The 5 P’s Assessment Model for Case Formulation
DEFINITION COUNSELLOR
QUESTIONS
What presenting issues is my
PROBLEM Clients main and sub problems client currently dealing with?
DEFINITION Problems cycles and patterns CBT What deeper problem
Mood? Relational? Physical? Financial? patterns/cycles is my client
Trauma? Existential? Family? demonstrating?
PREDISPOSING Family background Are there any earlier learning
Genetic/Bioligical factors and traits or biological
Early Life Experiences and learning predisposing traits that my
Trauma Abuse or Neglect client has experienced in the
Early Attachment problems past?
Areas of vulnerability How do these factors affect
my client now?
PRECIPTATING Triggers to the clients current What
thoughts/feelings/behaviours cbt situation/thought/behaviour is
Situations that ‘set off’ behaviours triggering off an unhelpful
Historical response pattern? CBT cycle in my client?
What purpose or function does this problem What is contributing to my
serve? clients behaviour /mood and
PERPETUATING Influencing factors that increase the influencing or maintaining
behaviour? this behaviour?
Factors that reinforce the behaviour or mood
and keep the cycle going
Coping mechanisms that aim to keep the What protective or avoidant
PROTECTIVE person safe strategies is my client using to
FACTORS Lifestyle factors (family peers recreation) keep them emotionally safe?
Strengths and resources that help in Are these adaptive or non
supporting client adaptive/unhelpful now?
Positive coping style (internal resources)
The 5P’s model can be used to help develop a case formulation and deeper understanding of our
client to help gain a deeper understanding of how all the 5P factors relate to each other. There is
overlap with some of the factors (ie predisposing and precipitating) and how they influence
each other.