Nourish,

I think you have a wrong understanding of Second Impact Syndrome. It is not getting a second concussion before the previous concussion is healed. It is getting a second concussion before the brain has recovered its ability to control blood pressure and blood flow. This can result in life threatening pressure in the skull that tries to push the brain into the brain stem opening. It usually results in coma and unless the pressure is relieved, death soon follows.

What you are incompletely alluding to is Multiple Impact Syndrome. MIS is where multiple concussions accumulate to cause damage beyond the brains ability to recover. Every concussion causes some damage that never heals. With repeated concussions and sub-concussive impacts, the cumulative damage extends beyond any reasonable ability to recover. The adolescent brain is much more susceptible to MIS since it is working overtime trying to mature.

But, this sidetracked discussion belongs in the TBI/PCS forum.

Ies, counseling is helpful, especially with someone who has a thorough understanding of the condition. There are very few who understand PCS and MIS very well.