Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Resistance to Recovery: Introduction

Resistance to Recovery: IntroductionDespite appropriate and timely care, there are patients who fail to recover. While this failure can, in many cases, be traced to patient noncompliance, there are more often exogenous factors which impede the course of recovery. These are neither simple nor benign factors which exceed the boundaries of cost-contained and effective treatment, …

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Anti-Depressants

Many back injured patients become depressed. Some would say that most become depressed. However, very few seek treatment for their depression. Even if they were depressed prior to injury, and, again, there are data to support that pre-existing depression increases the risk of injury, there is a responsibility for treating the exacerbation of the depression …

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The Exceptional Patient

Atypical Patient Needs Some would argue that the patient who wants to return to work is the exception. However, the true exception is the highly educated, managerial-executive patient who is unprepared for the nature of the workers-compensation system. Such individuals are not familiar with a health care system in which they have so little input, …

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The Enmeshed Family

Enmeshed Family Creation A distorted perception of the world, society, responsibility and goals can be created and maintained by a family. With injured or ill individuals, the enmeshed family can readily become a subculture which encourages the patient to perceive that he/she is incapable of any productive return to work. The family can encourage the …

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Precious Time Lost

Time Lost: The elimination of all physical causes for a complaint and only then considering the psychological causes is referred to as diagnosis-by-exclusion. We are taught diagnosis-by-inclusion, to examine psychological causation with the same vigor as physical diagnosis, but we rarely do so. If a patient has complaints that are not readily verified, there are …

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traumatic

Traumatic

Traumatic events: As an employer, do you want the employee back in the workforce before s/he has had ample time for treatment, …
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freedom

Freedom

Freedom: It is important to look at the patient’s history of medical compliance. One of the forms patients complete …
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family

Family

A psychological disorder by definition exists when there is an impairment in social and occupational functioning.  The individual …
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