Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Control

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 …

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Traits

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 …

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Treatment

“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, …

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Separation

“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 …

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Deflators

Deflators & Amotivators :There are many sources of false, or at least distorted, data to which the patient has exposure.  While it would seem improbable that a patient would trust and act upon someone in a waiting room, a TV commercial, a relative without health care training and/or someone who has an agenda of their …

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Pain vs. Pain Disorder

A criminal history does not necessarily predict malingering. It does, however, tell us some very valuable things about their …
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The Nurse Case Manager

When the nurse is not permitted to interact with the patient, she can only rely upon records that indicate that care is progressing, …
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mill

The Mill

The Mill: I had a patient with a persistent headache and dizziness. He told his friend, a gastroenterologist, about the symptoms. …
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