Psychological formulation

 
 

What is Psychological Formulation?

Psychological formulation is a collaborative process that helps you and your clinician make sense of your mental health difficulties. It explores how your experiences, thoughts, emotions, and behaviours connect — offering a personalised map of what’s happening and why.

 

Who is Psychological Formulation for?

Formulation is for anyone seeking a deeper understanding of their mental health, especially when symptoms feel complex or confusing. It can be helpful when:

  • You’ve had multiple diagnoses or past treatments

  • Therapy hasn’t worked as expected

  • Emotions or behaviours feel hard to explain

  • You’ve experienced trauma, loss, or early adversity

  • You feel stuck in recurring life patterns

  • You want clarity without rushing into a diagnosis

  • You’re neurodivergent and want to explore your experiences holistically

  • Your difficulties are affected by identity, relationships, or systemic stressors

Formulation is often used by psychologists, therapists, and psychiatrists to guide treatment. It respects your story, your language, and your values — not just checklists or labels.

 

What does Psychological Formulation involve?

  • One or more in-depth assessment sessions

  • Exploring your history, current challenges, and personal strengths

  • Identifying patterns in thoughts, emotions, behaviours, and relationships

  • Understanding how early experiences shaped your coping strategies

  • Exploring the impact of trauma, neurodivergence, or systemic stress

  • Considering protective factors and what’s kept you going

  • Mapping how difficulties developed and what keeps them going

  • No pressure to fit into a diagnosis — focus is on meaning and context

  • Shared diagrams, narratives, or timelines to visualise your formulation

  • Written summary (if desired) to share with other professionals

  • Informs your treatment plan and therapy goals

  • Can be done alone or alongside ongoing care

  • Suitable for adults, teens, or families

  • Respectful, trauma-informed, and at your pace

Our approach
 

Our approach to Psychological Formulation

At Bloomfield Health, we view formulation as the heart of compassionate care. Our psychologists and clinicians work with you to build a shared, non-judgemental understanding of your mental health — not just what’s “wrong,” but what’s happened. We take time to listen, reflect, and honour your experiences, especially if you’ve felt misunderstood in the past. Our formulations are collaborative, trauma-aware, neurodiversity-affirming, and tailored to your language, values, and goals.

 

No — diagnosis names patterns, but formulation explores the ‘why’ behind your experience. It offers context and meaning.

Not at all. Formulation often helps people who don’t want — or don’t feel helped by — formal labels.

It can clarify what’s going on, reduce self-blame, and guide the best type of therapy or support for you.

Sometimes — but mostly it’s a guided conversation where your story and insights are central.

Yes — if you wish, we can write a summary to share with GPs, therapists, or schools.

Absolutely. We explore your experience in affirming, sensory-aware, and personalised ways.

We’ll go gently, at your pace, and centre your voice. You are in control of what you share.

Please contact us to arrange a psychological assessment. We’ll match you with a clinician who will work with you to build a clear, respectful formulation.

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