The expert patient
who is also the provider.

I am a Clinical Rehabilitation Neuropsychologist. I work with people navigating traumatic brain injury, spinal cord injury, chronic illness, and catastrophic diagnoses — asking them to face their reality with honesty and courage.

For most of my life, I hid the reality of what I was actually living with. Not the conditions — you can't hide an ICU stay. But what they meant. What they required. That pushing through was costing me far more than I let anyone see. I went back to school later in life specifically to talk about this — to build the credentials where this conversation couldn't be dismissed.

Accepting my reality changed what I was capable of. When I stopped denying my own experience and started meeting it honestly, I found I could accomplish different things — different, but still meaningful and productive. That remains true every day.

That experience gave me something I can actually teach. I know what it takes to bridge the distance between patient and provider — because I have sat in both seats. The skills that make that relationship work are learnable. And when both sides bring them to the encounter, what becomes possible is worth talking about.

Dr. Pamela Payne, PsyD
PsyD
Clinical Rehabilitation Neuropsychology
APA
Member, Division 22 & 40
Both
Patient & Provider Perspective
1
Book Forthcoming — Two More Outlined