Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Who Will Not Return to Work?

Return to Work As well as extent of energy, there are other factors that decrease the probability of return to work: a. Does the individual have a role-modeling adult authority in their past who has lived on disability benefits? b. Has the patient truly a career path or simply worked for sheer financial survival? c. …

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Who Should Be Treated?

Before the patient is treated: If formal psychological diagnostic exam reveals that a psychological disorder exists that has resulted from injury or been exacerbated by injury, then the following series of decisions must be made: a. Is the patient sufficiently motivated for change; interested in being treated? b. Is the patient intellectually capable of understanding …

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Recovery

The Process For many patients, the question can be stated: “If I cannot get a whole lot better…and I really do not know what to do with my life…what possible advantage is there in seeing or presenting myself as maximally medically improved.” And for some of these patients, they may be quite correct. After all, with the …

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Perpetuating Dependency

Patient Dependency THE FAMILY: The family should facilitate recovery, but my experience has been that most often it facilitates disability. Quite often, the family: a. increases the patient’s expression of dependency, b. encourages the patient to take greater amounts of medication so that the family will have to listen to less complaints, c. reinforces the …

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unmedicated

unmedicated

Unmedicated: In the last half of the 20th century, the resistance to directly addressing psychological problems actually …
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exit

Exit

Exit: Life after injury is not ideal, but it is often much like a paid vacation. The 1944 French novel “Huis Clos” …
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relatedness

Relatedness

Relatedness to injury: There are far too many times that when treating an injured worker, I come upon serious health problems …
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