Approaching We humans live with primitive defenses that are intended to block anxiety. Anxiety is a free-floating and often unbound fear that keeps us agitated and fearful. To cope with this, our first line of defense is repression, simply failing to admit into consciousness that problems are confronting us.Concurrently, we maintain a firm grip on …
The Issue of Control: “There is decidedly a loss of personal control over everyone’s health care. You may have an insurance company that dictates who is covered on your plan. You may never have a satisfying relationship with this physician since you may have had little control over who has been selected for you. You have …
Personality *traits* are patterns of thoughts and behavior that complicate social and occupational interaction. While these traits resemble the maladaptive patterns that we call *personality disorders,* the presence of a trait is not a diagnosis of a disorder. We are all anxious at one time or another, but when that anxiety continues unabated and interferes …
“Treatment Boundaries and Limitations” “When a private patient is referred, the limitation on the number of visits may be set by the health insurance carrier, but most often is unlimited. Approval is diagnosis-dependent and includes both situational (marital, occupational) problems and the emergence of enduring long term problems (major depressive disorder, anxiety disorders, addictive disorders, …
“Separation of Powers” She has been released by you, but she has not been released by her surgeon.” “A patient is referred to me because there are emotional and behavior concerns or complications to a physical injury. The patient is referred because it is believed that psychological factors will impede physical recovery. While the psychological …
An injured worker can be able to return to work and also need care. If they are released to return-to-work, they may not …
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Within the first twelve months of injury: 1. The patient has become increasingly alienated from coworkers and the employer …
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Discarded patients: Several years ago, I passed the threshold of having seen 5,000 injured workers. Most of the patients …
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