I have to say that I have had my best day yet today, I really think that the Cymbalta is helping with both the pain, fatigue and my mood/anxiety. Subsequently I have had a full and active day from 8am till 5pm with rest when required. I think its helping reduce symptoms, the noise sensitivity/tinitus appears to be the most stubborn of all and wont go. I suppose its just one day, but a full week would be great, definately trying to avoid the things that provoke symptoms to make this last.

I suffer greatly from this. No anxiety, just what I would call a massive brain crash when in a noisy place or when there is more that one or two sources of sound. This symptom is very debilitating for me as it means I can't be in public or do my job properly (teaching at university) or go out with my family to restaurants...or attend receptions, etc. I am worried this will never get better.it is beter than it was, but not good enough yet to allw me to function in a social world.

What specialist , doctor, or carer would one try to see to understand a bit more and to try some therapies? I should have bought shares in earplugs. I have filters, etc. I just want to be able to exist in places where there are multiple noises. In fact, I need to be able to do that, just like many of ghe others on this board! :(
Any tips would be appreciated. I think the amantadine has helped this a bit. But I suffer with this.

I am now 7 months after my car accident, and while some symptoms have gotten better, others still linger.

I get so anxious and have mini panic attacks in crowds and large open spaces, that it's hard to believe how to return to work (also university teaching!).

Is this biological or psychological? Or perhaps it doesn't matter, and I need to ask for help with my neurologist.

Berkleybrain,

I believe that is both biological and psychological, however one feeds into the other and vice-versa. People with PCS have much higher arousal/tension levels and therefore completing everyday tasks is far more difficult and challenging. I too used to go into overload in crowded places, but not anymore. I had very bad symptoms of light/noise sensitivity, migraines, fatigue, tinnitus, numbness, insomnia etc. My symptoms started to reduce once I took all pressure off myself, but this still wasn't enough for me. All of these 'biological' symptoms have reduced further since I have been taking an antidepressant. Worrying about symptoms and the future, anxiety, depression, low mood increases and feeds into the physiological symptoms in relation to PCS. It might not work for everyone, but medication is one means of breaking the psychological-physiological cycle of PCS.