T = Treatment and diagnosis
- Health professional sanctioning disability. For example, the health professional may not support recovery at work or provide interventions to improve function.
- Nominated treating doctor fails to respond to communication from the insurer and/or providers.
- Conflicting diagnoses or explanations for pain.
- Diagnostic language increasing a sense of fear and leading to the perception of the injury as a catastrophe. For example, the worker may fear they will end up in a wheelchair.
- Dramatisation of pain of musculoskeletal origin by health professional producing dependency on treatment.
- Provider continues symptom-focused treatment in the absence of improvement in functional outcomes. For example, continued treatment resulting in no upgrade of functional and/or work capacity.
- Number of visits to health professional(s) in last year excluding the present injury. More visits may increase risk of continuing disability.
- Expectation of a mechanical or technical "fix".
- Advice to withdraw from work.