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


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Old 05-12-2013, 06:09 AM #1
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Default gone back two months, frustrated

Hello everyone!

I'm just coming on here to whine, because I know you're the ones that will understand, and to see if anyone has any advice. I don't think I'll be able to keep this post too short. Sorry!

About two months ago I was having problems with anxiety. I had a week with a LOT of stimulation and stressors and then the anxiety was just uncontrollable. I felt terrible fear and was having panic attacks. My brain was "shutting down" in stressful situations. My neuropsych said that perhaps it was time to try antidepressants so that my emotions would calm down and allow my brain to heal better.

I started taking Effexor. Within two days I noticed a remarkable reduction in light and noise sensitivity, I was able to be in crowds or busy situations without anxiety and my brain was no longer shutting down! I had tons of energy and felt amazing. The only problem I was having at this point was I was getting headaches, probably because my brain wasn't shutting down.

The "energy" that I had kept increasing as the week went on and now I was no longer sleeping. Week two I was becoming so hyper I couldn't sit still and still no sleeping. I started to become manic and it get very frightening. I was told to come off the Effexor and started taking Cymbalta instead. I started feeling better after coming off the Effexor and started sleeping better.

I was still having decreased light and noise sensitivity and was still able to handle crowds and busy stores better. In fact, I had almost forgotten that these symptoms had been corrected by the meds. At around the 3 week mark of Cymbalta, I became extremely depressed and took to my bed for 36 hours straight, crying and taking pills to induce sleep. My doctors again told me I had to come off this medication.

I have been off the Cymbalta now for a week and all of the light/noise sensitivities and the inability to be in a crowd, dizziness, blurry vision, inability to concentrate, anxiety in stores, etc. has come back full force. I feel like I've gone back two months in my recovery. Even watching tv and riding in a car are bothering me again. I had forgotten that these were helped by the meds and had been thinking that I was finally well on my way to returning to a more normal state.

Because of my two scary attempts at meds I had decided to take at least a month to try to take no meds and re-establish a baseline for how I was feeling. It looks like there is no way I can go without meds if this is what I'm going to go back to. I am very frustrated and don't know what to do at this point. I know there have been some good recommendations for natural alternatives and I will try to find those posts and write down the options.

Any advice or words of wisdom would be greatly appreciated! I had been progressing with my vestibular therapy, finally had my new glasses and could see well again (even they don't seem to be working as well anymore), I was finally socializing a little bit and was starting to be able to walk short distances and now I feel like it's all gone again.

Thanks for listening! My support group can only take so much "whining"!

I hope you are having a good day!

CC
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I'm a 39 year old, female, accountant. On July 2, 2012 I crashed my bike at the end of a 65KM road ride. I was fine that day but woke up the next morning to my current world.

Ongoing symptoms include: dizziness, blurred vision, light and noise sensitivities, cognitive problems, uncontrollable emotions/depression/anxiety, headaches (but they're getting better), mental and physical fatigue, difficulty communicating and sleep disturbances.

Currently seeing a fabulous Neuro Psychologist and vestibular physiotherapist and hoping to soon see a neuro ophthalmologist. I am currently doing 20 minute stationary bike rides daily, 20 minutes of meditating, 15 minutes of Lumosity and lots of resting. I have not been able to work or drive since the accident.

The things that have helped me the most since the accident are vestibular therapy, gel eye drops (for blurred vision, sensitivity and dryness), amitriptyline (10mg), and meditating. I am finally starting to see some slight improvements and am hopeful!

My brain WANTS to heal itself... I just have to let it and stop trying to get better!
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Old 05-12-2013, 06:14 AM #2
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Default so sorry to hear it

Wow

I have nada to tell you in terms of what you can or should do. How horrible to get so far away from those awful symptoms only to have them come back.

I have no idea what you can or should take. The supplements I take for anxiety are probably not strong enough for your symptoms.

I guess the old metaphor / mantra we hear here is the key to it. This whole journey is a marathon, not a race.

Here's sending you positive vibes and prayerful thought.

pm
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[SIZE="1"]What happened. I was in a car accident 2-23-2013, and got a mild concussion from it. I had some time off for brain rest, got somewhat better, but slipped into PCS in March 2013.

Symptoms I had: dizziness, light and sound sensitivity, fatigue, tinitis, occasional headaches and migraines,

Symptoms as of 5--2013: poor sleep, tinitis, some confusion /short term memory blanks, balance. The other symptoms are mostly gone, but flare up if I OVERdo something.

Therapy I had: vestibular

3 months in: I could drive more and for longer distances. I felt like a younger, happier version of myself and I feel so blessed to have this feeling.

9 months in and I am working full time. I do get tired, and some sound and light sensitivity from time to time, but mostly I am over most of my symptoms.
I pray every day and I m praying for your recovery.

Over a year in: I can multi task (limited) and have humor in my life. But when I am tired, I am very tired.
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Old 05-12-2013, 07:08 AM #3
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Default Antidepressants

I have mixed views on antidepressants. On the one hand, it can be such a pain in the butt to try to find the right one, but on the other hand, they can really be life changers. My father-in-law had two nervous breakdowns and was generally nonfunctioning until he found the right medication for him. Now he's been on Prozac for fifteen years and is fond of the Winston Churchill quote, "One pill a day keeps the black dog away!" I don't know where he would be without that medication.

As for me, finding the right medication probably saved my life 15 years ago, and I have returned to it several times since then, when I've been struggling, including now.

Then there's someone like my brother, who had terrible experiences on medication and just gave up on them. He's somehow managed to thrive without them. But he doesn't have PCS.

I went through a few medications before I found the right one for me. My husband went through even more and still hasn't found the perfect match. I'm encouraging him to go to a new doctor.

For many, depression and anxiety require medication to help correct a chemical imbalance in the brain, but like everything else having to do with the brain, there's not a simple one-size-fits-all answer, so finding the right drug can be a frustrating process. But if you feel you really need it, I'd keep trying. PCS can be so difficult to live with that I think it's worth it to take medication that can help you get through the day. That said, everyone has their limits. You'll have to decide for yourself it you've had enough of the roller coaster ride of trying new meds!

As someone who has allergies to many medications, migraines triggered by others and intolerances to many pain medicines, you really do have my sympathy. Trying to new medication for me is always a big gamble, but right now, I'm glad for every single medication I'm on.
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I have recovered my cognitive function, and I've overcome severe vertigo through sensory integration therapy. Wellbutrin has helped me escape depression. I have recently had a few stress-related migraines, as well as headaches stemming from eye strain. I'm also dealing with tinnitus, lack of stamina, extreme light sensitivity, and eye pain. Diagnosed with 9 different vision issues: convergence insufficiency, pursuit eye movement deficit, egocentric visual midline shift, photophobia, visual information processing delays, accommodative insufficiency, saccadic eye movement deficit, lack of coordination, and central peripheral visual integration deficit.

*First concussion: October 2010. I was pregnant and got rear ended. I associated my mild PCS symptoms with baby brain and blamed my light sensitivity on allergies and dry eyes.
*Second concussion: December 2011. I hit my head on a wooden beam, saw stars but did not lose consciousness, and I had very disturbing PCS symptoms but didn't go to the doctor.
*Third concussion: August 2012. I caused a car accident as a result of PCS symptoms. Thankfully no one was injured but me. My husband confronted me, and I finally sought help and took medical leave from work. My symptoms worsened, and I developed severe vertigo.
*Fourth concussion: November 2012. I was riding in a car with a friend and we were hit head on by a driver who lost control of her car. I didn't have a big increase in PCS symptoms.
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Old 05-12-2013, 09:14 AM #4
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Heart I am very sorry

CC~I am so sorry for this relapse you are experiencing.Obviously the antidepressant did have it's positives and negatives on you.I personally tried Cymbalta for a week and it was mean to me.Then when I got into psychiatrist that works with military TBI he put me on my Pristiq. Without this medicine I do not think I would of made it! My psychiatrist hit it on the nail with me.

I still have some down day's here and there but nothing like before and I can come out of the dark hole fast.Are they giving you any other medication for anxiety?Do you have a lot of pain or injuries from your accident besides the TBI?How is your fibromyalgia these days?Reason I am asking I was good on antidepressants but had struggles from pain and so I had to get help with pain from my injuries.

I would suggest that you try to tackle this from 2 aspects the mental and pain and see if that might help.It helped me a lot from focusing to my speech etc.

***And whatever you do if you do another antidepressant do not look up everything about it on the internet because it is not a one size fits all***

Hope and pray for you to find relief and better days to come
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What Happened: In 2011 I was in a MVA
.


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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Old 05-12-2013, 04:33 PM #5
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Default

I was in the same boat as you Cyclecrash, SNRI's indeed made me manic. Plus Cymbalta, not only made me depressed but sweat like a pig, so imagine a 22 year old girl sweating on the couch instead of resting. Yuck! The scary thing of it all, I was taking Neurontin too. That combo sent me to the hospital, with anxiety being tenfold worse, and depression. I had to choice to stay or go back home, and I said I wanted to stay. There, they gave me Paxil (paroxetine), and I stayed for a week. When I got there, a kind neuropsych came in to evaluate me, and she looked at me, "You have one, but here's the good news, from what you have told me, it's on its way out. You have anxiety and it's slowing down the recovery." I nodded but smiled cause I was happy to hear it. She made sure I was in the best of care, neurologists came over to give me my shots, and I went to physical therapy every day while I was there at 7pm. In the mornings, they would wake me up early and give me a bit to get up. It took a lot back then, believe me. They catered to my healthy eating, and vitamin regimen. Later on, after the hospital I struggled with sleeping and the nausea that still woed me, my psych prescribed me Remeron, and emotionally, I was Elisa, and I was back. I smiled more often, cried when I needed to, I no longer felt numb. I felt real again. No more depersonalization. Today I am on the medication still to prevent a relapse of depression from my ADHD (inattentive). So cyclecrash, please don't give up just yet. You can do this, I know you can. It's your comfort, its your recovery.
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College Student in Information Technology and avid PC Gamer, hit the back of my head against a bunk bed and went unconscious for 3 minutes back in 10-28-2012.

Symptoms: Occipital Neuralgia.
2 MRI's and CT normal.

Currently going through Paxil withdrawals, and psych has me on L-Theanine, Benadryl for zaps, and Lemon Balm. It has eased it by a bit, so I am continuing the treatment till 1 month from now.

Made a 98% recovery on April 8, 2013 with only symptoms of pinched nerves/Occipital Neuralgia in the head and is being treated with injections and physical therapy.

Was experiencing:
Migraines, Headaches, Nausea and Vomiting, Panic Attacks and Anxiety, Depression, Major Insomnia, Brain Fog, Tinnitus, Lethargy, Loss of appetite, Major Heart Palpitations, Occipital Neuralgia has eased a bit.

Vitamins and Medicines: , L-Theanine, Omega 3 Super DHA 900mg, Stress B-Complex Extra Strength, Potassium Gluconate 1000mg, Magnesium Malate 1250mg, Vitamin D3 2000 IU, Methylcobalamin B-12 5000 mcg, Vitamin C 500mg, Lemon Balm.

Things that helped me: My Vitamin Regimen, Medication, Earplugs (Love these!), Nature Sounds, Hydrotherapy, Neck Pillow with Heat, Heating Pads, Resting, Being Outside!
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