Belief Driven Formulation

The Belief-Driven Formulation worksheet aids therapists and clients in understanding how core beliefs influence current thoughts, feelings, and behaviors.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Fillable version (PDF)

A fillable version of the resource. This can be edited and saved in Adobe Acrobat, or other PDF editing software.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Cognitive behavioral theory proposes that our thoughts, feelings, and behavior in the here-and-now are influenced by our schemas / core beliefs / assumptions. This case conceptualization (formulation) diagram helps therapists and clients to explore these influences.

Why Use This Resource?

By using this resource, therapists can:

  • Broaden 'here-and-now' descriptive formulations.
  • Identify core beliefs related to clients' difficulties.
  • Explain how underlying beliefs shape patterns of thinking, feeling, and behaving.

Key Benefits

Exploration

Encourages exploration of clients' core beliefs.

Clarity

Provides insights into how core beliefs influence responses to situations.

Framework

Offers a structured framework for extending descriptive formulations to include underlying beliefs.

Who is this for?

Depression

Negative interpretations linked to negative beliefs about the self.

Anxiety Disorders

Anxious thoughts driven by vulnerability-related beliefs.

Relationship Difficulties

Maladaptive interpersonal behaviors stemming from negative beliefs about others.

Integrating it into your practice

01

Identify

Help the client identify a recent situation that was challenging.

02

Construct

Develop a descriptive formulation of the event, including key thoughts, feelings, and bodily sensations the client experienced.

03

Educate

Introduce the client to the concept of underlying core beliefs.

04

Explore

Identify the core beliefs that the client holds about themselves, the world, or the future, which may have influenced how they interpreted the situation.

05

Reflect

Examine the impact of these core beliefs, such as whether having different beliefs might have resulted in different interpretations.

Theoretical Background & Therapist Guidance

Core beliefs are global, unconditional, and overgeneralized beliefs about the self, other people, and the world. According to the cognitive model, core beliefs influence the selection and interpretation of incoming information, and so contribute to information processing biases (Riso & McBride, 2007). They also impact memory recall, since individuals tend to remember congruent experiences (Clark & Beck, 2010). As a result, they exert a powerful influence - usually below the threshold of awareness - on how people think, feel, and behave across situations, as well as what they pay attention to.

Incorporating core beliefs into 'here-and-now' descriptive formulations broadens case conceptualizations and provides insight into their influence on maladaptive patterns of thinking, feeling, and behavior.

What's inside

  • A structured formulation diagram for identifying thoughts, emotions, bodily sensation, behaviors, and underlying core beliefs.
  • Therapist prompts and questions for exploring and identifying core beliefs.
  • Examples of how the resource can be completed in therapy.
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FAQs

This formulation diagram demonstrates how core beliefs influence interpretations and responses to situations.
It helps identify underlying beliefs that influence how clients think, feel, and behave.
Yes, particularly for those struggling with severe or longstanding difficulties, like chronic low mood.

How This Resource Improves Clinical Outcomes

Using the Belief-Driven Formulation enhances therapy by:

  • Broadening and contextualizing descriptive formulations.
  • Increasing clients' awareness of their core beliefs.
  • Informing work at the level of core beliefs.

Therapists benefit from:

  • A structured approach to formulating the role of core beliefs in clients' difficulties.
  • A versatile resource that can be used with a wide range of clients.

References And Further Reading

  • Eells, T. D. (Ed.). (2011). Handbook of psychotherapy case formulation. Guilford Press.
  • Johnstone, L., & Dallos, R. (2013). Formulation in psychology and psychotherapy: Making sense of people's problems. Routledge.
  • Kuyken, W., Padesky, C. A., & Dudley, R. (2008). Collaborative case conceptualization: Working effectively with clients in cognitive-behavioral therapy. Guilford Press.
  • Persons, J. B. (2012). The case formulation approach to cognitive-behavior therapy. Guilford Press.
  • Tarrier, N., & Johnson, J. (Eds.). (2015). Case formulation in cognitive behaviour therapy: The treatment of challenging and complex cases. Routledge.