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1.6 Case Formulation

Psychiatry Boot Camp

CHAPTER

The Therapeutic Alliance: How to Follow a Patient in Crisis

Dr. Raga: I've put together a case formulation of Daenerys Targaryen, Kalisi from Game of Thrones. In this case, we're going to pretend that Daenerys was captured by who else Arya Stark and she's brought into our psychiatric hospital here in Nebraska. The patient presents following an episode of acute violence in the form of mass destruction via dragon attack. Pre-disposing factors include a family history of a primary psychotic disorder in the patient's father with a likely genetic preloading percent. Target symptoms for psychotherapy include black and white thinking and narcissistic personality organization.

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