Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

The causes of procrastination

Procrastination Procrastination is a behavior involving the delaying of actions to a later time. Procrastination is a way of coping with anxiety that is associated with starting or completing any task/decision. Researchers also have three criteria they use to categorize procrastination. To be “procrastination,” it must be counterproductive, needless, and delaying. Importantly, while people procrastinate …

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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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broken

Broken

Broken –  Allow me to present a case example: A young adult male became disabled after he sustained a cervical injury …
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disobedience

Disobedience

“Disobedience” :  $290 billion is the estimated cost of medication to the US healthcare system each year. In …
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fantasy

Fantasy

Fantasy: psychological problems as an add-on at the end of a case in order to grow the claim. The complaints always occur …
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