ABSTRACT
This chapter presents a sample case study to illustrate the proper application of the Biopsychosocial Formulation Model. Predisposing, or contributing, factors will be reviewed from biological, psychological, and social perspectives. The patient has a number of dynamic risk factors for suicide, including depressed mood, potential loss of rational thought with the deprecating ruminations and auditory hallucinations, limited social supports, and, arguably, physical disability. The biological assessment ("reversible workup") should consist of a routine physical examination, including a complete neurological examination, and laboratory studies to rule out reversible causes for this patient's clinical presentation. With regard to biological interventions, the antihypertensive regimen should be reviewed with the patient's primary care clinician to ascertain whether any reductions in dosage or changes to drugs not associated with mood symptoms. From a psychological perspective, no testing is indicated based on the current information. From a social perspective, involvement of supportive family members in the patient's care can be exceedingly helpful.
