety-formulation, https://www.psychologytools.com/resource/stages-of-change, https://www.psychologytools.com/resource/stages-of-social-anxiety, https://www.psychologytools.com/resource/swot-analysis, https://www.psychologytools.com/resource/tear-model-of-grief, The Parts Of Your Panic (Psychology Tools For Overcoming Panic), https://www.psychologytools.com/resource/the-parts-of-your-panic-psychology-tools-for-overcoming-panic, https://www.psychologytools.com/resource/theorya-theoryb, https://www.psychologytools.com/resource/theorya-theoryb-edition-1, https://www.psychologytools.com/resource/therapy-blueprint, https://www.psychologytools.com/resource/therapy-blueprint-universal, https://www.psychologytools.com/resource/therapy-blueprint-for-ocd, https://www.psychologytools.com/resource/therapy-blueprint-for-panic, https://www.psychologytools.com/resource/therapy-blueprint-for-ptsd, https://www.psychologytools.com/resource/therapy-blueprint-for-social-anxiety, Transdiagnostic Cognitive Behavioral Model Of Eating Disorders (Fairburn, Cooper, Shafran, 2003), https://www.psychologytools.com/resource/transdiagnostic-cognitive-behavioral-model-of-eating-disorders-fairburn-cooper-shafran-2003, https://www.psychologytools.com/resource/transdiagnostic-processes, https://www.psychologytools.com/resource/trap-trac, https://www.psychologytools.com/resource/treatment-planning-checklist, https://www.psychologytools.com/resource/understanding-my-panic, https://www.psychologytools.com/resource/understanding-ptsd, https://www.psychologytools.com/resource/values, Vertical Arrow Down Arrow Vertical Descent, https://www.psychologytools.com/resource/vertical-arrow-down-arrow-vertical-descent, https://www.psychologytools.com/resource/vicious-flower-formulation, https://www.psychologytools.com/resource/what-keeps-anorexia-going.
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