My Battle with NPD

The concept that stress can create physical symptoms has been around for centuries. In modern times we have become enamored with technology and have lost sight of the fact that there is a much higher chance physical symptoms will be caused by changes in the body’s chemistry and each organ … Read More

“Buying” Anxiety

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Anxiety Off of Work Essentially every patient I see that has been off work more than three months has elevated anxiety. This gets noted on my intake questionnaire or comes out in conversation. I always directly address the anxiety. If I had a choice, every patient would have some access … Read More

Everyone Needs Support

Mental Health Every injured worker should have access to some level of mental health support. I work with a veteran pain psychologist who is wonderful. 90% of her practice is caring for my patients. If she feels it is necessary, she will refer a patient to one of several psychiatrists … Read More

Response to “Treat the Abyss” From the Roundtable

In response to some things said at the roundtable, I want say a few things about the emotional aspects of chronic pain treatment–namely, the additional stress caused by worker’s comp, the underlying anger of chronic pain, and the stigma of psychological diagnosis. Most people have a lot on their plate … Read More

Treat the “Abyss”

There is an ongoing debate amongst physicians whether anxiety and anger should be addressed in the treatment of chronic pain.  It is the “common wisdom” in medicine that the reason patients on worker’s comp do not do well with medical interventions, especially surgery, is that they have too many “secondary … Read More