Just prior to Thanksgiving, a patient _turns sour._ He is doing very poorly, calling repeatedly with uncertain and nonspecific needs. This is unlikely to be manipulation.
Covering financial bases during a holiday season can be extremely problematics. It is important to know how past Christmas Holidays or how this Thanksgiving, Memorial, Fourth of July, etc differs from past?
Likely, in past years, he got together with family and was a productive participant. This year he may be overwhelmed by his pain, have an uncertain future, knows he will not meet the financial needs.
This may be an _adjustment disorder with anxiety and depressed mood_ and tied situationally to the holiday season. (There are also those patients who suffer from seasonal affective disorder (S.A.D.) for whom decreased daylight hours triggers a depressive disorder.
This is the time when some injured workers need cash advances, need brief psychological support, and develop appreciable fear of the future.
Obviously, the easiest way to determine this is ask the patient if he is worried about specific family needs he will not be able to cover.
The holiday season has been scientifically shown to be a significant stressor even in the lives of perfectly healthy individuals.