Cop Case Study Essay

Case Formulation: (Four Ps) There are a number of factors that increased Sophie’s risk of developing depression, anxiety, addiction and becoming socially isolated, such as her possible avoidant attachment style with her parents, her subsequent use of avoidance as her main coping strategy and her chronic pain. Sophie’s early childhood has indications of attachment issues with her parents, due to parental stress, absence and communication and problem solving issues, likely resulting in an insecure/avoidant attachment style (Worden, 2009). This could have been reinforced by her brother’s teasing, forced sexual experience and later abusive relationship, where she received little support. Further to this, early exposure to parental conflict with
drinking and lack of communication), may have resulted in Sophie not learning adaptive ways of coping, resulting in her using alcohol, procrastination and experiential avoidance (EA) to cope with stress. The family trait of, “carrying on without complaint,” also may have contributed to her not being able to effectively process her possibly traumatic first sexual experience and abusive relationship. Added to this is Sophie’s history of chronic pain which commonly co-occurs with psychological illnesses such as depression, anxiety, other issues such as interpersonal issues and substance dependence (Veehof, Oskam, Schreurs, & Bohlmeijer, 2011), and can have serious implications for sufferers, including reduced quality of life, lower general health and financial loss due to a reduced capacity to work (Hann & Mccracken, 2014). Her recent diagnosis of psoriatic arthritis, a degenerative disease with no cure, has left her feeling at a loss as to how to move forward in life, leading to suicidal ideation (SI), which concerned her boyfriend and he