Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Foreign Speaking Patients

Alcohol is referred to as _an addiction of choice,_ in that it is a behavior chosen by an injured worker or disabled individual. It does not naturally and unavoidable arise from injury, pain, etc.

Addictions, including alcohol, are considered to be *primary diagnoses* in that whatever else is going on, the main problem is considered the alcohol abuse, and it must be addressed first.

Alcohol is, indeed, a CNS depressant, and unquestionably many depressed individuals consume excess alcohol, but it is incorrect to believe that injury gives rise to alcohol abuse or that such abuse is the cause of clinical depression.

Therefore, if you should suspect alcohol abuse (or be warned that it is occurring), it is important to direct the family to care within their financial means and involvement of their family member in A.A. and family in Alanon.

Alcoholism can be reported following injury, but it is not the province of injury related care.

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