Category: The Psychodiagnostic Process

Phases and Stages of Injury

Assuming that this is not a surgical case, that it is a case of sprain/strain with perhaps underlying degenerative disk disease, the first three months following injury are critical. It is during the first three months that the patient begins to understand the injury, the impact of medication, physical therapy and other conservative measures and …

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Can of Worms

The concern is often expressed that a psychological exam, performed on an injured worker runs the risk of revealing problems that ordinarily not be address. In fact, the impact of a psychological exam is the opposite of what one would anticipate. It does not expand the scope of a complaint; it focuses it upon the …

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Time Loss

Time Loss It is extremely important to determine to what degree a patient is self-medicating and complicating his/her own recovery process. Time loss impacts the capacity for future goal setting. In the acute (short term) treatment of pain, aggressive pain management can prevent the patient from developing fear and hopelessness regarding the future. However, many …

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Clinical versus Administrative Decisions

Clinical Decisions: There are injured workers who appear to languish in care moving from orthopedic care to pain management to psychological care with no end in sight. The concern is whether we are serving these patients when we tie these significant problems to an injury. The problem can arrise when the clinical problem has been …

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Precious Time Lost

Time Lost: The elimination of all physical causes for a complaint and only then considering the psychological causes is referred to as diagnosis-by-exclusion. We are taught diagnosis-by-inclusion, to examine psychological causation with the same vigor as physical diagnosis, but we rarely do so. If a patient has complaints that are not readily verified, there are …

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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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