Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

"Interpreting Pain"

Injured workers have difficulty coping with their pain because they believe that it:
a. stops them from engaging in any pleasant or rewarding activities
b. makes them feel helpless to change the situation in which they find themselves
c. dictates their life until it is gone

The goals of treating the pain patient are to:
1. make certain that patients are aware of negative beliefs regarding their skills and abilities
2. help the patient manage pain by awareness of the thoughts and emotions that potentiate and maintain stress and physical symptoms
3. guide the patient toward productive thoughts, beliefs, expectations, and predictions to combat the negative expectations which they harbor
4. insure that the patient resets his/her goals:
a. establishes new ways to achieve targets,
b. manages difficult times, and
c. practices coping skills including regulating arousal levels despite fluctuations of pain

Patients must be taught how to challege counterproductive assumptions and beliefs about their pain; to learn more effective problem solving and, thereby, achieve confidence by mastering these new pain management skills.

The progression is as follows:
A. The patient is shown how their thoughts, emotions and behaviors directly impact their experience of pain
B. The patient is shown how their expectancies of increased pain arise from their own responses to the pain
C. The patient is taught effective problem solving methods; permitting them to analyze each situation and develop coping strategies plans for time of acute exacerbation of pain
D. The patient gains an understanding of how to cope with social and home situations in which they believe the pain to be an unmanageable encumbrance.

Comments for this post are closed.
prepared

Prepared

“Prepared” ….if I had paid attention…if he had known what he was doing…if I could do it all over…if only I had …
Read Blog Post

ability

Ability

Ability vs. Disability: While total disability means the injured or ill worker cannot work at all, PPD (permanent partial …
Read Blog Post

compassion

Compassion

The helping professions were, at one time, recruited from those who made the declaration that “I just like helping …
Read Blog Post