He never ruled out concussion per say. He understands that since my recent injury I've been symptomatic, he is suggesting drug treatment so that I can regain some sort of sense of functionality in my life.

I would say that I've been a bit of a hypochondriac my whole life and have always been in a state of hyperviligance so with that in mind, its quite hard to say what causes my attacks. I usually analyze everything I did before hand to try and determine.

It all starts with butterflys in my stomach (that going over the edge of the rollercoaster feeling) and I know I'm in store for an attack for the next hour or two. I usually lie in a bed and try to breath my way through it.

Have I ever had head injury before my recent concussion? Here comes the can of worms I've been trying to avoid.

I suffered a serious head injury when I was 4. Fell 22 feet and my head broke the fall. Bone fragments in my brain, big tear in the dura. My brain was visible and exposed to my family who found me. I joke about the event because I did not lose consciousness (I remember it in FULL DETAIL) therefore I didn't receive a concussion, right?

I was extremely lucky to survive and without any side effects really. I guess it hard to tell what I would have been like had I not fallen but for all intensive purposes I've had the same level of function as everyone else, if not better. They attribute my success to my young age. My brain just rewired around the injured area. It was visible on the MRI.

I never had a seizure or any side effects from that accident and have lived a very active life. I had just finished flight school and then had the skateboard accident that caused all this so needless to say I was a high performer.

I had a concussion when I was about 13 that had me out of action for a day. That's the only head injury I've had that caused issues but I got over that very quickly.

Otherwise I've bumped my head as much as any other active young man. Taken a couple booms to the head sailing, been punched (not too hard) a couple of times.

I get that these are sub-concussive impacts and that they add up and I've read many a post by you on the issue.

I understand that my life has changed forever and I can't skate or sail or snowboard or do any of those high risk activities again. People will/have told me just wear a helmet next time but I'd rather not take the risk and just avoid them altogether.

Thats ok with me, I just want to get back to aviation.

I don't even dream of getting near an airplane until I make a full recovery (Safety Culture of aviation!) and I just want to get whatever tools I can to help me on that. I get that it may be 2 or 3 years before that happens and if that means I need to take antidepressants for a while then so be it, I'm willing to try anything at this stage because the resting and relaxing feels like it has stagnated.

Blah - that's alot - Digest and ask away if you have any more questions!

And just a quick bump to my original questions. Anyone have any experience with Cymbalta/Duloxetine? I'm trying to weigh my soon coming decision of whether or not I should explore that avenue