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Newsletter Articles
Guides Newsletter (2009) 14 (1): 7–13.
Published: 01 January 2009
... Krupp worked as a salesperson for a high-end stationery and writing supply company for 20 years. He was very successful in this position and won several performance awards before he experienced major depression. Mr Krupp was diagnosed with depression at 50 years of age. His depression began after...
Newsletter Articles
Guides Newsletter (2018) 23 (1): 9.
Published: 01 January 2018
...Les Kertay, PhD Behavioral health terminology is an area beset by imprecision that results from confusing claim determinations, unnecessary evaluations, and poor outcomes that result from inappropriate treatment. In medical evaluation reports, one notes references to depression, anxiety, and stress...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 12–14.
Published: 01 January 2020
... to a group that is forced to remain at work and a group that is forced to be unemployed. Even so, causation research has found strong evidence for a protective effect of employment on depression and general mental health. In performing evaluations, physicians must accurately assess work ability and recognize...
Newsletter Articles
Guides Newsletter (1998) 3 (3): 6–7.
Published: 01 May 1998
..., and some patients with chronic fatigue may not meet the CDC definition. The syndrome reflects dysfunction in the neuroendocrine system similar in some ways to that seen with depressive illness, and most patients seen for this condition fulfill the criteria for depression, which is another illness...
Newsletter Articles
Guides Newsletter (1998) 3 (5): 7.
Published: 01 September 1998
... processes (eg, constant pain leads to impairment of sleep, decreased alertness, and altered attention). Third, depression often is a reactive consequence to impaired function. Fourth, RSD may change over time yet may remain quite disabling. Fifth, RSD can significantly affect remote systems (eg, bladder...
Newsletter Articles
Guides Newsletter (1998) 3 (4): 5.
Published: 01 July 1998
... disfigurement such as a depressed orbital rim, frontal bone, or nasal bone. Class 3 indicates loss of a normal anatomic part or area of the face, eg, an eye. A facial disfigurement so severe that it precludes social acceptance is a Class 4 impairment. © 1998 American Medical Association. All Rights Reserved...
Newsletter Articles
Guides Newsletter (2002) 7 (3): 10–11.
Published: 01 May 2002
..., if the individual proceeded with surgery and the outcome was successful, there would probably be no impairment. Christopher R. Brigham, MD I have been asked to provide a quantitative impairment rating for depression; however, the Guides do not provide numbers in the Fourth or Fifth Edition...
Newsletter Articles
Guides Newsletter (2009) 14 (6): 9–10.
Published: 01 November 2009
... cognitive abilities; (2) mental and behavioral factors, including depression, irritability, interpersonal difficulties, and social problems; (3) the cardiovascular system, with systemic and pulmonary hypertension, cardiac enlargement, congestive heart failure, or arrhythmias; and (4) the hematopoietic...
Newsletter Articles
Guides Newsletter (2009) 14 (1): 6.
Published: 01 January 2009
... him from work for six months, he returned to work part-time but struggled with fatigue, depressed mood, irritability, and difficulty with concentration; he also reported financial and marital problems and was diagnosed with depression. Two years after the onset of depression, the patient reports...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 13–16.
Published: 01 September 2021
... continues to evolve and reveal the psychological symptoms reported by coronavirus disease 2019 (COVID-19) patients. Depression, anxiety, posttraumatic stress disorder (PTSD), and psychosis have been reported in the literature for COVID-19 patients. Potential preliminary treatment recommendations include...
Newsletter Articles
Guides Newsletter (2002) 7 (1): 6–9.
Published: 01 January 2002
... as somatization. To date, no convincing evidence supports the notion that CFS is an infectious, neuroendocrine, or immunologic disorder. Thus, sophisticated behavioral assessment is critical and may include a fatigue rating scale, a depression scale, and psychological and personality inventories. No specific...
Newsletter Articles
Guides Newsletter (2003) 8 (1): 8–10.
Published: 01 January 2003
... with depression has no ratable impairment. He does, however, have side effects from the medication. Can these side effects be rated? Answer If the long-term medication used to control the depression-caused side effects, the evaluator could grant a 1% to 3 % whole person impairment for the ongoing need...
Newsletter Articles
Guides Newsletter (2015) 20 (3): 11–13.
Published: 01 May 2015
... processes, IME physicians face a high concentration of difficult patients who are disgruntled with their jobs and, often, their lives. Examinees’ negative attitudes and outlooks contribute to pessimism and depression that can be contagious to the examiner, and because IMEs are one-time evaluations...
Newsletter Articles
Guides Newsletter (2008) 13 (4): 6–14.
Published: 01 July 2008
... pain. Mood, anxiety, and substance abuse disorders are common and can be associated with physical and pain complaints. Somatic symptoms often are the core feature of the depressed patient who presents to a primary care physician. Somatoform disorders are a spectrum of psychiatric disorders in which...
Newsletter Articles
Guides Newsletter (2022) 27 (3): 1–27.
Published: 01 May 2022
... include difficulty thinking or concentrating, fatigue, depression, anxiety, and other complaints. The results of studies are clouded by self-reports, lack of objective cognitive data, misattribution, and ill-defined psychological issues. Prospective cohort studies with objective assessment are needed...
Newsletter Articles
Guides Newsletter (2017) 22 (6): 3–11.
Published: 01 November 2017
... on the patient's age and specific conditions. For example, excellent data are available regarding life expectancy for individuals with spinal cord injury (SCI) and are sorted in various ways, eg conditional life expectancy calculated for persons who have survived the first year after an SCI. Major depressive...
Newsletter Articles
Guides Newsletter (2008) 13 (6): 8.
Published: 01 November 2008
... taxonomies within the Diagnostic and Statistical Manual of Mental Disorders, but anxiety, depression, and psychosis are three unequivocal areas of mental illness for which the sixth edition of the AMA Guides provides M&BD impairment rating. Two particular challenges faced the authors of the chapter: how...
Newsletter Articles
Guides Newsletter (1997) 2 (4): 4–5.
Published: 01 July 1997
... dilemma, drugs, dependence, depression, disuse, and dysfunction; if four of the eight are present, a presumptive diagnosis is established. The fourth edition of AMA Guides distinguishes chronic pain syndrome and psychogenic pain (the former is not considered a mental disorder), but diagnosis of pain...
Newsletter Articles
Guides Newsletter (2013) 18 (3): 6–7.
Published: 01 May 2013
... by the impairment rating already made. In a case where someone reports depression or anxiety that is attributed to the initial injury/impairment, would that also be included in the initial impairment rating? Or would you try to rate the depression using Chapter 14, Mental and Behavioral Disorders, and combine...
Newsletter Articles
Guides Newsletter (2023) 28 (6): 7–19.
Published: 01 November 2023
.... 4 Stress can also cause an individual to smoke, eat poorly, forget to take his or her medications, become depressed and sedentary, etc. Epidemiological studies link various psychosocial factors such as bereavement, unemployment, and depression with myocardial infarction and sudden death. 2...