Category: Psychological Treatment

unmedicated

Unmedicated: In the last half of the 20th century, the resistance to directly addressing psychological problems actually increased. We had a ready stream of medications that blamed and treated the brain for our various incapacities to deal with our lives. Some euphemistically referred to this as the Prozac Generation. Individuals, as a first response to …

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Commitment

Commitment: “The most common reason for being referred for psychotherapy is to help resolve a conflict. This may be a family, occupational or social problem. We all have these, but when they rise to the level of interfering with daily functioning, they are referred to as a “disorder” and warrant care. Under workers’ compensation, the most …

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Probability

Probability: “When we do research, we run experiments to determine if what we do makes a difference. It not only must make a difference, but that difference must be statistically significant because some differences could merely occur by chance. For example if you flip a coin 20 times, you should get close to one-half heads …

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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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satisfaction

Satisfaction

Satisfaction for patient and provider: A survey in 2013 reported that: “An alarming 70% of those surveyed in a recent …
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checkers

Checkers

Checkers vs. Chess: “It may be difficult to trace the origins of healthcare becoming a competitive sport where doctors …
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partial

Partial Malingering

A patient can have a valid disorder yet still be malingering (falsifying complaints for purposes of tangible gain). Malingering …
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