Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Time Loss

Time Loss It is extremely important to determine to what degree a patient is self-medicating and complicating his/her own recovery process. Time loss impacts the capacity for future goal setting. In the acute (short term) treatment of pain, aggressive pain management can prevent the patient from developing fear and hopelessness regarding the future. However, many …

Read more

Self Medicating

Diagnosis-by-Exclusion_ and why it would be such a concern?_ If a patient has complaints that are not readily verified, there are three choices: a. Assume the patient is malingering b. Assume other factors are forcing the patient to somatize (emphasize minor physical complaints/sensations) c. Assume that more or repeated diagnostic studies should be ordered The …

Read more

Resistance to Recovery: Expectancy of Treatment Outcome

Along with diagnosis and treatment is the central issue of prognosis for outcome. The patient seeks to know not only the timeframe but the degree of recovery anticipated. The news media has increasingly addressed dramatic organ transplantation and cosmetic surgical procedures. While the education provided by the media is often intended to be cutting edge …

Read more

Resistance to Recovery: Secondary Gain Concerns

Secondary Gain Concerns Perhaps too little concern has been directed toward those instances in which the attention, affection, nurturance and support received by a patient has effectively potentiated their seeking a disability role. Unquestionably for some patients the gains inherent in the patient role are palpable. There is income for work no longer produced. There …

Read more

Resistance to Recovery: Education

Educational Foundation for Understanding the Physical Diagnosis Patient education procedures vary according to age and academic background. The process of educating the patient is also impacted by the academic training, philosophies and standards of the clinicians involved in treatment. The patient may be provided with clinical nosology regarding the disease or condition without clarification sufficient …

Read more

hypervigilance

Hypervigilance

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

contradiction

Contradiction

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

generalized

Generalized

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