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


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Old 06-17-2013, 01:07 AM #1
LostinTime987 LostinTime987 is offline
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Default Feeling emotionally void after concussion

Hello,

I never thought I would find myself in this place in life. I used to be an intensely emotional, passionate person. I'm a 25 year old female - everything in my life was going so smoothly and nice until my concussion last month - I hit my forehead on a glass wall at the mall. Before my concussion, I was an extremely happy person. Lately, past few weeks I have noticed that I am feeling absolutely no emotions anymore. In the beginning of the injury, I felt okay emotionally...just was stressed. Now, however, I may THINK about an emotion or have an emotional verbal response to things, but I don't physically feel happiness, sadness, anxiety, excitement, feeling of inspiration, desire, etc. I feel like every ounce of feeling was sucked out of me...I also feel like physically, when I get hurt (like stubbing my toe into something) it really doesn't hurt that much. Certainly not like it used to. Can this be neural? I know emotional responses and physical pain are closely related.

I really don't want to get on medication. I am thinking about getting therapy. Please, someone tell me this feeling is temporary and I will heal? I feel suicidal and just have absolutely no desire for life anymore. I have been having nightmares every night and it's weird because when I wake up in the middle of the night sometimes I feel SO many emotions all at once, but then when I wake up again in the morning it's like I'm back at square one- empty of any sensation. This is by far the most scary thing I have ever experienced. I can deal with the constant post-concussion headaches, ear aches, etc. but the depression is going to murder me. I'm on the verge...

I explained my problem to family and friends and absolutely no one understands me - they think I'm imagining this but I'm not. They just don't think someone as emotional as I used to be could lose their ability to feel. It's the loneliest feeling in the world - I just don't know what to do anymore.
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Old 06-17-2013, 10:24 AM #2
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Hi and welcome to NeuroTalk.

Your lack of/change in emotional states is not uncommon with concussions. My emotions were all over the place for months after my injury. The prefrontal cortex is the primary area of the brain responsible for emotional processing, and based on your description of your injury, this is where the impact was. What you describe sounds like what psychologists would call "flat affect"

This will probably resolve over time, but based on your description of your emotional state, especially the suicidal thoughts, I would strongly suggest you start therapy immediately. I’d start with a neuropsychologist that specializes in brain injury. They can help determine what type of treatment would be most helpful, and refer you accordingly. Cognitive behavioral therapy could be one option they might recommend. If they do recommend medication, it likely won’t be forever so go with it if that is one of the recommendations.

Your injury is relatively recent, and you should expect improvements, but those improvements will be quicker and more effective with medical and psychological professionals guiding you.

You might also consider a brain injury support group. The Brain Injury Association of America may have an affiliate in your state that has a support group in your area.

http://www.biausa.org/state-affiliates.htm

Also check out http://www.brainline.org/content/201...u-to-know.html

You will get better, but it will take time. Best to you.

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What Happened: On November 29, 2010, I was walking across the street and was hit by a light rail commuter train. Result was a severe traumatic brain injury and multiple fractures (skull, pelvis, ribs). Total hospital stay was two months, one in ICU followed by an additional month in neuro-rehab. Upon hospital discharge, neurological testing revealed deficits in short term memory, executive functioning, and spatial recognition.

Today: Neuropsychological examination five months post-accident indicated a return to normal cognitive functioning, and I returned to work approximately 6 months after the accident. I am grateful to be alive and am looking forward to enjoying the rest of my life.

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Old 06-17-2013, 01:14 PM #3
Su seb Su seb is offline
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Default Understand

Many people on this board can understand. Learn more about your injury so it doesn't scare you so much and get some good docs, support and therapy. Come here and ask questions.
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Slipped in puddle and fell. 10/6/12. Whiplash and concussion. 48 years old.
Dizzy, balance, vision, taste, sound, light, cognitive, headaches, foggy, head pressure , irritability,....
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Old 06-17-2013, 02:07 PM #4
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Hi LostinTime987,

I understand what you're feeling and not feeling. I have blunted/flat affect from my TBI in 09 (auto-accident). The best advice I can give you is to find yourself a good neurologist and be perfectly honest with them about your symptoms. I didn't want to take meds either in the beginning, didn't want to be more of an emotional zombie than I already was. But, there are so many symptoms that result from a head injury that treatment is a necessity for most of us.

Everything you're experiencing right now isn't permanent. You may not go back to exactly the way you were prior to your injury, but you'll learn new ways to cope, think, feel, learn and experience your life.

I promise that along this difficult journey you will find a new kind of happiness, joy and passion for living again...I'll pass along some wisdom that was told to me ~ Learn to take advantage of re-discovering and re-inventing yourself. How many people get to take advantage of something that can be devastating to our lives and get a second chance to do a "re-do", a make-over if you will, of our life.

You will find new discoveries about yourself along the journey. You'll have bad days, but there will also be many many good days.

As far as family and friends, they more than likely won't understand but you have to put you first. Reach out here with those that do understand and any other resources that are available to us.

Some of us have to be our own best advocates and there is a lot to learn about a head injury. No two are exactly alike, but there is enough in common that we all have something valuable to share.

In the beginning, meds may be necessary for you to help you cope and to help with depression, which is so very common after a TBI. It isn't a sign of weakness or not being able to beat this thing on your own.

I won't kid you, it's a long sometimes exhausting and anguishing journey, but there is a wonderful life on the other side. It may not be the life you planned on or expected, but it can be just as good, if not better than the old life...It will be your new norm.

Again, reach out, read, listen, watch every video on TBIs that you can find, find yourself a good neuro if you don't have one. Sometimes you might have to suck it up, fake it till you make and allow yourself to not always be graceful about how you get to where you need to be.

You won't always feel like this. It will get better.

There is a wealth of good advice and experience here and most of the time it's the best you'll find. Share yourself. You have nothing to lose and much to gain. Stay here for a while. There are good people here that will understand.

You are in my thoughts. May all be well in your journey.
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Old 06-17-2013, 06:41 PM #5
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Lost,

Many of us have been through this 'flat affect' period. It can be confusing, especially if you friends and family are clueless and refuse to try to get a clue.

Read the Vitamins sticky at the top. It has the link to TBI Lost and Found LightRail mentioned.

It has some other good links, too.

You can do a lot for your brain with nutrition. Good stuff for your brain and staying away from bad stuff.

Finding a brain injury support group will be a big help. You may struggle to find one that is active during the summer.

Please stay with us on this thread so we can offer support and guidance. You are with family here. We DO understand.

My best to you.
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Old 06-17-2013, 11:37 PM #6
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Default Keep Your Head Up!

I just wanted to let you know that I absolutely despise taking medications of any sort or variety. However, as others have already mentioned, it becomes a necessary evil for at least a little while when you have PCS.

I can absolutely sympathize with the "flat" feeling and the horrible nightmares that cause anxiety in the middle of the night. I am finally on something called Trazodone that has helped me sleep a dreamless sleep for almost a week now! Rest and reduced stress/stimulation is the best help for PCS, so do whatever you have to to get good restful sleep!

Keep your head up honey...I am also a 25 year old female and my life has been turned upside down with this. Keep visiting this site and letting us know how things are going. You will get better and life will be worth living again!

All the best thoughts to you
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Old 06-18-2013, 01:19 AM #7
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I also got this flat effect and also lost the ability to pray. I never realized I need my emotions to pray! It all came back yesterday and I remarked to my husband how good it felt to be alive. He laughed and said that is what almost all concussion victims say, even though very few people die from it, the brain thinks it is dying. I am only on week 2 of recovery and still have problems with other things like walking. My hit was also on the front part of my head. Im not an expert but others are saying that you will recover. In the meantime please remember this flat feeling is really your body telling you to rest and not try to experience relationships and emotions during this time. The only answer I could get from trying to pray during my flat phase, was that I couldn't pray because I was supposed to be resting, not talking!! Wishing you a speedy and full recovery.
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Old 06-18-2013, 11:32 AM #8
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Quote:
Originally Posted by heatherr30 View Post
I also got this flat effect and also lost the ability to pray. I never realized I need my emotions to pray! It all came back yesterday and I remarked to my husband how good it felt to be alive.
AMEN. My accident was life threatening, and I am thankful for this gift called life. Prayer and meditation continue to be an important part of my journey.

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What Happened: On November 29, 2010, I was walking across the street and was hit by a light rail commuter train. Result was a severe traumatic brain injury and multiple fractures (skull, pelvis, ribs). Total hospital stay was two months, one in ICU followed by an additional month in neuro-rehab. Upon hospital discharge, neurological testing revealed deficits in short term memory, executive functioning, and spatial recognition.

Today: Neuropsychological examination five months post-accident indicated a return to normal cognitive functioning, and I returned to work approximately 6 months after the accident. I am grateful to be alive and am looking forward to enjoying the rest of my life.
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Old 06-19-2013, 06:46 PM #9
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Thank you so much everyone. It's good to know I'm not alone in this, because it's been incredibly difficult and I feel less and less like my old self everyday. It's killing me inside.

Anyone that has been through this "flat" feeling of dull (or no) emotions, has it gotten better? I'm so scared of feeling this way permanently or having to stay on antidepressants for the rest of my life. To go from being incredibly extroverted, confident, and bubbly to this new version of me that's more quiet, dazed, and apathetic is so terrifying. I'm sorry for sounding melodramatic, but that's really how I feel right now.
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Old 06-19-2013, 07:13 PM #10
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Lost,

Are you taking an antidepressant or other medication? They can contribute to this malaise. They are a Catch-22. You may need them to deal with or survive severe anxiety and depression but they can make the depression manifest in a different way.

You have not told us anything about your concussion and any diagnostics or treatment you have received. It will help if you can share more about your situation. We have heard it all. Don't feel like you are dumping on us. That is why we are here and stay around.

My best to you.
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