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Psy383 Health Psychology

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Case Study

Michelle who works as a dental assistant and Jeff, who is an elementary school teacher have been living together for 2 years when they decided to have a child. They are in their late 30s. After 1 year of trying, Michelle was still unable to conceive. She went to her doctor who referred her to a fertility doctor. After trying various methods first, the couple decided they would go ahead with In Vitro Fertilization. Happily, they conceived their child after the first implantation. They were so thrilled with the news. Michelle is the youngest of 3 girls however, she only speaks to her middle sister. Her parents are both deceased and her oldest sister has a history of being angry about issues that occurred when their parents were alive. Their mother was very selfish and always put herself before her children; for example, she would leave them for 2 months at overnight camp so she could enjoy her independence or could travel with her friends. Just before their untimely death (the father of diabetes and the mother of pancreatic cancer), their parents divorced and the children were forced to take sides. The two oldest siblings sided with their father whereas Michelle sided with her mother. The difficult relationships led to continued fighting after the parent’s death. Michelle and Jeff have relied on their close friends for support, their colleagues, and the friends they formed from a religious organization to which they belong. 
 
Through the use of ultrasound, Michelle and Jeff were aware that they were going to have a son however, the ultrasound also showed that their son had a major heart defect that would require surgery immediately following birth. After receiving this news, Michelle became very scared about everything she did, everything she ate, and everyone with whom she had contact. She spent long hours reading books about pregnancy and what foods are bad for the baby. She spent a lot of time cleaning the home with natural cleaners and washed her hands a lot. She told everyone who came into the house to wash their hands and would be upset unless they followed her demands. Michelle felt better when everyone complied with her requests. She sometimes argued with her husband when he wouldn’t follow her strict cleaning regimen or seemed insensitive. Michelle also found herself eating excessively to feel comfort during this time period. Consequently, she gained a significant amount of weight contrary to her goal of trying to make sure nothing more would go wrong with her growing fetus.

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