Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Psychological Exams and Costs

You have two claimants with identical injuries and equally adequate care _ one works hard to get back to work, and the other fails to recover or actually works against recovery – – the differences between these two claimants may well be psychological.

You can, therefore:

a. Order a psychological examination to determine why one of the two elects not to recover

b. Allow the psychological factors to drive the case but fail to investigate and determine what those factors are

The psychological foundation for failure to recovery exists even if you try to ignore them.

Research indicates that a thorough psychological exam tells us why a patient is not mobilizing. By doing so, it alerts those involved in the patient_s care so that they know how best to proceed. A thorough exam tells them how to manage the situation.

It is very uncommon for these claimants to seek psychological care. It is not part of their family or cultural background. Those injured at work to come from backgrounds where psychological problems, most often addiction and depression, are frequent and ignored.

Thus, a psychological exam is merely a tool to determine _what is going on with this case._ If the results are appropriately utilized, it substantially lowers the timeframe and cost while maximizing resolution.

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