While I like the idea of formulation and will use it when I'm a therapist, the problem with it is that each approach will formulate the set of issues in ways particular to that approach. So there is in this thread the example of the psychodynamic approach. It resists the DSM to some extent and helps psychodynamic therapists work within their own framework. That makes sense to me because I lean that way, but what would a CBT therapist say about the very same client?

I think in terms of becoming a working therapist I've decided to do parallel work. To have notes that are more specific to my approach and others that use the medical model, trying not to have them be too far apart. We are trained to do formulations in many modes according to different approaches. I think flexibility is key. Being able to see things in multiple ways helps as long as it's not confusing. Taking in the whole person and the person's context is way better than just assigning a label. I agree with that. And a strength based approach to the treatment plan can be really helpful.