Category: The Psychodiagnostic Process

Relatedness

Relatedness to injury: There are far too many times that when treating an injured worker, I come upon serious health problems that are being ignored. The most obvious are obesity, hypertension and diabetes. Due to a variety of factors including health habits, lack of family concern and financial limitations, early signs of disease are not …

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Following

Following a psychological report can be laborious. Logically, diagnostic reports should begin with conclusions and recommendations followed by all the data that supports those findings. However, clinicians write reports for review by other clinicians. And they most often follow a specific path which was part of their training. They begin with the patient’s presentation and …

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Division of Labor

Division of Labor: For any health problem that is not considered an emergency, the primary career physician is our first stop supermarket. If s/he sees the problem as beyond his ability to diagnose and treat, we may be¬†referred elsewhere, but he remains our primary contact person. He compiles all data from tests and second opinion, …

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Surprises

Surprises to avoid: There is an abundance of critical information available from the patient if one were simply to ask and observe. Let’s examine just some of those data that create surprises: a. Patient is non-compliant with medication, therapies or even office visits: Is this consistent with his/her life? For example, does the patient’s physical …

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DSM-5

The DSM-5, the new diagnostic manual, does little to ease the learning curve regarding mental disorders. The chief objections to the DSM-V are that many human frailties, bad judgment and maladaptive habit patterns are now listed as disorders for which treatment is indicated. The most frequently cited example is the inclusion of “caffeine withdrawal disorder” …

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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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