Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Anti-Depressants

Many back injured patients become depressed. Some would say that most become depressed. However, very few seek treatment for their depression. Even if they were depressed prior to injury, and, again, there are data to support that pre-existing depression increases the risk of injury, there is a responsibility for treating the exacerbation of the depression …

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The Exceptional Patient

Atypical Patient Needs Some would argue that the patient who wants to return to work is the exception. However, the true exception is the highly educated, managerial-executive patient who is unprepared for the nature of the workers-compensation system. Such individuals are not familiar with a health care system in which they have so little input, …

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The Enmeshed Family

Enmeshed Family Creation A distorted perception of the world, society, responsibility and goals can be created and maintained by a family. With injured or ill individuals, the enmeshed family can readily become a subculture which encourages the patient to perceive that he/she is incapable of any productive return to work. The family can encourage the …

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Precious Time Lost

Time Lost: The elimination of all physical causes for a complaint and only then considering the psychological causes is referred to as diagnosis-by-exclusion. We are taught diagnosis-by-inclusion, to examine psychological causation with the same vigor as physical diagnosis, but we rarely do so. If a patient has complaints that are not readily verified, there are …

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Self Medication

It is extremely important to determine to what degree a patient’s self medication and complicates his/her own recovery process In the acute (short term) treatment of pain, aggressive pain management can prevent the patient from developing fear and hopelessness regarding the future and his/her capacity to deal with painful residuals. However, many patients will attempt …

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needful

Needful

Being needful and being dependent are not the same thing. After meeting the basic needs of life, the next concern is whether …
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medication

Medication

Medication: ”A competent and ethical prescriber must consider two factors at the same time: am I providing pain relief, …
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response

Response

”The common response when first meeting someone is “and what do you do?”  Although the temptation is to reply “well, …
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