A diagnosis highlights commonality between patients, while a formulation is about finding the unique story for this patient.
It begins with a good summary statement about the patient. We want to answer the question,
"Why did this patient present, with this problem, in this particular way, at this time?"
The skill to practice is including all relevant and important information, while culling extraneous information.
For example...
Grant* is a 33 year old man, never married, who lives with his parents and younger sister in Granville*, Sydney. He has presented with police, to Emergency, after an argument with his mother where he pushed her. He has not left the house for two years, because of fears about what people will say about him and because he has rituals that prolong showering to the point where he has not been able to do it for four weeks.
to be continued...
* Indicates identifiers that I have invented/changed.
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