Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Physical and Psychological

Tthere are two psychologically based pain disorders. “Pain Disorder Associated With Psychological Factors” is diagnosed when psychological factors play a major role and medical condition plays minimal or no role. “Pain Disorder Associated With BOTH Psychological Factors and a General Medical Condition” is quite often diagnosed in work-related injuries in which psychological factors impact the …

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Diffuse Complaints

A patient complains of a range of physical complaints that do not logically follow from her injury. She injured her knee and hip, but she has chest, abdominal, arm, neck, head and urinary complaints. Every few weeks more complaints emerge. She may not be malingering. There are a range of somatoform disorders in which the …

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Handling the Truth

It is often uncertain as to how many back injured patients understand or are capable of understanding their complaints. They actually seem offended by their diagnostic information and distrustful that it is even accurate.” Dr. Adams: At the request of an orthopedic surgeon, I recently saw a patient who had two prior, unsuccessful back surgeries. …

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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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The Avoidant Personality

A middle aged woman who was working in production developed carpal tunnel syndrome from repetitive movements in her job. …
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Thoughtless

Thoughtless, cognition and pain There is a growing body of research on the negative impact of pain upon cognition. cognition …
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depression detection

Depression Detection

When you realize that major depressive disorder is often missed during the course of routine health care, there needs to …
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