
PSYCHIATRIC
IMES AND DIAGNOSES
The
psychiatric IME
A
comprehensive psychiatric evaluation and report should contain
the following elements: introduction noting the context of the
evaluation and the sources of information used; review of all
records including medical, legal, vocational, investigative;
patient's history of injury and/or disability and
emotional/psychiatric response; review of present psychiatric
status; past history of psychiatric symptoms and/or treatment; a
review of any collateral interviews that may be relevant; social
and developmental history; medical history; history of family
psychiatric illness; mental status examination; summary and
assessment; DSM IV diagnoses; recommendation; and conclusions.
Diagnoses
In
the context of diagnosing injury or disability conditions, one
must consider that without exception, early life experiences and
developmental issues will interplay with and have an effect on
future psychiatric conditions and an individual's personality
development.
Chronic
pain (somatoform pain)
This
appears in various forms, including: chest pain, pelvic pain,
fibromyalgia, back pain, hysterical/conversion pain, and
headache.
Risk
factors commonly seen among patients with chronic pain disorders
include: loss of early childhood care- givers; history of
physical or sexual abuse; poor scholastic achievement; multiple
(greater than two) marriages; brief periods of employment; poor
military history; lower intellectual functioning; history of
disability among other family members; conflict with employer;
and job dissatisfaction
Somatoform
disorder
This
is a chronic but fluctuating disorder which begins early in
life, and is characterized by recurrent and multiple
somatic complaints for which medical attention is sought but
which are not apparently due to physical illness.
Somatization
This
is a psychological defense mechanism which describes a
subconscious process by which a patient translates emotional
distress into bodily complaints. It may also mean the ,
presentation of somatic symptoms in the absence of disease or
tissue damage, regardless of diagnostic category.
Major
depression
This
may include or reflect a depressed mood most of the day,
accompanied by lack of pleasure in
daily activities, weight change, sleep disturbance, psychomotor
agitation or retardation, fatigue, feelings of
worthlessness or guilt, decreased ability to concentrate,
recurrent thoughts of death or suicide.
Major depression is more than just feeling
temporarily "down" and can be significantly disabling.
It also can vary in degree and accompanying features.
Dysthymic
disorder/depressive neurosis
Characterized by a depressed mood for most of the day, more days than
not, as indicated by subjective account or observation by others,
over a period of at least 2 years.
Post-traumatic
stress disorder (PTSD)
Development
of certain symptoms following the witnessing or experiencing of an
event or events that involved actual or threatened death or
physical injury, or a threat to the physical integrity of self or
others. Symptoms include avoidance and estrangement from others,
autonomic and cognitive symptoms, recurrent distressing dreams or
recollections of the event(s), a sense of re-living the trauma,
distress at exposure to cues that remind one of the events as well
as physiological reactivity on exposure to such cues. PTSD
sufferers may avoid stimuli associated with trauma, and experience
a numbing of general responsiveness. There may be persistent
symptoms of increased arousal, and clinically significant distress
or impairment in social, occupational, or other important areas of
functioning.
Malingering
This is the voluntary,
conscious fabrication or exaggeration of physical or psychological
symptoms in order to achieve a tangible goal distinct from the
gain of being in a patient role. This behavior is willful and
goal-directed. It is not a diagnosis; rather, it is a "condition" not attributable to a
mental disorder which is a focus of attention or treatment. It is
distinguished from factitious disorders in that the malingered
presentation extends beyond a patient role and is understandable
in light of the individual's circumstances. It may represent an
adaptive response.
Independent Medical Evaluations, Inc. Corporate Office
IME, Inc.
211 Beaumont Place
Traverse City, Michigan-MI, USA 49684
Phone: (231) 929-1474
Toll-Free: (800) 968-4637
Fax: (231) 929-4356
Email: info@imei.com

IME, Inc. Home |
Legal Nurse Consultants
Medical Legal Services |
Board Certified Physicians
Medical Records - Legal Services FAQ |
Physician Intake Form
Service Order Form |
Legal Nurse Consulting Info
Independent Medical Evaluation Site Map
(800) 968-4637
Independent Medical Evaluations (IME), Inc. Company Services Legal Disclosure:
For the purposes of this published guideline and firm policy posting, the term "Proprietary Information" shall mean all information published on the pages of this public website, and information delivery strategies, program presentations, industry leading supplier relationships, firm partners or vendor relationships, agency and strategic alliances, and any other technical trade secrets or confidential intellectual property rights relating or pertaining to our independent medical evaluations, consulting services, products, and or programs offered by this Traverse City, Michigan (MI) USA based company. Specific legal and medical industry contact
information and knowledge attained has been deemed confidential and privileged, belonging only to and for the sole benefit of the Independent Medical Evaluations (IME), Inc. company and clients of the firm.
Independent Medical Evaluations (IME), Inc. of Traverse City, Michigan (MI) USA is an industry leading medical legal firm and legal nurse consulting company based in Traverse City, Michigan. All written articles, website materials, public relations pieces, company press releases, published newspaper and magazine articles, and promotional materials, and all other marketing materials of any nature whatsoever is subject to copyright and trademark protection and shall remain the exclusive property of this company and be deemed as that by terms used in the United States Copyright Law, 17 U.S.C. Section 101, the Digital Millennium Copyright Act of 1998, and the Lanham Act and are the exclusive property of Independent Medical Evaluations (IME), Inc. and our clients.
This Governing Law of Intellectual Property rights protection and policies published on this independent medical evaluation and legal nurse consulting company website shall be construed and enforced pursuant to the laws of the State of Michigan (MI) - USA. Nothing in this published guideline statement is intended to grant any rights under any patent, trademark, or copyright held by Michigan based Independent Medical Evaluations (IME), Inc. company.
Our report represents an independent medical examination performed for Independent Medical Evaluations, Inc. As such, it represents an opinion formulated upon information available and present at the time of the physical examination of the claimant. It does not constitute a physician/patient relationship. No medical treatment will be rendered nor will any medications been prescribed. Our independent medical evaluation experts role in the American judicial system is "to assist the trier of fact to understand the evidence, or to determine a fact in issue. Qualification to be an expert witness comes with "knowledge, skill, experience, training, or education." Our experts assist the trier of fact (i.e., the judge, attorney, insurance company claims adjuster and or jury) by rendering an opinion which will help prove or disprove a fact in issue.
Our role as an expert is to tell the truth and render an objective opinion. The importance of expert witnesses in litigation cannot be overstated. The experts excel during cross-examinations by being thoroughly prepared. Attorneys retain expert witnesses because of their qualifications, knowledge, ability to communicate, availability, and the ability of our experts to withstand cross-examination. Independent Medical Evaluations - IME, Inc. has exceeded our customers expectations since 1986 and have brought an end point to multi million dollar cases. Retaining counsel qualifies our experts by asking the following questions:
- Correct position, title, and duties
- Education and degrees
- Training
- Current licenses
- Areas of specialties and certifications
- Membership in professional organizations and societies
- Publications
- Teaching activities
- Professional accomplishments
- Practical experience
- Prior experience as an expert witness
Independent Medical Evaluations - IME , Inc. provides expertise in many legal and medical situations including the following: Independent Medical Evaluation, Independent Medical Exam, Independent Medical Examinations, Impartial Evaluations, Physician Panel, Permanent Partial disability Examination, Medical Fraud Investigation, Medical Discovery, Expert Witness, Expert Witnesses, Medical-Legal Experts, Legal Nurse Consultant, Depositions, Live Testimony, Legal Nurse Consulting, Tort State, Personnel Injury, Defense Exams, Legal Nurse Consultants, Plaintiff Exams, Criminal Medical, Civil Medical, No Fault / Liability, Medical Claim, Medical Consultant, Insurance Medical Claim, Workers Compensation, Impairment Evaluations, Unbiased Medical Opinion, Disability, Medical-Legal Professionals, Certified Independent Medical Examiners, American Board of Independent Medical Examiners, SEAK, American Academy of Disability Evaluating Physicians (AADEP), Work Injuries, Auto Injuries, Car Accident Claims, Family Medical Leave (FMLA), Auto No Fault, Independent Medical Opinion (IMO), Medical Review, File Review, Medical Chart Review, Peer Review, Standards of Care, Malpractice, Medical Case Discovery, Medical Investigation, Long Term / Short Term Disability, Sickness and Accident, Early Assessments, Medical Illustrations, Auto Tort, Panel IMES, DNA Testing, Biomechanical Evaluations, Fitness for Duty, Physician Panel, Discovery, IME, Medical Malpractice, Compensibility, Management, Return To Work Issues, End Point, Maximum Medical Improvement, Orthopedics, Orthopedic Surgeon, Neurologist, Neurology, Physical Medicine, PMR, Psychiatry, Psychiatric, TMJ Specialist, Chiropractic, Chiropractor, Neurosurgeon, Neuropsychologist, Neuropsychology Testing, Plastic Surgeon, Oral Surgeon, ABIME, Disability Consultants, Psychologist, Psychology, MMPI, Nationwide Medical, Employer Health, Drug Testing, NIDA Labs and more.
For More Information About Independent Medical Evaluations, Contact Our Corporate Office:
IME, Inc.
211 Beaumont Place
Traverse City, Michigan-MI, USA 49684
Phone: (231) 929-1474
Toll-Free: (800) 968-4637
Fax: (231) 929-4356
Email: info@imei.com
|