Reference

Guide | Reference

116  Matching Interventions to Domain Patterns

Optional reference material; not required for routine use.

Purpose. Provide high-level matching logic without becoming a treatment manual. Emphasize leverage points rather than specific modalities.

116.1 Matching Logic (non-prescriptive)

• Threat-dominant patterns → prioritize safety, exposure tolerance, and arousal regulation.
• Mood/drive dysregulation → prioritize activation, routine, and stabilization of sleep.
• Trauma-dominant patterns → emphasize safety, pacing, and grounding.
• Compulsivity/perseveration → emphasize response interruption and flexibility.
• Psychosis/reality testing → prioritize safety, stabilization, and support structures.
• Cognitive control/executive → emphasize structure, scaffolding, and environmental supports.
• Somatic/interoceptive → emphasize symptom tracking and uncertainty tolerance.

ImportantGuardrails

• If rule-out workup is incomplete.
• If risk tier is high and safety is not stabilized.

Documentation Output. Domain pattern named and leverage points noted.”Non-prescriptive” label included when referencing intervention alignment.