Sara is a 25-year-old college graduate from a moderate SES family. Even though Sara was an active athlete in high school, she could never shed the extra pounds that clung to her upper body. She was an above average student in high school and college and she was always surrounded by friends, but had only one boyfriend for a short time in high school. Sara’s friends and family thought her a bright, intelligent, attractive young lady with a great sense of humor and enjoyed being around her. Sara, on the other hand, constantly compared herself to her older sister; a straight-A student, athlete, who was thin and blonde, and never had a shortage of dates. Upon graduation from college, Sara joined the Peace Corps. Because she had visited Africa on several trips during high school and college, learned some of the language, and interviewed well during the recruiting process, Sara was assigned to a two year post in Ethiopia, one of the more difficult assignments. She was in a remote location and as it was difficult to meet up with other Peace Corps volunteers, she felt very isolated at times. During her first year she sent weekly emails to friends and family back home sharing the experiences, trials, tribulations, and triumphs of her job. Two months into her second year, the emails ceased, and six months into her second year she was sent back to the United States, as the Peace Corps officials thought she was suffering from a severe case of depression. After two months of tests, it was determined that she had Cushing’s disease, due to a tumor on her pituitary gland. This tumor affected Sara’s cortisol and ACTH levels. PSY 4620, Health Psychology 3 Sara underwent brain surgery and a tumor was removed. At first, recovery looked good, but her symptoms of additional weight gain (40 pounds) and water retention concerned the doctors and it has been determined (three months later) that Sara must undergo another surgery as the entire tumor may not have been removed. Sara and her family have been through a roller coaster ride, but Sara has remained optimistic and has resumed her weekly emails to friends and family keeping them informed of her situation and asking for their continued support. As a psychologist working with Sara, you have asked her if you can use her situation as an example during a stress conference you must attend. You need to write up a discussion of how stress may have affected Sara’s condition including the following items: 1. Research Cushing’s disease, and discuss how this disease is related to the topic of stress. 2. Use at least one stress theory mentioned in the textbook or additional scholarly source to support your discussion. 3. Based on the situation, discuss the stress moderators experienced and the impact they may play on this case. 4. Based on what you know about Sara, discuss how her personality, your perception of her resilience, and her other coping mechanisms have influenced her health situation. 5. What coping interventions would you suggest to Sara as she comes through her second surgery and must wait a couple of months to determine the success of the surgery. Explain why you would suggest these interventions. Use Word to write up your discussion, which should be a minimum of 1,000 words. The paper should be in APA forand references should be cited correctl. number 2 assignment Unit IV Research Paper Stage 3 Once your case study has been written, you will want to include information regarding stress, and the effects of stress on your patient in your case study. This section of your case study should include the stress moderators that affect your patient, the coping mechanisms that influence your patients handling of stress, and the stress management techniques you recommend as the patient’s counselor. This section of your case study should be a minimum of 500 words and should be turned in by the end of Unit IV. This assignment should be separate from your original case study, so include the health issue you are addressing at the top of the page. Use Word to write your assignment, using APA format and citing referenin a timely fashion so that you can receive feedback from your professor and make revisions as necessaryces correctly. As a reminder, it is important that you turn in all of your research assignment projects
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