This paper examines stress and coping from the perspective of psychological injury, which concerns injuries attributed to an event at claim. The paper explores current conceptualizations of stress and coping and includes discussion of resilience. In particular, the paper focuses on biopsychosocial approaches, given their relevance to the area of psychological in jury and law. The paper presents a model of coping that integrates biopsychosocial and forensic aspects. As part of the model, the author develops the concept of forensic appraisals, which are particular to the area of psychological injury and law. The paper discusses implications for practice and assessment.