# Problem-, resources- and goals-oriented (PRoGO) approach in psychiatry: illustrated by the case of Ludwig II of Bavaria

## TL;DR

This paper introduces a new approach to psychiatry that focuses on individual problems, resources, and goals, using the case of Ludwig II of Bavaria to demonstrate its potential.

## Contribution

The PRoGO approach offers a personalized alternative to traditional categorical psychiatric classifications.

## Key findings

- The PRoGO approach allows for a more nuanced characterization of patients.
- It can guide personalized treatment planning by focusing on individual problems and resources.
- The case of Ludwig II illustrates the practical application of this method.

## Abstract

Mental health issues are dimensional in nature, yet both ICD-11 and DSM-5 are categorical classifications, leaving many patients not fitting into them. Using Bavaria’s “fairy-tale” king Ludwig II—whose diagnosis remains debated—as an example, we illustrate how the Problem-, Resources-, and Goal-Oriented (PRoGO) approach can lead to a better characterisation of patients and guide personalized treatment planning.