Many of my patients are stroke survivors or have other chronic illnesses — chronic and disabling illnesses — and my inpatient and outpatient work is primarily with that population.
In working with patients I take, what I call, a pragmatic approach. So I recognize that — particularly for patients who are chronically ill and/or disabled — many of the concerns they come in with are really grounded in making real life work again for them — so finding a way to return to work, finding a way to get their daily needs met, finding a way to manage pain or other aspects of physical debility. Working in rehab is really about optimizing outcomes in less than optimal situations. And I really love the fact that even when patients come to us with fairly significant medical illnesses — and often very significant psychiatric concerns — they are still able to make substantial gains, and they are still able to reclaim major parts of their lives.