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Individuals who are exposed to childhood sexual abuse and have low social support are at an increased risk of developing a mental health condition (Beitchman, Zucker, Hood, DaCosta, Akman, & Cassavia, 1992). Nevertheless, there is evidence to suggest that positive coping styles (i.e. seeking advice from a friend, exercise) have the potential to mitigate psychopathology even in the presence of adverse conditions (Lovallo, 2016). The specific link, however, between the nexus of childhood sexual abuse and social support and the ameliorative effects of positive coping strategies has not been examined. To investigate this relationship, data are used from the National Longitudinal Study of Adolescent to Adult Health (Add Health). Specifically, the relationships between childhood sexual abuse, social support, and coping styles on later mental health are examined. Policy implications and directions for future research are discussed.