Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

Open Psychological Benefits?

I would prefer to believe that there are not _sides_ doing battle but that you are providing mandated care in an attempt to provide as much relief to the employee as possible.

With that said, even though 3-6 months of open psychological care is common, I am still tempted to say that _it does not matter how much open psychological is provided at settlement._ In reality, the vast majority of those who put closure on their work-injury, do not, in fact, continue psychological care after that closure.

Most of us have seen patients who express profound appreciation for psychological care provided at some point during the course of their injury. They feel it helped them navigate through all that they confronted.

These well intentioned patients also may state with great certainty that they wish to remain in care long after benefits have been exhausted, _even if I pay out of pocket._ However, soon after closure occurs, they cease to schedule return appointments.

This is not surprising: During the course of injury related treatment, they have exposed and discussed many conflicts and aspects of their lives which they would prefer now to set aside.

The offering of open-psychological is more of a symbolic support for that which they have had to deal, but it is consistently found that remarkably few make use of this care-after-closure.

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