As others have said, your daughter needs to rest and take it easy. Her anxiety will only make her recovery slower and much worse. At her current state, going off to college in the fall HAS to be put on a back burner. Her brain health is the most important and will likely effect the rest of her life.

Her mistake in playing hurt has magnified her problems. The sub-concussive impacts she received after her severe concussion have hampered her brain's ability to recover.

Download the TBI Survival Guide at www.tbiguide.com and print it out. Read if and share the important points with her.

There is nothing she can do to speed up her recovery. Her test taking skills at this point are not even close to being representative of her abilities. Taking tests while symptomatic will just leave smudges on her academic record. She is injured. She needs to consider the time it takes to recover as pure and simple LOST time in her life. She needs to endure it the best she can without causing excessive stress and anxiety.

If she had broken her thigh bone, she would be out of commission for months. Her brain is worse. It does not have the ability to create scar tissue. Think of her brain as a sand sculpture in a vase. If you shake the vase, the sand gets mixed up. Imagine trying to sort out the colored sand and get it back where it belonged.

The brain needs to heal the neurons (only during REM sleep) all the while it has to sort out the bad connections (axons), rebuild them (the wires), and find the proper dendron to reconnect to. This reconnect is a hap-hazard process. The axon tries to connect, is either accepted or is rejected and needs to try another connection.

A recent article talks about stress and brain injury recovery. See http://www.google.com/url?sa=t&sourc...KyYuIQ&cad=rja

I lost more than half of my sophomore year and had to overcome the smudge in my grades. I went from better than 10th to 23rd in my class. Her college applications are already finished so the rest of the year will not impact her college as much. What will be the most important is for her to learn to work with her brain struggles. They may be with her for quite some time. Nobody can predict any time lines. Her brain's nutritional needs need to be a prime focus. This will help her establish good brain nutrition for the rest of her life. She will need it.

Regarding tests, work hard at trying to get her teachers to give her an alternative form of tests. A low stress conversational oral test would likely be the best result. The stress of looking at a page of questions overwhelmed my brain. The brain often cannot filter out the other questions to focus on just the one question. A second option would be a test with only one question per page or something that allows her to focus on only one item at a time.

Test taking can be a struggle and any skills she can learn for test taking with PCS will help her.

Hope she can understand the need to rest and drastically change her life until she has some recovery and has learned some skills for dealing with PCS.

My best to you both.