Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Adversity

Adversity:  ”A study links family problems and other early life adversity to variation in brain structure in late adolescence and an increased risk for depression and anxiety among boys.“  When we have an injured worker who has become depressed, we need to know how much of this is an expected consequence for that individual.  Not …

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Surveilled

Being surveilled: ”We run quite a diagnostic risk when we take molecular examples of behavior and postulate that we have a significant finding. To wit, we have found the patient engaging in activities which we are certain demonstrates that they are not, in fact, that severely injured.  Someone is at the mall, and, therefore, s/he …

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Consequences

Consequences: Attempting to keep all as events separate and distinct, in a complex life, is sometimes arbitrary. Do you want a divorce because of abuse or infidelity or compulsive gambling or drug use or his refusal to work?  The answer can be “yes.” I was asked recently if the patient were depressed or was it the …

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Opiate

Opiate: In a complex fashion, should a patient decide to take a “drug holiday” and determine if s/he can function without or with less medication, then a mandated drug screen could “suggest” that the drug is being diverted (sold or given away). I had a patient on oxycontin, young man in severe pain.  He was …

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Dependent

We enter life entirely dependent aside from vegetative functions. We cannot exist on our own, and this characterizes most living species. We oft-times terminate our existence by returning to that same position, reliant upon others for the same functions that we had learned to perform independently so many decades ago.  It is the curvilinear shape …

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Uninformed Consent – Revisited

Informed consent is a legal term in which a patient is said to have given consent based upon a clear appreciation and understanding …
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Character Pathology

There tends to be less psychological disorder in recent immigrants to our country. They often come from poverty or are fleeing …
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The Work History

Many workers terminated their education in order to have access to more money than adolescence usually provides. They then …
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