Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Noncompliance Masking Domestic Violence

I have found that when an injured worker claims to have psychological problems as a result of physical injury, they often then are not compliant with a psychological referral. There are those patients for whom domestic violence may be the main issue. This violence can arise from substance abuse after injury and/or frustration in dealing …

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For Whom is Brief Care Effective or Ineffective

If someone truly does need psychotherapy following injury, what are the current standards of care…and why? For most injured workers, emotional upheavals are transient and tied to pain, economic changes, relationship pressures and fears of the future. The current treatment paradigm enforced by managed care is short-term — a few sessions to relieve symptoms and …

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Is Depression a Physical Result of Injury?

_If depression is caused by a chemical imbalance in the brain, then how can it possibly be tied to injury?” Depression, that occurs after injury, is not at all related to the injury. The depression may have existed for a considerable period and simply not been detected. Individuals with recurrent major depression have a series …

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Treatment or Cure?

Is the goal in treating injury-exacerbated psychological problems to cure them? This would seem futile since many of these people have had, and will continue to have, problems for years and years. The best we can do for a pre-existing problem (eg. Anxiety disorder or Mood disorder) that has demonstrably been exacerbated by injury is …

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broken

Broken

Broken –  Allow me to present a case example: A young adult male became disabled after he sustained a cervical injury …
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disobedience

Disobedience

“Disobedience” :  $290 billion is the estimated cost of medication to the US healthcare system each year. In …
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fantasy

Fantasy

Fantasy: psychological problems as an add-on at the end of a case in order to grow the claim. The complaints always occur …
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