Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Is Major Depression More Disabling?

Dysthymic Disorder can only be diagnosed after an injured employee has been depressed for ~2 years. Major Depression is more frequently diagnosed after injury than this Dysthymic Disorder. Which is worse? Dysthymic (pronounced: diss-thy-mick) Disorder consists of waxing and waning depressive symptoms spanning a two year period. If a person has a situational depression as …

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Psychology & Disabling Headaches

I have had injured workers who complain of severe headaches and say they cannot work. Often these individuals have had no head injury. The neurologists seem to feel the headaches are disabling. There is an article in the journal Headache with a lengthy discuss of depression and anxiety as being among the psychological symptoms that …

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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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pre-operative anxiety” : Becoming anxious prior to surgery is a universal reaction in which the doubts and fears of the …
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Holidays: “…would think that holidays would bring a reprieve from the suffering.” The common initial point of reference …
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Naivete: He refuses MRI and CT scan saying that he would prefer not to know. A patient was referred to me who had completed …
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