Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

Psychological Preparation

If you are seeking a psychological exam on a chronic pain patient, explain to the patient and his/her primary provider that you need to determine if there are any psychological factors that complicate the patient_s coping with pain.

If you are seeking a psychological exam to determine problems with patient motivation and compliance, you explain to the patient that you need to determine if there are issues that are complicating the rehabilitation process.

If the concern is for occult depression (problems with mood that are being displayed as irritability and/or withdrawal), then you let the patient and authorized treating physician(s) know that you feel that there may be complications to the injury that no one has diagnosed and addressed.

If you feel that there is some form of conscious symptom amplification occurring, you tell the patient that you need a fuller understanding of their needs and goals.

Finally, if you question whether surgery will help (or has helped) the patient, you let all involved know that you are concerned for the preparedness of the patient for surgery and its aftermath.

Comments for this post are closed.
trust

Trust

 “Trust and Recovery” “The dictionary definition of “trust is an assured reliance on the character, ability, strength, …
Read Blog Post

motivators

Motivators

Motivators & Occupation Are there some occupations that encourage recovery? For example, if you are an electrician, are …
Read Blog Post

timing of patient care

“Timing Can Be Everything”

  The Timing of Intervention There is a slowing of the recovery process near the time of settlement. Patients express …
Read Blog Post