Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Pain vs. Pain Disorder

A criminal history does not necessarily predict malingering. It does, however, tell us some very valuable things about their current life and past life:

Àô If their criminal record is for recurrent DUI charges (and or _possession_), then their medication regimen needs to be examined, discussed with them and carefully monitored

Àô If their past criminal record includes charges of spousal abuse, domestic violence and/or criminal assault, their volatility and impulse control when frustrated by appropriate medical care can be an important concern

Àô If their past criminal record includes serving time for one or more felonies, they may be quite comfortable in withholding information not only from you, but their doctors and attorney

Àô If their past criminal record is decades ago, it may have taught them lessons in life, and they may be of greater integrity than those who commit crimes but are never prosecuted

Àô If their criminal record involves multiple charges in which they avoided prosecution (acquitted, charges dismissed, etc), they may be very skilled at using the legal system without regard to guilt and remorse

Perhaps the greatest factor to consider is for those numerous cases in which there are current legal charges pending against them (or for which they must give testimony) which creates the anxiety and depression we are now seeing.

A case example is a patient seen in IME who is in weekly psychological care in another office. In that _injury related care,_ he is actually seeking treatment for depression related

Comments for this post are closed.

Foreign Speaking Patients

Alcohol is referred to as _an addiction of choice,_ in that it is a behavior chosen by an injured worker or disabled individual. …
Read Blog Post

Psychotherapy or Pills: We Want to Save Money

When a patient seems depressed or when the patient indicates he/she feels she needs assistance, that is the time to consider …
Read Blog Post

Resistance to Recovery: Fear of Diagnosis

Fear of the Clinical Diagnosis For the acutely ill patient who begins to confront the concept of chronicity of complaints, …
Read Blog Post