I first started struggling with depression as a 10 or 11 year old after my first severe concussion in 1965. I've ridden the depression roller coaster for most of my life. Most of the vitamins regimen was prescribed to me by an orthomolecular psychiatrist in 1982 when I had a bad period. I could not finish a sentence. I was gaunt . (I had just been ripped off for $250,000) My wife was pregnant with our second. He had me back going in 8 weeks without meds.

I have tried to avoid meds but had to use Paxil because my mind would get stuck repeating the same mundane thought ( a line from a song, spelling a word, a license plate ) diagnosed as a form of OCD/perserverance, booth common to PCS.

I quit the Paxil 4 years ago and now take 5-HTP and L-Theanine instead. I feel much better. My wife likes me off the Paxil, too.

I asked about BP because when your anxiety and symptoms are worse, you should check your BP. You might be surprised. Over-stim triggers can send my BP to 185/155 or higher. Stroke range. The propranolol works to get the BP and rest of the anxiety under control. I use the Klonopin when the beta blocker does not work. I only use either for rescue, not prevention. But, having it ready for the first sign can help a bad episode from becoming worse.

I have had the disconnect. It usually was anxiety related. It's been quite a while so I don't remember the details. My PCS memory is virtually useless.

I suffer from anhedonia. Testosterone helped when I tried it a decade ago. I'm seeing a doc in Sept to try it again, just a lower dose. The last time, T made my face explode. My PCP thinks it will help my malaise.

You should try to keep a sleep schedule that does not change between work and days off. The PCS brain struggles with sleep rhythm. A neuro rehab sleep specialist explained how important it is. Sleeping in on days off can mean you are not getting what you need on work days. Trying to get to sleep earlier may be worthwhile. Sleep is more dependent on wake up time.

People and even many docs do not understand that a concussion is a process, not an event. For some, that cascade of chemistry and such takes a long time to resolve.

Time for bed.

My best to you.