Dr. David B. Adams – Psychological Blog

Psychology of Illness, Pain, Anxiety and Depression

Return to Work Algorithm

Inherent to the disability process is the increase in psychological distress surrounding most national holidays.

Individuals in pain are anhedonic (unable to derive pleasure from the holidays), and equally important, they have appreciable financial woes.

They feel that they are to provide gifts and to spend like other holiday shoppers, but they most often do not have the funds to do so. They make last minute requests for advances on their perceptions that a settlement is forthcoming, then are angered/depressed that the funds are not made immediately available.

They are certain that their families do not understand and since they are often awake during the night due to a combination of depression and pain, they have more than ample time to obsessively dwell upon how emotionally unrewarding the holidays are for them. This is especially true for those injured within the last 12 months since they have a point of comparison with the holidays of the preceding years.

On a somewhat brighter note, as spring approaches, these memories fade as well, and those who are going to mobilize, begin to do so.

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