Home
About IME
Site Map
Clinic Locations
F.A.Q.
Mission Statement
Quality Assurance
Medical Legal Services
Service Order Form
Physicians
Physician 
Intake Form
Legal Nurse Consultants
IME Connections
Medical
Legal
Legal Nurse Consultant

 

 

 

IME,Inc.
211 Beaumont
Traverse City, 
Michigan MI 49684

Tel: (800)
968-4637

info@imei.com

 

 

 

(800) 968-4637 

Independent Medical Evaluations, Inc.

A National Company Providing
Comprehensive IME Medical Legal
Services In All 50 States


 info@imei.com


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