Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

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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Clinical versus Administrative Decisions

Clinical Decisions: There are injured workers who appear to languish in care moving from orthopedic care to pain management to psychological care with no end in sight. The concern is whether we are serving these patients when we tie these significant problems to an injury. The problem can arrise when the clinical problem has been …

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U.S. Demographics

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 and only 20% maintain the traditional breadwinner/homemaker roles. Fifty-three percent of couples have no children. The …

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Belligerence

Patients can become frustrated with their symptoms or delays in their care. They can become irritable. They can become aggrieved. Such patients most often calm rapidly when reassured, their needs are understood and attempts are made to meet those needs. Belligerent patients, however, cannot be soothed. Just when you think that you have made headway, …

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Sexual Abuse

Impact of Trauma At the combined annual meeting of the Pediatric Academic Societies and the American Academy of Pediatrics Adolescents, it was reported that patients who say they were sexually abused are more likely to drink, smoke, use illegal drugs, exhibit eating disorders or report that they have contemplated suicide. As a risk factor for …

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Unique Differences in Workers’ Compensation

The nature of health care provided is likely not significantly different between private pay patients and workers’ …
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adversity

Adversity

Adversity:  ”A study links family problems and other early life adversity to variation in brain structure in late adolescence …
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Narcissistic Insult

Narcissistic Insult

The Narcissistic Insult Concept Narcissism is excessive self-involvement. The patient sees him/herself as being possessed …
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