Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Motivation to Invest in Care

Employers and adjustors do not want to pick up the costs for treating depression, PTSD or chronic pain.

That is perfectly understandable.

In order to lower costs of claims, they ignore such emotional complaints until they become unavoidable.

And this directly or indirectly encourages the primary treating physician to do the same thing.

But here_s the hitch: What do you do about the purely physical claims_those that are now greater than six months old…in which the patient is simply not improving?

Do you just keep paying for more and more procedures that produce no change…or for more and repeat diagnostic tests that still tell you that little or nothing is wrong?

Psychology is not necessarily just about mental disorder such as depression. Psychology is the science of behavior. It addresses why people do what they do.

Yes, depression and PTSD are behaviors, but they are far, far less common than is:

Low motivation

Malingering

Manipulating

Anger

Resentment

Fear

Confusion

Drug seeking

Alcohol abusing

So when you are ordering a _psychological evaluation,_ you can do it for two reasons:

To find out if a mental disorder (e.g. depression) pre-existed, or arose from an injury OR

To find out why the injured worker is not responding to customary post-injury care”

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