Category: Patient Behavior


“The Psychology of Quitting” Follow the natural progression of any injury, occupational or home: Pain equates to initial shock and disbelief, rapidly followed by self-assurance derived from the reassurance of others that we will be fine in time. When the pain becomes more than a simple “sprain” and recovery will take days or weeks, we …

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The shared delusions: When doing a history and physical, a rudimentary “psych” history is obtained. This is intended to rule out blatant and obvious psychopathology. It tells us very little about the patient. Indeed, our focus is limited to the patient’s chief chief complaint. As an injured worker passes through the paths of occupational medicine …

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Patient Candidacy

Candidacy: A patient may be depressed, phobic, have a traumatic disorder, illness anxiety disorder or a host of other mental or emotional problems. This does not mean that psychological care can help all patients even though they have the same disorder. There are matters of motivation, capacity to verbalize complaints, ability to develop intellectual insight …

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Surveillance as a Disincentive to Recovery “…he’s supposed to be disabled and here he was working in his yard, going for walks and playing ball with his kids…” Dr. Adams replies: Many believe that an injured worker, if truly disabled, cannot work and will not attempt any activity. On the other hand, if any patient …

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“Compromised Honesty“

Honesty and Integrity Patients in any specialty are selective in their history. Patients withhold information for a variety of reasons, but regardless of the reason, patients are rarely full disclosive.  Honesty and integrity become issues of concern. I recall seeing a couple for their pre-marital problems. The problem: He wanted to marry, and she did …

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Feeling Their Pain

Feeling the misery of others is a dubious task. Many patients feel that none of their friends, family or prior co-workers appreciate the extent …
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Sleep Onset and Sleep Maintenance We do know that psychological disorders are comorbid (occur together) with sleep disorders. …
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The Mill

The Mill: I had a patient with a persistent headache and dizziness. He told his friend, a gastroenterologist, about the symptoms. …
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