![story elements anchor chart middle school story elements anchor chart middle school](https://i.pinimg.com/originals/b3/4a/7e/b34a7e4ceb64303974ac0f61fafde76c.jpg)
![story elements anchor chart middle school story elements anchor chart middle school](https://i.pinimg.com/originals/98/4b/d9/984bd9a5ed34bda6af03097170e53fb9.jpg)
These factors all combine to cause the person to develop diabetes. The patient may have a strong family history of the disease, a sedentary job, environmental exposures, and/or a nutritionally-poor diet. For example, type II diabetes does not develop because of a single pathophysiological cause. Like most things in medicine, there are multifactorial causes of diseases, illnesses, and disorders. You are probably already formulating, but just don't know it. However, formulation tells us how the person became depressed as a result of their genetics, personality, psychological factors, biological factors, social circumstances ( childhood adverse events and social determinants of health), and their environment.
![story elements anchor chart middle school story elements anchor chart middle school](https://i.pinimg.com/originals/d2/dd/5b/d2dd5b1d997eb5ba82442a0702f055a9.jpg)
For example, we diagnose someone with a major depressive episode if they meet 5 of the 9 symptomatic criteria. Diagnosis is not the same as formulation! In mental health, when there is a group of consistent symptoms seen in a population, these symptoms can be categorized into a distinct entity, called a diagnosis (this is what the DSM-5 does).