Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).

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Old 07-05-2012, 04:33 PM #1
SarahF900 SarahF900 is offline
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Default Scared to have conversations

Hi all,

It has been a while since i've posted. Recap: In June I fell and hit my head while walking with my dog. Blacked out for a few seconds, but picked myself up and went home. Tests came back negative. Now dealing with memory issues, fatigue, and headaches.

This is hard to explain... but sometimes, I feel like I just don't want to have conversations with people beyond "Hi, how are you." Usually, I feel embarrassed I won't find the right words. Or, my memory still feels like scrambled eggs, and i'm scared I won't always be able to follow along. I also have a big problem with word finding, like many others on here.

My family thinks i'm over exaggerating. I've passed along many of the links i've read on here, but I don't feel like they've taken them seriously. I guess because my tests came back negative, "nothing could be wrong."

I've always been an outgoing and social person. When my friends come to hang out with me, its not that I don't want to talk to them. I just tense up, its like I can't control it. Its like that awkward moment on a bad date when you don't know what to say... but all the time when they're here.

This is hard to describe. Can anyone offer advice? Its like I fall apart when someone wants to talk to me beyond a few exchanges..
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Old 07-06-2012, 12:51 AM #2
Mark in Idaho Mark in Idaho is offline
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There are likely two issue at hand. When you have multiple people in a conversation, it increases the load on your brain as it tries to process a multiple voice conversation. This can cause some mental chaos and mental lock-up.
The frustration with word finding can also be tough.

Maybe you can get some of your family and friends to understand the technical description of your brain's struggles.

The two most common problems are how your brain filters information and sensory stimulation and how it gates or directs the flow of information.

Filtering causes the information to over-load the brain with stimulation. Your brain will need to filter out voices so you can focus on and process a single voice. This excess information causes a sort of traffic jam in your brain. When you are with a group, you can just say that your brain struggles to filter out the voice you want to listen to from the rest of the sounds.

The gating of information is a traffic cop like system. It directs the flow of information to the proper area. It is part of the memory search system. You may need the word bathroom but your mouth wants to say basket. It can be like getting files mixed up in a file cabinet. You pull the file you think you need and inside is the wrong papers. Think of it as your brain sends the wrong word to you mouth. Or, it open the wrong door looking for the word bathroom and instead finds the word basket.

I still do this daily. I can tell you many of the letters of the word or name I am trying to remember but usually miss the most important letters. Yesterday, I was trying to remember the name Tracy at a 4th of July barbeque. I kept coming up with manes with combinations of a, c, r and y but the T never came to mind. Sandy, Cindy, Casey, etc. Like I just typed manes when I meant to type names.

If they don't understand, you can not make them understand. They need to accept what you tell them. Nobody would ever fake PCS just to get attention. It is much more of a problem inside our minds that they will ever observe from the outside.

Hope this helps.

My best to you.
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Old 07-06-2012, 06:42 AM #3
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I feel the same way. Especially when I'm around people that I don't know very well. My left frontal lobe was injured during an assault and my expressive speech was effected. I have trouble putting my thoughts into words and just knowing what to say. This is constant...It doesn't ever go away completely.

It makes social situations very awkward for me. I'll be on the bus and someone will be having a conversation next to me. Before, I would jump into the conversation if its something that I know about or I'm interested in. Now, I'm scared nothing will come out right and I'll make a fool of myself.

I'm a little more comfortable talking with people that I know. People that know I have a brain injury and understand what I'm going through. But...not entirely. If I start messing up what I'm trying to say...I kinda go into regression and just stop speaking.

Its frustrating for me because I used to be a people person. I loved (and still do) talking to people, sharing my opinion on things and making people laugh.

The only advice I have for you is...If your speech isn't really effected much by your injury....Just go for it. Don't be shy! Chances are your word-finding problem isn't really all that bad. People will probably not even notice it. If you have trouble finding a word...turn it into a joke. That's what I do. Laughter is the best medicine and it can make the most uncomfortable situation so much better.

Good luck and don't be afraid to be YOU.

Nick
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What happened: I was randomly assaulted from behind in June of 2011. I was knocked unconscious for an unknown amount of time (less than 30 minutes) and have no memory of the event. CT scan showed contusion and hematoma of the left frontal lobe. I spent 3 days in the hospital. Diagnosed with Post-Concussion Syndrome in September 2011. Currently have Medicaid, Medicare and SSI.

Current symptoms: Brain fog, mild memory issues, problems with spontaneity, occasional spacing out, word finding difficulties, tinnitus in right ear and some other things that I can't explain.

Life after the brain injury: 4 years after the injury, I'm engaged to my beautiful girlfriend of 5 years, I'm the CEO of my own business, Notorious Labs, I've taught myself how to program complex games and apps which is a feat I never thought I'd accomplish and now live a semi-normal life with very mild PCS symptoms.

Slowly but surely regaining my life back.
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Old 07-06-2012, 07:45 AM #4
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Quote:
Originally Posted by SpaceCadet View Post
If you have trouble finding a word...turn it into a joke. That's what I do. Laughter is the best medicine and it can make the most uncomfortable situation so much better.
Good luck and don't be afraid to be YOU.
Nick

Thanks Nick, for these words!!

Sarah, I know what you mean about people thinking you are exaggerating. I am slowly trying to learn that I cannot worry about what others are thinking...it uses too much valuable brainpower!!

But, it is easy to SAY that, and harder to DO that (me: problems with it still). I find myself avoiding social situations that I would jump to go to in the past. (I still force myself to go even if it's just for a tiny bit to keep interacting...)

I agree with what Mark said about educating those who you interact with on a regular basis with the technicalities of the situation; his words at the end were great! (I just can't figure out how to put two separate quotes in a post, or I would've quoted his too)

Nick's advice was great, too! It's been 6 months for me and I am still learning on how to deal with things, so all of your posts are helping me too!!

Good luck !! Keep us posted!
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March 2007, Oct. 2007, and Jan 2012 concussions sustained in martial arts/police academy training; suffering from PCS symptoms of fatigue/exertion problems,tinnitus,dizziness, overstimulation issues, photophobia. Also suffer from PTSD.

So we do not lose heart. Though our outer nature is wasting away, our inner nature is being renewed every day.
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Old 07-06-2012, 10:47 AM #5
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Default struggle to talk

I too have trouble with talking I lose what I want to say forget common words and phrases and I start to stutter a bit. Phone calls? forget it! This morning trying to talk to hubby on the phone during his lunch break it was hard to tell him a simple story. I forgot words and my mind went blank. I ended the conversation to say the least. So frustrating.

Kelly
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Old 07-06-2012, 03:35 PM #6
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First i wanted to say "THANK YOU MARK" for your awesome explanation. I am printing it out so I can show friends/family members why i have so much difficulty and avoid social interactions.

This has been a pretty big issue for me as well.....I can relate! If more than one sound is happening at once, I struggle to saty focused/attention. If there are several conversations going on, it is madening.

I can't keep up with any one conversaation, and if I'm asked a question.....I end up struggling to organize a response and either forget what I wanted to say half way through it or stutter a bit if I'm feeling rushed or on the spot.

The "small talk" that used to come so easy and genuinly, is now something that requires constant effort and drains my energy.

Glad to hear how others are coping with this.
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Head Injury 10/2011. Diagnosed with contusion/concussion....Now PCS with Tension/Migraine combo headaches.

Symptoms: focus/concentration issues, short term memory issues, nausia, dizziness, sleep problems, noise/light sensitivities, extreme fatigue, irritability, vision problems, slow processing, tingling in extremeties and a few more I can't remember.
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Old 07-06-2012, 04:51 PM #7
Mark in Idaho Mark in Idaho is offline
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I find it near impossible to engage in small talk. My brain just does not have the ability to put together the more abstract sentences of small talk.

My brain does quite well with subjects that fit together like a jig saw puzzle. The facts fit into specific spaces. If someone is relating facts, I may need to ask them to repeat what they say so I can organize my thoughts so I can understand and fit the pieces together. Once I get the edges of the puzzle started, I can often follow the information much better.

It the talk is abstract or has too many descriptive terms, my brain gets lost.
If it is a conversation with random concepts/gossip/feelings, etc. I will struggle to put the pieces together and end up lost in space.

I often need to rehearse my first comment into the conversation before speaking up. It is like that corner piece that I can build off of.

It is tough and a reason many psychologists label people with PCS as schizoid, a term meaning: Of, relating to, or having a personality disorder marked by extreme shyness, flat affect, reclusiveness, discomfort with others, and an inability to form close relationships.

I think the schizoid characteristic is a defensive or protective mechanism.
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Old 07-06-2012, 04:56 PM #8
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Default verbal and mental blockage

You are not alone and I think most who have this injury expeirence what you do. Before my injury I was very articulate and now I feel like someone has stolen half my vocabulary at least. In conversations I struggle to find the words and frequently mix them up. It does often get me funny looks but I soldier on. I to feel frustrated at the memory issues, mine are short term but trying to do a complicated tasks with many steps is frustratingly time consuming. While I am new here and my injury is recent, 5 weeks ago. Reading these posts is carthetic and reaffirming it is in my head but it is very real. Find a good doctor and if you need it lawyer.
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Old 07-06-2012, 06:46 PM #9
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rmschaver,

Welcome to NeuroTalk. As you have commented, you are very early in your recovery. Have you had any luck with doctors? Very few are of any help.

I see you have the same dyslexic tendencies. Cathartic vs carthetic. I can't type without spell check or my comments would be gibberish.

Introduce yourself. There are lots of good people here.

Regarding doing multiple step tasks, this is a common struggle that most do best with by breaking such tasks into single processes. A written list of the steps may help. Trying to keep the following steps in mind can get in the way of completing the previous steps. The mind may get stuck bouncing back and forth between steps without completing any.
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Old 07-07-2012, 10:44 AM #10
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Thanks everyone for your suggestions. I think this the most awful symptom for me. The sad part is that I WANT to be actively engaged. The other day, my friend came over, and I was so excited. I was even prepping myself for things I wanted to catch up on.

Then, when she got here, it was like I was stuck in a silent movie -- I could articulate well and felt awkward. Maybe i'm just getting in my head too much about it, but I want to try to be doing better, and the fact that this keeps happening makes me feel set back.

Mark, thanks for your advice.
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