Dr. David B. Adams – Psychological Blog

Psychology of Injury, Pain, Anxiety and Depression

Who Should Be Treated?

Before the patient is treated: If formal psychological diagnostic exam reveals that a psychological disorder exists that has resulted from injury or been exacerbated by injury, then the following series of decisions must be made: a. Is the patient sufficiently motivated for change; interested in being treated? b. Is the patient intellectually capable of understanding …

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Recovery

The Process For many patients, the question can be stated: “If I cannot get a whole lot better…and I really do not know what¬†to do with my life…what possible advantage is there in seeing or presenting myself as maximally medically¬†improved.” And for some of these patients, they may be quite correct. After all, with the …

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Perpetuating Dependency

Patient Dependency THE FAMILY: The family should facilitate recovery, but my experience has been that most often it facilitates disability. Quite often, the family: a. increases the patient’s expression of dependency, b. encourages the patient to take greater amounts of medication so that the family will have to listen to less complaints, c. reinforces the …

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Differentiating Pain and Depression

The Pain Depression Interface We do not diagnose major depressive disorder by asking a patient about his/her various pain …
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What Examination Tells Us

The clinical interview determines the patient developmental, health, and occupational histories as well as perceptions of …
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truth

Truth: The Whole Truth

Truth: A patient contacted me with a specific request for pain management. He had read an article on a process to deal with …
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