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Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). |
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09-07-2012, 01:36 PM | #1 | ||
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I took the full exam and my neuropyschologist said I had mild depression and anxiety. He is going to write report(and suggest I not read it due to not wanting to freak myself out) and give it to my primary care Dr. to prescribe anti depression/anxiety meds.
My thoughts are that any person with PCS is going to score high in these areas, but that doesn't get to the root of the problem. Some of the gems my Dr. said to me are as follows. "the brain is very redundant and can heal itself" There are billions of cells and if some got damaged in the accident, they can create new ones." "Many sports people get similar injuries to yourself and they recover in a few weeks." (I was Tboned by a car going 60 mph, not exactly the same thing as getting tackled). "I think if you got a job most of your problems will go away." It's safe to say that he doesn't believe symptoms of concussion can last this long so I won't be listening to his advice to try any new medication(i'm currently on amitryptaline for my headaches). I do think there is a correlation between PCS and high anxiety/depression. I would say I have neither, but I do get frustrated occasionally and will be down if I have a really bad week. Once I have a good day(0 headaches,brain fog to a minimum), I feel wonderful so wouldn't a person with anxiety/depression have these symptoms every day? I've accepted my situation, but my biggest problem is my relationship where my wife thinks it's mostly in my head(she's going to love that this doc confirmed her thoughts). It seems so obvious to me that there has been organic changes to my head and anxiety/depression meds aren't the cure. Why would my brain be sensitive to noise, dizziness, unable to track objects side to side without increasing symptoms, unable to tolerate caffeine/alcohol, constant headaches? The Dr. didn't have a good answer to this and just said half the battle is in my mind. To me, it seems 90% symptoms,10% mind. I know some people on here have found relief from depression medication and I don't want to close any doors to help my recovery. However, it's really hard to trust anyone when it comes to concussion care so I feel I'm better off going with my gut that says anxiety/depression is not the problem. |
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09-07-2012, 02:40 PM | #2 | ||
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Does your NP report say which scales were elevated in the MMPI-II ? There is an overlap of depression and concussion that can be differentiated by closer analysis of the elevated scales.
If this NP is part of litigation, he may have been chosen because of his bias against concussion. This bias is common. There are other scales that also indicate organic brain injury if properly considered.
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