Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Happened

“What’s Happened?”   Let’s focus upon the fifth of five factors that slow the mobilization process: 1. The preventability of the injury – “should not have happened” 2. The perception that care was not timely and/or competent – “their doctors” 3. The belief that employer and coworkers are indifferent – “never hear from them” 4. Being …

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Religion

Religion: “2011 study (1) reports “that chronic pain is a devastating and widespread problem….a recent study of the American Institute of Medicine…chronic pain was found to affect at least 116 million American adults. …Two-thirds of the chronic pain sufferers experience moderate pain, while one-third experience severe pain (as rated on a 1-10 scale). The most …

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Sleep

Sleep: How do we deal with this low motivation example…he is late for most appointments, yet he insists that he very much wants to get back to work…what gives?”  Dr. Adams replies: “Is this patient sleeping sufficiently?  This can be critically important.  Adults need 7-9 hours per day. Sleep debt is the effect of not …

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Self-Diagnosis

 “Self-Diagnosis: Trust the Patient”  At times there appears to be a sprain-strain yearbook in which the subjective complaints of the patient are set aside.  Only objective findings are pursued.  In the absence of these objective findings, there is little if any credibility accorded to the patient’s fears that “something is really wrong, and they’re missing …

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Grieving

Grieving: “A routine part of a psychological exam, at least my own, is to determine if the patient’s problems may be compounded by other and similar events.  One such event is the concept of loss. It is obvious that an injury results in loss of income, loss of mobility, loss of daily productive activities and …

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The Natural Progression

Within the first twelve months of injury: 1. The patient has become increasingly alienated from coworkers and the employer …
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Injury Case Deterioration

A probable diagnosis can be made based upon medical records without actually seeing the patient. Police Departments, the …
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"Doctor-Patient Relationship"

The doctor-patient relationship is the cornerstone to health and management of illness and injury. Patients in America have …
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