> ## Documentation Index
> Fetch the complete documentation index at: https://docs.getrivet.ca/llms.txt
> Use this file to discover all available pages before exploring further.

# Formulation presets — 2 worksheets

> 5 Ps formulation and cross-section formulation. Case-conceptualization grids you can build with the client.

Two case-conceptualization grids that organize what you know about a client
into a structure you can both look at together. Useful in intake, in
re-formulation moments, and in supervision.

## 5 Ps formulation

Five stacked rows, each one a row of clinical inquiry:

* **Presenting** — what brought them in
* **Predisposing** — vulnerabilities and early experiences
* **Precipitating** — what triggered the current episode
* **Perpetuating** — what's keeping it going
* **Protective** — strengths, supports, resilience

Color-coded so the rows separate visually — Presenting in indigo,
Predisposing in blue, Precipitating in amber, Perpetuating in red,
Protective in green.

**Use it for:** intake-stage case formulation, especially when you're
trying to give the client a coherent narrative of how they got here.
The 5 Ps grid is the standard most clinical psychology training maps
to; clients often respond well to seeing their experience laid out as
a structure rather than as a list of problems.

The Protective row in green at the bottom is deliberate — ending on
strengths reframes the formulation from a problem list to a working
hypothesis.

**Drop it during intake or any re-formulation moment** — when a new
event has changed the picture, or when the original formulation isn't
explaining what's happening anymore.

## Cross-section formulation

A cognitive case-formulation in cross-section: a central **Situation**
across the top, with a downward arrow into a 2×2 grid of:

* **Thoughts** (blue)
* **Feelings** (red)
* **Body** (amber)
* **Behaviors** (green)

This is the same Beck cognitive-formulation shape used in standard CBT
training, but laid out as a snapshot of a specific situation rather than
a generic model.

**Use it for:** a specific incident the client is bringing in — they
describe a panic attack, an argument, a moment of overwhelm — and you
work through the four domains to map what was happening at every level
during that moment.

**Differs from the hot cross bun** ([CBT presets](/whiteboard/presets-cbt))
in that the hot cross bun emphasizes bidirectional influence between
nodes; the cross-section emphasizes that the situation produces all four
responses simultaneously. The hot cross bun is for ongoing maintenance
cycles; the cross-section is for a specific incident.

## Related articles

<CardGroup cols={3}>
  <Card title="Presets overview" icon="folder-tree" href="/whiteboard/presets-overview">
    All 29 worksheets.
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  <Card title="CBT presets" icon="brain" href="/whiteboard/presets-cbt">
    Hot cross bun and cognitive triangle.
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  <Card title="Trauma + somatic" icon="waveform" href="/whiteboard/presets-trauma">
    Polyvagal ladder and window of tolerance.
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</CardGroup>
