Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Free-Floating Fear

Anxiety is a fear that has become diffuse. It is normal to become concerned after an injury, concerned about the discomfort, about one’s career, about finances and about the family. In some cases, the anxiety becomes more of a problem than the injury. The individual becomes so anxious that they cannot understand what they are …

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Physical and Psychological

Tthere are two psychologically based pain disorders. “Pain Disorder Associated With Psychological Factors” is diagnosed when psychological factors play a major role and medical condition plays minimal or no role. “Pain Disorder Associated With BOTH Psychological Factors and a General Medical Condition” is quite often diagnosed in work-related injuries in which psychological factors impact the …

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Diffuse Complaints

A patient complains of a range of physical complaints that do not logically follow from her injury. She injured her knee and hip, but she has chest, abdominal, arm, neck, head and urinary complaints. Every few weeks more complaints emerge. She may not be malingering. There are a range of somatoform disorders in which the …

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Handling the Truth

It is often uncertain as to how many back injured patients understand or are capable of understanding their complaints. They actually seem offended by their diagnostic information and distrustful that it is even accurate.” Dr. Adams: At the request of an orthopedic surgeon, I recently saw a patient who had two prior, unsuccessful back surgeries. …

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America Today

Many of my patients are divorced and many have, or have had, sexual problems or conflicts. In 1997, there were 2.3 million marriages. Sixty percent of Americans were married at that time, 23% had never married, 9% were divorced, and 7% were widowed. Fifteen percent of Americans are single parents, 45% rely upon dual income …

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hypervigilance

Hypervigilance

Hypervigilance is a symptom. Vigilance is the ability to stay focused upon a task and/or concept for an extended period of …
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contradiction

Contradiction

Contradiction “We read two of your consultation reports last month.  One said that the patient lost 20 pounds which was …
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generalized

Generalized

Generalized Anxiety Anxiety is a milder form of fear, and as you know, fear is an essential emotion that protects us from …
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