Category: Psychological Treatment

Treatment Resistance

The concern is “treatment resistance” mental disorder. In the scientific literature, there has been a 25 fold increase in the number of articles addressing treatment resistance. Treatment resistance is the failure to return to baseline and achieve a 50% reduction in symptoms even though effective dosage and sufficient duration of treatment has occurred. We have …

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Termination of Care

“Termination of Care“ Under workers’ compensation, care is terminated for reasons that markedly differ from terminating a private patient. To some extent, this is similar to termination in orthopedic or neurological care. However, there are some significant differences which point to the flaws in the workers’ compensation system. Referral for psychological care has always been …

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Psychological Care: Why and How

Differences in Care “The treatment of injured workers is quite a departure from traditional psychological care. In a psychological practice, patient’s are self-referred, referred by family or friends, referred by their insurance carrier or referred other professionals. The patients seek care for phobias, mood disorders, addictions, problems with intimacy and a range of conflicts and …

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Pills and Pill Popping

Pills and Prescribing “As a Western Society, we have evolved a preference, if not demand for, “a pill for all ills.” The only requirement that patients find. acceptable is that they have to take their medication on a schedule. I had a Russian grandfather who spoke little English, but he certainly knew what was required. …

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Grievous Error in Psychotherapy

There is a growing body of research that psychological care (Eg. cognitive behavioral psychotherapy) may not be effective with some patients. It tends to exacerbate symptoms in some populations. The generic term counseling‚Äù refers to listening to someone, exchanging opinions and ideas, providing consultation and guidance. The term applies any time you believe that an …

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burn

Burn: I had a patient who was barely 21 at the time of his injury. He was shy, poorly educated and had never dated. He had …
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hateful

Hateful

Hateful patients: It has always been irrational to be forced to treat a patient who is either physically threatening or emotionally …
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divorce

Divorce

Divorce:  While the source of post-injury disharmony is most often financial, there are more insidious problems that arise …
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