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UCL Case Formulation Model, Mental Health and CBT

UCL Case Formulation Model, Mental Health and CBT

Understanding the UCL Case Formulation Model in Mental Health

The UCL (University College London) Case Formulation Model is a comprehensive framework used by mental health professionals to understand and treat psychological difficulties. This evidence-based approach helps therapists develop targeted treatment plans.

What is Case Formulation?

Case formulation is the process of gathering and integrating information about a client’s difficulties to create a coherent understanding of their presenting issues, underlying causes, and maintaining factors.

The UCL Model Components

The model typically includes: presenting complaints, predisposing factors (genetic, biological, psychological), precipitating factors (triggers), perpetuating factors (what keeps the problem going), and protective factors (strengths and resources).

How Formulation Guides Treatment

A good formulation helps therapists choose the most appropriate interventions, predict potential challenges, and measure progress throughout treatment.

CBT and Formulation

In CBT, formulation helps identify negative thought patterns and behaviours. The UCL model provides a structured way to understand how these patterns developed and what maintains them.

Finding a Formulation-Trained Therapist

Many therapists trained at UCL or using evidence-based approaches incorporate comprehensive formulation into their practice.

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The UCL Case Formulation Model is a widely used approach in mental health that helps therapists understand the unique factors contributing to a person’s difficulties. Developed at University College London, this evidence-based framework guides personalised treatment planning.

Case formulation

What is Case Formulation?

Case formulation is a collaborative process that helps therapist and client understand:

  • How difficulties developed
  • What maintains them
  • Individual strengths and resources
  • Targets for intervention

The UCL Model

The UCL formulation considers five key areas:

1. Presenting Problems

What difficulties is the person experiencing now?

2. Predisposing Factors

What made the person vulnerable? (genetics, early experiences, personality)

3. Precipitating Factors

What triggered the current difficulties?

Formulation process

4. Perpetuating Factors

What keeps the difficulties going? (thoughts, behaviours, environment)

5. Protective Factors

What strengths and resources does the person have?

Benefits of Formulation

  • Personalised treatment
  • Collaborative approach
  • Integrates different types of information
  • Guides intervention selection
  • Can be revised as therapy progresses

Find a Formulation-Trained Therapist

Our therapists use evidence-based formulation to understand your unique situation.

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Formulation in Practice

Therapists trained in formulation:

  • Take time to understand your story
  • Create diagrams or written formulations with you
  • Use this understanding to guide therapy
  • Review and update as things change
Therapy based on formulation

At seekapsych, our therapists use formulation-based approaches to provide personalised, effective treatment.


Resources: UCL | British Psychological Society

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