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

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Old 01-17-2013, 06:19 PM #1
Concussion Concussion is offline
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Quote:
Originally Posted by Consider View Post
Why do we get anxiety, panic attacks and insomnia? I also have noticed I have a lack of motivation, is this normal?

I feel like I am not myself when I have these problems. Insomnia is the biggest letdown out of all of them. Something is just strange with me and most of the time, I need someone to get through my days. Should I seek treatment again?
Consider: you are very early into your situation. Sadly, you are experiencing things that are all "normal" in the processing by your brain while it sorts out what is going on with itself.

It was injured, badly enough to need a period of time to have to itself to recover and find a new balance. During which time, you will be affected with the effects it suffers through the reorganization, if it gets the chance it wants to reorganize.

That is why you hear folks here stating : Rest, back off and give Rest a chance.

How much rest is not something anyone can say offhand. That is why being under the care of someone who is very attentive to the Concussion and mTBI, and the sequellae is very important throughout the initial and continual process until you reach some recovery, before further therapies are even planned.

You should still be under a neurologist's care, with regular revisits through this initial phase (especially with new symptoms occuring), and discussing possible future plans of therapies and/or evaluations.
Or a very good Primary Care Practitioner with very good experience with concussion/mTBI patient care.
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Old 01-17-2013, 08:34 PM #2
Mark in Idaho Mark in Idaho is offline
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I disagree with Concussion. There are very few PCP's and Neuro's who will understand your struggles. A Physiatrist (Physical Medicine and Rehabilitation) is sometimes a good find, if you can find a good one. The problem you risk with frequent doctors visits is being labeled a hypochondriac, somatoform disorder, and other negative labels. Over-medication is also a common problem.

Anxiety/panic attacks are usually caused by an overload of stimuli. Too much noise, voices and visual stimuli overwhelms the brains ability to process so it kicks into 'fight or flight' mode. This speeds up processing causing the anxiety attack. The injured brain has much less tolerance for this fight or flight mode so it tends to crash hard. The solution to this is to learn the triggers and how to moderate them. Some environments are simply not tolerable.

One problem with audio stimulation is related to being unable to identify the sound and the source of the sound. That dripping faucet or item blowing in the wind and banging against the building are common examples.

The concussed brain often can only process one channel of stimulation at a time. Sometimes, it will help to close your eyes to reduce the visual channel.

Unfortunately, few doctors will help you with these issues other than try to medicate you. The common anxiety meds are benzos like Xanax, Valium, Klonopin, and Ativan. They are not good for maintenance. Some need them for critical times. I find I do well with beta-blockers like propanolol. They have less side-effects and quicker action times with no CSF residue.

I bet everybody here has struggled with anxiety as some time during their concussion recovery.
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Old 01-17-2013, 09:03 PM #3
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I agree with Mark. To date I have seen two nuerologists, two pcps, a orthopedic spine surgeon, psychologists, and physical therapists. Most at best are skeptical of what I was trying to describe. In my opinion mTBI or concussion is not well understood in the medical society. Yes there are those rare few doctors who really help you.

My long term pcp helped me. It had more to do with the extreme change I went thru and he recognized that. It was over two or three visits unrelated to my concussion that he wittnessed this difference. Finally after 4 months and noticing that I was not getting the medical care I needed he stepped in. Prior to that he would counsel me to trust the nuero and just talk to him. I am so thankful for his intervention it made all the difference.

I know your struggles and how awful this injury is. I still struggle and believe it will affect me all the rest of my life. I have learned I am different but I am still able to contribute. My family and immediate co-workers have been great support. At first it was a struggle to find any joy in the day. Especially in the early months when the pain was the worst. With time and focus I practised celebrating any small joy until with alot of time I recovered to the point that the anxiety subsided and the pain is much reduced.

Find the best doctor you can. I have heard more good reports here from those have seen physiatrist than any other dr. so that is an excellent piece of advice.

Best of luck.
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Old 01-18-2013, 02:46 PM #4
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Quote:
Originally Posted by Mark in Idaho View Post
I bet everybody here has struggled with anxiety as some time during their concussion recovery.
I'm still struggling, depression too. My doctor prescribed Cypralex.
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Old 01-18-2013, 02:51 PM #5
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I am a emotional wreck....ALL over the place as well!!!
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What Happened: In 2011 I was in a MVA
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Symptoms: Physical: I am always cold in any season!!I cannot tolerate anything pressure on my head(sun glasses,hats)longer then a hour,Lock jaw/Displaced TMJ, Dropsey, Hands go numb, Arms go numb, back of head numb (when asleep),Muscle spasms in face & upper body,migraines, concentration headaches, dizziness, nausea, neck and back trauma (from accident), tinnitus, extreme light sensitivity, noise sensitivity, EXTREME fatigue, impaired vestibular system, balance off, Pupils NEVER equal, disrupted sleep cycles,speech problems.

Cognitive: Cognitive Behavior, Brain fog, impulsivity, speech problems, word finding problems, slowed processing speeds, impaired visual memory, impaired complex attention

Emotional: Unable to handle stress or overstimulation without getting extremely irritable or angry, easily overstimulated, MAJOR depression, major anxiety, Panic attacks

Treatment so far: Treatment for PCS,PTSD,Depression & panic,Vestibular therapy, Physical therapy, Vitamin Schedule,Walking,No Dairy, No eggs, No caffeine, No artificial coloring, Sleep with 2 pillows, Very little sugars consumed, Eat healthy,No alcohol, Medications, limit stress and overstimulation.

~*~Learn to treasure yourself and your Divinity. Be willing to accept yourself completely. Be yourself, be graceful, be kind, be wild, be weird ... be true to yourself~*~
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