Category: Symptoms

A Night in the Life

It is contrast to see once productive individuals suddenly spend days in nonproductive pursuits, becoming increasingly deconditioned, and doing little to mobilize. However, there are factors that must be considered, perhaps one of the most significant of which is lack of sleep. You would think with all the _available_ time that they would get too …

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Pain and Sleep Architecture

This Week’s Topic: There is actually a four way relationship between sleep and pain: a. As you know pain can disrupt sleep onset, duration and architecture (structure of the sleep) b. Narcotic pain medication can change sleep architecture such that sleep is not restful/restorative. c. One of the cardinal signs of depression is a change …

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Men with PTSD?

Among injured workers, is PTSD more common in males? Being exposed to a traumatic event can have serious psychological consequences for anyone, but women have a greater risk of developing post-traumatic stress disorder (PTSD) after an assault than men do. They have about the same risk as men when it came to coping with a …

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Sexuality After Injury

At one level, sexual dysfunction following injury, can be a simple problem, but globally it is actually quite complex. In training, they referred to this as _multiple co-existing factors_ so let_s look at a few of the factors to consider: 1. Depressed individuals have decreased libido (sexual drive), and the patient may be referring more …

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Diffuse Complaints

A patient complains of a range of physical complaints that do not logically follow from her injury. She injured her knee and hip, but she has chest, abdominal, arm, neck, head and urinary complaints. Every few weeks more complaints emerge. She may not be malingering. There are a range of somatoform disorders in which the …

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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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