Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression


Contradiction “We read two of your consultation reports last month.  One said that the patient lost 20 pounds which was a symptom of depression.  The other said that a second patient was depressed because she gained 22 pounds in the past month.  We accept that the patient is depressed, but we do not see this …

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Generalized Anxiety Anxiety is a milder form of fear, and as you know, fear is an essential emotion that protects us from danger. Without fear, our risk taking behavior increases, would often end with catastrophic results. ‘Second to the fear of death, many individuals have a fear of public speaking. Indeed, the absence of that …

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Financial Advisor I have a patient who was injured >2 years ago. Despite three surgeries, she has not recovered sufficiently to work more than 3 hours per day. The financial losses are also significant. She has lost her home, her vehicles and more recently her marriage. She lives in a dangerous, unclean and depressing daily …

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Recovering or Retribution We are a retaliatory species, and if someone causes harm to us, or to someone about whom we care, we feel that we must respond in kind…or worse. Physical recovering does not appear to be sufficient. If it is a prosecutable criminal act, we want them jailed, fined or executed. If it …

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Rx abuse

Rx abuse: We largely rely upon subjective assessments of pain. “How much does it hurt on a 1 to 10 scale?” I have always been surprised that a patient will tell me that his pain is a 9 while calmly sitting there (and yes, affect is not the barometer of suffering but it is an …

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Nervous:  To determine if a patient has had past psychological problems, there is a simply and inoffensive way of asking …
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Motivators & Occupation Are there some occupations that encourage recovery? For example, if you are an electrician, are …
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Resentment:  The vast majority of patients that are referred to me “in pain and depressed” have notable anger. …
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