T = Treatment and diagnosis
- Health professional sanctioning disability. For example, not supporting recovery at work, not providing interventions that will improve function.
- Nominated treating doctor fails to respond to communication by insurer/providers.
- Conflicting diagnoses or explanations for pain.
- Diagnostic language leading to the perception of the injury as a catastrophe and fear. For example, the fear of ending up in a wheelchair.
- Dramatisation of pain of musculoskeletal origin by health professional producing dependency on treatments.
- Continuation of symptom-focused treatment by provider 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.