It sounds like you are very sensitive to over-stimulation. I have this problem permanently. It started with a concussion in 1996. Over time, it got worse with even small jostles to my head. I had to start modifying my behavior to avoid the over-stimulation areas. Then I was injured in 2001 and had to seriously stop all venturing into noisy and visually stimulating environments.

In order to keep your other PCS symptoms at bay, you may need to stay away from casino like environments.

We can survive with the stimulation limits necessary to avoid a relapse. I have lived this way for a decade. Occasionally, I will over do it, like last month when I had a conversation with another TBI person and his wife. I was a space cadet for two days after that evening. It did not effect him at all.

These are lifestyle changes many of us have to make. You still have time for your symptoms to improve. The key concept for you to accept for the time being is simple. The more you can link together good days, the more chance you give your brain to continue healing.

As you learn to avoid triggers like noise, voices, and such, the length of your symptomless periods will become longer. When you can get a month of symptoms free living, you have given your brain a great chance to heal.

So, it has become your choice to be disciplined to avoid your triggers. Be open with your friends. Say something like, "If I go to the casino, the sounds and lights will cause a relapse that will take me a week or two to overcome."

Most people will understand.

Now, as Dr Laura would say, Go and do the right thing.

My best to you.