Psychiatric Formulation
Biological
Psychological
Social
Pre-disposing
1) Dominque - Borderline
Personality Disorder
2) Female/White/20-30yrs
3) Previous mental health
problems
1)
2)
3)
4)
5)
6)
1) Divorced parents
2) Distant father figure
3) Detachment from social
circle
4) Superficial, technocratic
society
5) Unhappy marriage (and
extra-marital affair)
6) Relationship with
Dominique
7) Married young
8) Superficial nature of job
9) Oppressed in childhood
10) Religion
11) Gender roles
Precipitating
None
1) Feeling of betrayal by
Jean-Charles after fight
2) Fear of passing
anxiety/depression to
Catherine
3) Existentialism
1) Variable relationship
2) Let down by father
3) Catherine referred to
psychologist (Jean-Charles
and her father complicit)
Perpetuating
None
1) Lack of support from
friends and family
2) Catherine’s ongoing
distress
3) Loss of father as idol
1) Dysfunctional relationship
with Dominique (including
situation with Gilbert)
2) No close friends
3) Inability to share worries
with Jean-Charles
4) Lack of support at work
(including Lucien)
Protective
1) No other apparent
health problems
2) Non-smoker
3) No alcohol abuse
1) She loves her children
2) Both parents are alive
(no bereavement)
1) Financially stable and
independent
2) Lives in a good
neighbourhood
3) Has a successful job
Emotional development
Self-esteem
Defenses
Coping strategies
Responses to stressors
Lack of support from
friends