There are behaviors that create a high index of suspicion regarding exaggeration of injury complaints:
a. The patient has been employed briefly and has a history of brief employments
b. The patient has past disability claims or suits and/or has friends and family with such events in their lives
c. The patient is noncompliant with treatment, diagnostic studies and especially with referrals for 2nd and 3rd opinions
d. The patient places someone else in the path of communication such as their spouse
e. The patient expresses more anger than motivation
f. The patient expresses groundless distrust in response to clear attempts of others to mobilize him/her
g. When a patient attempts to “hide-out” from a psychological exam, they are displaying a fear and avoidance of revealing their goals and motivation.
