There are two distinctly different kinds of symptoms that need addressing.

There are psychological symptoms and physiological symptoms.

Trying to mix the two can get confusing.

Vestibular and vision therapies are designed to treat the physiological issues that relate to the vestibular and visual systems. They are definitely worth checking out. A good therapist should be able to diagnose whether there are vestibular or vision symptoms that will respond to therapy. A neuro-ophthalmologist can be a good start for the visual symptoms. A hearing and balance center and/or ENT can be a good start for the vestibular symptoms.

The memory problems are difficult to treat. There are fixes that help with new ways of remembering things. These are described in Dr Schutz book.

Anger and emotional outburst issues are mostly physiological but are treated by learning avoidance techniques. This requires some psychological support.

The head ache issue is a combination problem.

There are head ache stress issues that need to be addressed from a psychological perspective. Learning relaxation techniques is a common therapy. The ROSHI and pROSHI device is oriented toward these relaxation needs. There is a religious/philosophical component of ROSHI that some may find objectionable. Discussing this aspect of ROSHI is precluded from this forum by the guidelines so I will not go any further. If you are interested, you can do the research.

The head aches that are not stress related need to be treated with medications if possible. Fortunately, mine respond to Tylenol. I know many who get only partial relief from very strong drugs. The data on nutrition and hormone therapy for migraines and other head aches is not conclusive. I think it is worth checking out anyway.

The many overlaps between the psychological and physiological symptoms makes it important to get professional therapy or directed self therapy to reduce the psychological symptoms. Many of the cognitive/memory symptoms will improve when the stress/psychological symptoms are reduced. If the brain is spinning due to stress, it can have a difficult time doing the cognitive task.

A simple example is this: Try to think about a complex subject while there is visual or auditory chaos going on. The healthy brain may be able to overcome the chaos. The injured mind will struggle to filter out the chaos. This is the most common symptom of PCS.

To the PCS brain, there is environmental chaos (sound and visual) and emotional chaos (anxiety, frustration, anger) that get in the way of good cognitive functions. We need to understand how to separate the two types of chaos and work to overcome them or avoid them.

For me, I have learned how to settle my emotional/stress responses by either making thought choices or avoiding the stressful situations. I am definitely not perfect at this, but I am doing much better, especially with my wife's support. This is very hard to do on your own. You need those around you to help out.

The environmental chaos is harder to fix. I totally avoid some environments, like the Mall at Christmas. I use foam ear plugs. I wear sunglasses and wide brimmed hats to avoid bright lights.

Some have benefited from a desensitization therapy of being subjected to loud noises or bright lights in a supportive environment. This tends to work best with sound issues that are tied to anxiety issues.

Many PCS subjects will be professionally diagnosed as depressed. The professionals will support this idea with the concept that treating the depression reduces the severity of the cognitive/memory symptoms. This is a valid point in some cases.

There are assessment tools that will overlap between depression and Mild Cognitive Impairment. MCI may be caused by PCS or other causes like toxins, hypoxia, etc.

A positive result of this assessment can mean four things:
(1)The subject is depressed.
(2)The subject is depressed causing MCI.
(3)The subject has MCI.
(4)The subject has MCI with depression.

In the second, treating the depression might reduce or eliminate the MCI.
In the fourth, treating the depression might only reduce the part of the MCI related to the depression. The remainder of the MCI is of physiological causation.

A way to try to discern between psychological and physiological symptoms is:
If the symptoms come and goes with changes in mood etc., It is likely psychological. If it is constant with only minor fluctuations in severity, it is likely physiological.

My MCI problems exist all the time but are made much worse in environmental chaos situations.

I have experienced both causes of MCI. Twenty-six years ago, I was defrauded out of a very large sum of money. This left me and my young family in severe turmoil. I lost many cognitive functions. A ortho-molecular psychiatrist treated me for eight weeks with nutritional and hypo-allergenic therapy.

I recovered very well in those eight weeks. I learned how to avoid a repeat by maintaining my nutritional regimen and avoiding the allergens that effected my body's function. I was likely overly sensitive to this stressful situation due to my concussion history.

There is some interesting commentary on the overlap of psychological and physiological problems with MCI on the web site of attorney Gordon S Johnson at www.gordonjohnson.com

Concussed scientist,

I know what you mean by the dizzy or leaning to the right symptom. I experience it when I am sleep deprived. This can be because I did not sleep well or have not been able to get to sleep. My wife can predict some of these times because I will be very agitated as I try to sleep. My agitated sleep tends to go in waves. I have been struggling for the past few weeks after doing real well during November, December and the first half of January.

If I remember correctly, Dr Schutz discusses the emotional issues in the latter part of his book. He mostly mentions avoidance techniques.

Do you have any specific issues you are struggling with? Maybe someone here has found a way to reduce those issues.