Category: Depressive Disorders

Contradiction

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 …

Read more

Onset

Sleep Onset and Sleep Maintenance We do know that psychological disorders are comorbid (occur together) with sleep disorders. There is debate as to whether the lack of sleep causes (for example) depression or if, instead, depression creates a brain/behavior pattern that disrupts sleep. In either case, an individual in pain will have difficulty with sleep …

Read more

Awareness

Awareness: A patient states that s/he has problems concentrating, making decisions, deriving any pleasure from life, has sleep and eating changes and is irritable and forgetful, you suspect that the patient is depressed. If inquiry stops there, then this depressive disorder is assumed to arise from the work-related injury and its aftermath. It is outside …

Read more

Major Depressive Disorder – Revisited

Depressive Disorders There is considerable misunderstanding about Major Depressive Disorder, including the degree of impairment that arises, whether it constitutes a disability, and whether it is more severe than other mood (or even adjustment) disorders. The key point is the interpretation of the word “Major” by non-clinicians. Arguably the term was not well chosen. Patients …

Read more

Depressed Patients

Here are some facts that relate to all individuals, followed by some that are specific to injured workers. One in 11 teens develop depression. The illness is twice as common in women (but that may be solely due to women being more likely to seek care). While depression can develop at any age, it is …

Read more

hypervigilance

Hypervigilance

Hypervigilance is a symptom. Vigilance is the ability to stay focused upon a task and/or concept for an extended period of …
Read Blog Post

contradiction

Contradiction

Contradiction “We read two of your consultation reports last month.  One said that the patient lost 20 pounds which was …
Read Blog Post

generalized

Generalized

Generalized Anxiety Anxiety is a milder form of fear, and as you know, fear is an essential emotion that protects us from …
Read Blog Post