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Case Study Analysis- Helen

By - Shreya Rajesh
Q1) Identify the Predisposing, Precipitating and Perpetuating factors in
the above-mentioned case for Helen.
Predisposing Factor – Even though much information about Helen’s childhood is not
given here, her relationship with her brother and lack of communication with her family
members could be a predisposing factor that has been consistent since early childhood.

Precipitating Factor - Anxiety about the upcoming university exams: Helen's anxiety
about attending lectures, studying, and sitting for exams was triggered by the upcoming
exams. Her anxiety was further exacerbated by her family's pressure to continue her studies
and their interference with her lecturers.

Perpetuating Factor - Helen holds dysfunctional beliefs about herself and the world,
such as "I am nothing unless I have a degree" and "I always have to please my family." As a
result of these thought patterns, negative emotions are reinforced, unhelpful behaviours are
maintained, and therapy or treatment is hampered.
Cognitive distortions: Helen engages in stimulus generalisation as she perceives anything
associated with the University as dangerous. As a result of catastrophising, she imagines
extremely negative outcomes and practices selective abstraction, ignoring her assets while
focusing on negative aspects. In addition to sustaining her anxiety, these cognitive distortions
hinder her ability to see her strengths, making recovery more difficult.

Q2) What change would you suggest on the family dynamic to ensure
better mental health for Helen?
Support and communication: Encourage open and healthy communication in the family. It
is possible to foster better understanding and support for Helen by creating an environment
where she feels safe to express her thoughts, feelings, and concerns without judgement.
Emotional Validation: Validate Helen's emotional experiences without dismissing or
criticising them.
Realistic Expectations - Encourage Helen to set realistic academic and career goals by
encouraging a realistic approach. Don't pressure her to comply with others' expectations but
rather to pursue her own interests and passions.
Independent decision-making - Ensure Helen's autonomy and independence in decision-
making by recognising her needs and interests. Educate her about the options available to her
and help her make choices in accordance with her aspirations and values.

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