Lectures, Seminars and Workshops available to the business and professional community.
- Psychological Aspects of Work-Related Injury
- Mood Disorders Affecting Physical Pain
- Personality Types in Medical Management
- Overcoming Fear of Re-Injury
- Catastrophic InjuriesSomatoform Disorders - Somatoform Pain and Conversion
- Factitious disorders
- Depression and Anxiety Complicating Recovery from Work Injury
- Factors in Lumbar, Cervical & Carpal Tunnel Injuries
- Posttraumatic and Acute Stress Disorders
- Pre- and Post Surgical Cases: Psychological Complications and Solutions
- The Aging Injured Worker
- Personal Injury: Exacerbated, Exaggerated or Fabricated
Seminars are typically scheduled on Friday mornings, although alternate accommodations can be made for regional, annual, lunch and learn, or other special presentation needs.
To arrange a seminar, call Atlanta Medical Psychology at 404-252-6454 to determine date availability and coordinate media needs. Past audiences include:
- The Georgia Board of Workers' Compensation
- Institute of Continuing Legal Education
- Georgia Association of Occupational Medicine
- Georgia Nursing Association
- Risk management associations
- Nurse case management companies
- Employers and insurers
Case Management Update
This Weeks Topic: “It's Not For Everyone“
Question: "His wife called and said that he has been very depressed. So we scheduled him for an appointment. He has failed to show for almost all appointments."
Dr. Adams replies: "A spouse may be more aware of a change in mood than the authorized treating physician.
Because a wife feels her husband is depressed is not sufficient to guarantee compliance by the patient. Male patients will decry that care is not needed, not helpful, not something they believe can be effective and even that care does not apply to them. As one patient stated, "I don't need to talk about it; I just need my fingers to grow back."
Male patients are often loathe to accept depression as a diagnosis. They are even less often willing to talk about that which makes them feel helpless, how they feel about not being the breadwinner and/or the impact of this upon the marriage and especially the bedroom.
As implausible as it may sound, they would sooner nap away the days, watch television, neglect self-care, and complain bitterly than mobilize and address alternatives.At any time, between 5% and 9% of women and between 2% and 3% of men have diagnosable major depressive disorder. It is a common, and a commonly recurring, disorder. Half of those who have one major depressive disorder will have a second, and greater than three quarters of these will have a third occurrence.
Pain will increase the probability of the disorder and/or the recurrence of the disorder in those with a previous major depressive episode.
It is, therefore, not unusual for major depressive disorder to occur following injury. This is heightened by intense chronic pain, by financial hardship, arising family strife and the belief that a return to employment is improbable.
It has long been known and well established that the treatment of choice is psychotherapy and anti-depressant medication. Patients infrequently discontinue their medication or fail to take it as prescribed. Just as frequently, they fail to consult their physician before adjusting their own dosage or electing to discontinue. Adherence can be divided into persistence (whether the patient continues) and compliance (whether the patients take medication as directed).
While it is unquestionably important to anticipate depression after an injury, it may often be necessary to accept that the patient will deny, dismiss, or even ridicule the need for care." A patient who is depressed after injury may be burdensome to the family, irritable, forgetful, impatient, and lethargic. The family may be well aware of the need for care for the depressive episode, but convincing the patient is not so easy.
While it is unquestionably important to anticipate depression after an injury, it may often be necessary to accept that the patient will deny, dismiss or even ridicule the need for care."
Online Referral: http://psychological.com/consultation-form/
Linkedin: Dr. David B. Adams
Google Places: https://plus.google.com/+PsychologicalDoctorAdams/posts
Dr. David B. Adams is Board Certified in Clinical Psychology (ABPP) and specializes in the treatment of mood, anxiety and pain disorders in adults.
In addition to his private practice, Dr. Adams consults to physicians, attorneys, employers and insurers in the diagnosis and treatment of chronic pain, posttraumatic stress disorder, disability determination and psychological complications in work-related injuries. He performs stimulator-implant-candidacy evaluations.
Dr. Adams is a Distinguished Practitioner in the National Academy of Practice in Psychology, a member of the American Psychosomatic Society, the Association of Medicine and Psychiatry, and a platinum member of the National Register of Health Service Providers in Psychology.
He is Fellow of the Academy of Clinical Psychology and a Fellow of the American Psychological Association and it's Division of Psychologists in Independent Practice, the Division of Psychotherapy; the Society of Clinical Psychology, the American Academy of Pain Management and the Academy of Psychosomatic Medicine.
Dr. Adams is a graduate of the University of Cincinnati, Xavier University, and the University of Alabama with a postdoctoral fellowship from the Institute of Clinical Training of the Devereux Foundation (Philadelphia).
Dr. Adams is the author of greater than sixty articles on the impact of psychological functioning upon claims of disability. He is a well-known presenter of seminars and regional workshops, addressing the psychological aspects of physical disease and injury.
His practice is located in The Medical Quarters, adjacent to Northside, Scottish Rite and Emory Saint Joseph's Hospitals in north Atlanta.
Atlanta Medical Psychology
5555 Peachtree-Dunwoody Road, N.E.
The Medical Quarters - Suite 251
Atlanta, GA 30342-1703.
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