Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

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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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 …

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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 …

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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 …

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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 …

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pre-operative

Pre-Operative

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

Holidays

Holidays: “…would think that holidays would bring a reprieve from the suffering.” The common initial point of reference …
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naivete

Naivete

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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