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This article will discuss the use of formulating with staff teams that work with people with dementia who are behaving in ways perceived as challenging. I developed an interest in formulation meetings whilst on placement in an older adult service in Nottinghamshire as part of my doctoral training. Here, I will offer thoughts on the use of systemic theory in formulation meetings in dementia services, whilst comparing this to the main approach used in the area, cognitive behavioural therapy (CBT).

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