Category: Patient Behavior

Freedom

Freedom: It is important to look at the patient’s history of medical compliance. One of the forms patients complete in my office relates to their medical and dental health care maintenance. How often and how recently have they seen a dentist? Do they have annual physical exams? Is there a family history of diabetes, hypertension, heart disease, …

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Shipwreck

“A shipwreck…she has everything wrong with her…no one documents that this is a major factor in her recovery from injury.” “There are two significant problems as I see it, and they relate to far too many patients, including ourselves: 1. Years ago, if you did not have health insurance, you paid out of pocket. Many …

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Partial Malingering

A patient can have a valid disorder yet still be malingering (falsifying complaints for purposes of tangible gain). Malingering is not a clinical disorder and it is not a fixed point on a scale.  Partial malingering is under voluntary control. Many in the legal and healthcare arenas believe a person either is, or is not, …

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Quitting

“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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Delusions

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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traumatic

Traumatic

Traumatic events: As an employer, do you want the employee back in the workforce before s/he has had ample time for treatment, …
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freedom

Freedom

Freedom: It is important to look at the patient’s history of medical compliance. One of the forms patients complete …
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family

Family

A psychological disorder by definition exists when there is an impairment in social and occupational functioning.  The individual …
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