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Forensic NeuroPsychiatrist |
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- Life Fellow, American Psychiatric Association
- Diplomate, American Board of Psychiatry and Neurology with Added Qualifications in Forensic Psychiatry & American Board of Forensic Psychiatry
- Started THEE DOOR Methadone Clinic
- Started Seminole County MHC
- Started GROW (Gutman Rehabilitation Occupational Workshop), A Rehab Center
- Past President & Vice President, Florida Psychiatric Society
- Past Chief Psychiatrist, Orange County MHC
- Florida Hospital Staff, Special Attending
- 32 Years Experience In Child, Adolescent, Adult and Forensic Psychiatry
- Created WALL DOCTOR - Emergency Information Wall Chart
- "Gutman Shuttle" Sponsored 1300 Vietnamese Refugees to Orlando 1975
Introduction:
"I am excited to offer my NeuroPsychiatric Pain Management Program 5-Prong Protocol, at fee schedule rates, to the Injured Worker (IW). The results using Nutritional Supplements (NS’s) have proven to have ‘formidable successes.’" EMG
Forensic Psychiatry — Subspecialty of Medicine and Psychiatry which offers scientific advice to the courts in areas dealing with mental illness and human behavior
NeuroPsychiatry — Subspecialty of Psychiatry applying skills in neurology, and neurobehavioral psychology in treatment of Head Injury, Headaches, Pain, Other Injuries and Systemic and Constitutional Illness Conditions
PsychoNeuroImmunology — Subspecialty of Medicine applying Holistic and Integrative Medicine Techniques to enhance the Immune System and treat the Mind-Body Connection for general health and wellness
A PsychoNeuroImmunological Treatment Program for many NeuroPsychiatric Conditions and Illnesses adapted for Injured Workers and Personal Injuries. For more information click here.
Other Office Activities:
Worker’s Compensation & Personal Injury Evaluations & Treatment
Criminal Court Evaluations for Competency To Proceed & Stand Trial and Sanity
Integrative Medicine (Ancillary Health Program Using Nutritional Supplements as Part of the 5-Pronged Treatment Protocol)
Perform MMPI-2&Adol. In Forensic Evaluations
Other Doctors And Specialists With Whom I Collaborate
Orthopedic and Neurosurgeons
Neurologists & Other Psychiatrists
Rheumatologists & Dermatologists
Physiatrists (Physical and Occupational Medicine Specialists)
Ophthalmologists, Plastic Surgeons, Internists, Nephrologists, and Urologists
Family Medicine Specialists
Psychologists and Other Therapists
Chiropractors and Acupuncturists
Licensed Massage Therapists
Nutritionists and Other Integrative- Medicine Doctors and Specialists
Individual and Group Therapy — Using Cognitive Behavior Therapy Techniques:
(Here and Now Counseling)
Psychoeducation
Teaching and educating on importance of giving an honest presentation of symptoms without Secondary Gain exaggeration. (See Letter to Patient in this Brochure.)
Teaching and educating on the 5-Pronged Protocol.
Teaching and educating on need for adherence & compliance with meds
Teaching skills and techniques at overcoming Depression
Teaching skills and techniques at overcoming and handling Pain
Teaching skills and techniques required for facilitous convalescence, recovery, rehabilitation and re-entry in the work force
Teaching skills on how to successfully get on with the next era of their life
Family Activity and Involvement
Teaching and educating family members about the illness, injuries and what role they play in the rehabilitation and re-entry process
Teaching and educating family members about the medicines and need for compliance
Teaching and educating family members about how they can help the Injured Worker with Activities Of Daily Living & other Activity Assistance
Teaching and educating family members on what attitudes to take toward the Injured Worker and how they can assist the doctor in getting the Injured Worker better, faster and help them to stay well longer
Teaching and educating the family members about the 5-Pronged Approach
Crisis Intervention
Helping Injured Worker to handle Crisis Situations that develop during their treatment
Helping Injured Worker handle Crisis Situations that befall friends, and/or other family members
Education on Worker’s Comp System
Teaching and educating the Injured Worker on important aspects of The System and how to Navigate through its waters
Education on Nutrition and Healthy Living
Focus on Dr. Gutman’s Newsletter, Primarily Speaking
Attentions to Science, Health, Rehabilitation and Accident Prevention
Letter To Patient Explaining "Secondary Gain" and need to give only a true presentation of symptoms and behavior:
(I find it a good policy to present this summary statement to the Injured Worker entering treatment.)
Dear Patient:
My experience in treating Injured Workers reveals the Injured Worker will try to show the treating doctor all the important signs and symptoms of which they are suffering. This is correct and proper to do.
It is appropriate and reasonable to put yourself in a good light so the doctor and the Employer and Carrier know and understand all aspects of your injury and case. To put yourself in a good light so as to fairly benefit yourself is called: Fair, reasonable Secondary Gain. Unreasonable Secondary Gain is: added on, undeserved money and/or benefits such as dependency, help from others when you can do things yourself, or getting unnecessary sympathy because you are regarded as a disabled worker. It is letting others do things for you when you can do it yourself.
Unfortunately, many Injured Workers will overact and exaggerate their Signs, Symptoms, and Pain Behavior thinking it will benefit them in the final resolution of their case. Such exaggerated Pain Behavior does not serve you well and will turn off your doctor and all concerned in the case and/or litigation. It will get you labeled a faker. It is important that you make every effort to give an honest and truthful presentation and not be labeled a faker.
A genuine presentation will be appreciated and will assist the doctor to know exactly what is going on with your injury, physical and mental condition, and personal aspects of your life that are important in understanding your case.
People should have nothing to hide and should tell the truth. If they are A True Patient with true injuries they will receive what is owed them. However, if they exaggerate or overact their behavior, it will be noted and described in the medical record for each appointment and will only hurt their case in the long run. When you are on the level and present to the doctor your true picture — treatment will be shortened, recovery hastened and re-entry more quickly established, so you may get on with the next era of your life.
The reason for presenting this to the Injured Worker office population and not to the regular patient population is that when litigation is a factor in a case, people in the Worker’s Comp System are suspicious that the IW will have Secondary Gain motives to exaggerate or fake their signs and symptoms. It is important that the IW not exaggerate, or give the impression of having inordinate Secondary Gain purposes driving their case. Some Secondary Gain, as mentioned above, is appropriate. Too much is improper!
Thank you for reading this material and I look forward to talking with you about it.
Sincerely yours,
Dr. Mike Gutman
Primarily Speaking, My Office Newsletter addresses in more detail My Practice Philosophies and Methodologies. It offers education and information on NS’s that I use to great patient benefit.
PAIN MANAGEMENT SYLLABUS:
I have put together a compendium of written materials including exercise & pain sheets, Newsletters & Medical Articles for use by patients started on the 5-Pronged Protocol.