Praxical.Psych
Formulation

Systemic formulation & genogram data

Locate the problem in the relational system rather than in the individual.

Family and couple work; also useful in individual therapy where the family is the operative context.17 fieldsstructural-familybowen-family-systemsstrategic-therapy

How this document is used well

The systemic move is to stop asking what is wrong with the identified patient and start asking what function the symptom serves in the system, what the system does to keep itself stable, and who benefits from the current arrangement. Circular questioning — asking one member to describe the relationship between two others — is the technique that makes this visible.

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Shows why each item is asked
The system
The pattern
Safety screen
Any intimate partner violence, coercive control, or abuse?*
Were partners screened separately?
Systemic hypothesis and plan

4 required fields outstanding: Household and extended family, with ages and roles; The repeating sequence around the problem: who does what, then who does what; Any intimate partner violence, coercive control, or abuse? …

Educational use only

Praxical.Psych is a teaching tool. It is not medical, clinical, psychological or legal advice, not a diagnosis, not treatment, not supervision, and not a credential. Nothing here creates a clinician–patient or solicitor–client relationship. Every patient, case, transcript and simulated session is fictional. Clinical and legal requirements vary by jurisdiction and change over time — verify anything that bears on a real decision against your own regulator, statute and current professional guidance, and consult a qualified professional.

Do not enter real patient information. If you or someone else is in crisis: US & Canada 988 · UK & Ireland 116 123 · Australia 13 11 14 · elsewhere findahelpline.com · immediate danger, your local emergency number.

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Before you begin

What Praxical.Psych is, and is not

Praxical.Psych is an educational tool. It teaches the theory, evidence base and clinical method of psychotherapy at the level of an advanced survey course, and it lets you rehearse a complete session in a simulator.

It is not medical, clinical, psychological or legal advice. It cannot diagnose or treat anyone, and it does not state the law where you practise — requirements differ by jurisdiction and change. Nothing here creates a clinician–patient or solicitor–client relationship.

  • Every patient, transcript and case in this app is fictional — a composite written for teaching. None depicts a real person.
  • Praxical.Psych is not therapy, not a substitute for supervision, and not a credential. Competence to practise comes from training, supervised hours and licensure.
  • Scores from the instruments here are for learning how they behave. They are not a diagnosis and not a risk assessment, and must not inform a decision about a real person.
  • Do not enter real patient information. Everything you type stays in this browser, but that is not the same as a compliant clinical record system.
If you are in crisis

In the US and Canada, call or text 988. In the UK and Ireland, call 116 123 (Samaritans). Elsewhere, find a local line at findahelpline.com. In immediate danger, use your local emergency number.

Read the full disclaimer