Category: Psychological Treatment

For Whom is Brief Care Effective or Ineffective

If someone truly does need psychotherapy following injury, what are the current standards of care…and why? For most injured workers, emotional upheavals are transient and tied to pain, economic changes, relationship pressures and fears of the future. The current treatment paradigm enforced by managed care is short-term — a few sessions to relieve symptoms and …

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Treatment or Cure?

Is the goal in treating injury-exacerbated psychological problems to cure them? This would seem futile since many of these people have had, and will continue to have, problems for years and years. The best we can do for a pre-existing problem (eg. Anxiety disorder or Mood disorder) that has demonstrably been exacerbated by injury is …

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Who Should Be Treated?

Before the patient is treated: If formal psychological diagnostic exam reveals that a psychological disorder exists that has resulted from injury or been exacerbated by injury, then the following series of decisions must be made: a. Is the patient sufficiently motivated for change; interested in being treated? b. Is the patient intellectually capable of understanding …

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hypervigilance

Hypervigilance

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

Contradiction

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

Generalized

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