Case Formulation

Predisposing Personal (Biological) Factors: Genetic vulnerability, Contextual Factors:

Factors postnatal complications, physical health
(Personal and Personal (Psychological) Factors: average intellectual
contextual Factors) capacity, Difficult temperament, external Locus of
control
Precipitating Puberty and internalization of remarks on physique, perpetuated by factors like physical illness (Celiac
Factors disease), affective instability, poor relationships and lack of treatment. Insecure attachment style. Lack of
friends. Bullying. Undiagnosed & untreated
Perpetuating Personal (Biological) maintaining factors:
Factors (Personal Dysregulation of the physiological system (Irregular
and contextual Menstrual cycle), Comorbidity of Celiac disease and
Factors) eating disorder and celiac disease both having
bidirectional relationship, personality difficulties.
Personal (Psychological) maintaining factors: Negative
cognitive distortions (mental filters, black and white
thinking), Dysfunctional coping strategies (anger
outbursts, emotional dysregulation), Unhealthy
coping mechanism
Protecting Factors Personal (Psychological) protective factors: Age
(Personal and optimistic attributional style, education, motivation to
contextual Factors) deal with her problems. Elder sister (medical
education). Insight
Parent-child factors in early life: permissive
(Father) and Authoritarian (Mother) Parenting
styles, Inconsistent
Exposure to Family Problems in EL: Parental
discipline, Parental Psychiatric problems and
emotional disturbances, Joint Family system
Stressors in EL: social disadvantages
Family system Factors: Overinvolved
interaction (High expressed emotions),
neglectful parenting, marital discord,
domestic violence
Parental Factors: Father’s psychiatric illness
and external locus of control, Mother poor
mental health, Celiac disease
Social Network Problem: educational
performance pressures
Treatment system Factors: Identification of
the problem, Family accepts there is a
problem, Father Improved with and
concerned about her treatment, engaged in
treatment plan. Good compliance
Parental Factors: Engaged in treatment plan