Arrange the steps in the clinical formulation of a client's problem in correct order:
(A) Understanding the client's problem and its implications by the therapist
(B) Implementing the technique chosen in clinical formulation
(C) Identifying the areas to be targeted for treatment in psychotherapy
(D) Choosing the technique for treatment
Choose the correct answer from the options given below:
Answer & explanation
Correct answer: option 4
The correct answer is Option (4) → (A), (C), (D), (B)
Clinical formulation means formulating the client’s problem in the therapeutic model being used. Psychotherapy begins with it.
(A) Understanding the client’s problem and its implications by the therapist — first. The therapist first grasps the full implications of the distress the client is experiencing.
(C) Identifying the areas to be targeted for treatment in psychotherapy — second. The formulation then states the problem areas to be targeted. A client who cannot face superiors at work may be found to lack assertiveness skills and to have heightened anxiety.
(D) Choosing the technique for treatment — third. The choice of techniques, their timing and the expected outcome depend on the clinical formulation, within the therapist’s own system of therapy.
(B) Implementing the technique chosen in clinical formulation — last. Only after the formulation is the chosen technique put to use in therapy; it is not advisable to start psychotherapy without a clinical formulation.
NCERT: Psychology — Chapter 5: Therapeutic Approaches, Box 5.1 (2025-26)
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