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Evaluation ViewAttendees 21

Clinical Round Tables

Culture / Ethnicity / Race

Session: Expanding our Case Formulations for CBT: Broadening & Building a Stronger Framework to Inform Treatment

Clinical Round Table 13 - Expanding Our Case Formulations for CBT: Broadening & Building a Stronger Framework to Inform Treatment

Saturday, November 18, 2023
10:30 AM – 12:00 PM PST
Location: Willapa (512), Level 5
Earn 1.5 Credit
Keywords: Case Conceptualization / Formulation, Mental Health Disparities, Community-Based
Recommended Readings:

Haft, S.L., O’Grady, S.M., Shaller, E.A.L., & Liu, N.H. (2022). Cultural adaptations of dialectical


behavior therapy: A systematic review. Journal of Consulting and Clinical Psychology.


https://doi.org/10.1037/ccp0000730

,   Hall, G., Berkman, E. T., Zane, N. W., Leong, F. L., Hwang, W., Nezu, A. M., Nezu, C., Hong, J. J., Chu, J. P., Huang, E. R.2021;Reducing Mental Health Disparities by Increasing the Personal Relevance of Interventions AMERICAN PSYCHOLOGIST, 76 (1): 91-103,   Aguilera, A., Figueroa, C. A., Hernandez-Ramos, R., Sarkar, U., Cemballi, A., Gomez-Pathak, L., ... & Lyles, C. (2020). mHealth app using machine learning to increase physical activity in diabetes and depression: clinical trial protocol for the DIAMANTE Study(link is external). BMJ open, 10(8), e034723,   ,  

Case formulation is a fundamental component of CBT that guides assessment and treatment for individuals within the context of their experience. However, “standard” case formulation includes inherent biases that limit the effectiveness of interventions and perpetuate mental health inequity, including assumptions about neurotypicality, racial/cultural norms about interpersonal relationships and beliefs about mental health, mind-body dualism, integrated use of technology, relative absence of religion/spirituality, and challenges related to inclusiveness, representativeness, systemic inequities, and intervention contexts. The primary goal of this Clinical Round Table is to focus on enhancing CBT by discussing real-world examples of expanded CBT case formulations that integrate these often-overlooked assumptions and strengthen their direct, clinical impact on case formulation to improve treatment planning and interventions. Each panelist will describe, using clinical case examples, additions to a standard CBT case formulation from their respective areas of expertise: neurodiversity, physical health and digital health interventions, cultural adaptations, integrated religious/spiritual mental health care, school-based suicide prevention, and addressing systemic inequities in-session. Each panelist will then illustrate the subsequent treatment plan implications from this expanded case formulation. We will conclude with strategies for integrating these factors into clinical training in expanded case formulation in order to ensure that future generations of clinicians will provide more effective, inclusive CBT, and ultimately improve the mental health and overall well-being of individuals, especially those from marginalized or underserved populations.

Learning Objectives:

At the end of the session, the learner will be able to:
  • Describe limitations and potential biases in standard CBT case formulations.
  • Describe domains where case formulations can be expanded, ranging from person-level to context and system-level domains.
  • Discuss clinical assessment, treatment, and training implications of proposed expansions to case formulations.
  • Integrate implications of proposed expansions to clinical training into CBT case formulations.
  • Consider CBT treatment adaptations informed by an expanded case formulation.