Which of the following is least likely considered a yellow flag in PT practice?

• A. Catastrophizing
• B. Depression
• C. Anxiety
• D. Blood pressure

Answer: (D)

Yellow flags are psychosocial factors that can influence pain experience and recovery in physical therapy. Catastrophizing reflects a tendency to anticipate the worst outcomes and magnify pain, which can lead to avoidance and slower progress. Depression and anxiety similarly affect mood, motivation, and coping strategies, often contributing to greater disability and poorer outcomes. These are classic indicators that a patient may need a biopsychosocial approach, including education, cognitive-behavioral strategies, and possible referrals for additional support.

Blood pressure, on the other hand, is a physiological vital sign. While important to monitor and potentially uncover underlying medical issues, it does not represent a psychosocial barrier to recovery. It is not a yellow flag in this context.

So the item least likely to be considered a yellow flag is blood pressure.