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


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Old 06-28-2013, 06:52 PM #1
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Default bipolar after mtbi

Hello everyone,

I know I haven't been on here in a while but that's because I've been hospitalized since May 14'th in the psychiatric ward of my hospital. They are trying to find meds that can help me. It appears I am suffering bipolar episodes and it is unknown if the concussion caused it, triggered it or if it was always there just not bad enough to need help.

We have tried Effexor(became manic), Cymbalta (depressed,suicidal), Cypralex (extremely aggressive) and I am now on Zoloft with Seraquel to help as a mood stabilizer. I also take elavil 10mg for headaches which has always helped. They are lowering my dosage of Seraquel and are going to put me on Lamotrodine with the zoloft.

Is anyone familiar with this occurrence or had any luck with medications or resolving the bipolar symptoms without drugs? I know I've probably spelled all of the drug names wrong but I'm tired.

I hope everyone is doing well. It's good to see some of the old names not on here as much. Maybe it means they have gotten back on with their lives.

Take care,
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 06-28-2013, 08:37 PM #2
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Default Goodness!!

Dear cyclecrash,

I have no advice at all and wish I did.

What a turmoil you have been through. How scary for you too.

I hope others weigh in soon with any advice for you.

Is lithium a possibility for you or not?

Anyhow, take care,

poetrymom
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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 06-28-2013, 09:57 PM #3
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Hi CC,

I don't have any particular suggestions - just wanted to send you positive thoughts as you deal with the rollercoaster of PCS. I can say that I know at least one person with bipolar disorder whose life turned around dramatically with the help of meds and a good psychiatrist. It took her a while to find the right combination of meds, therapy, lifestyle choices/routines, etc. so hang in there.

I can't speak to the bipolar issue but my recovery has taken 2+ years. I have made enormous gains and am regaining my former life but it has been a slow process requiring much patience.

My best to you.
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Old 06-28-2013, 10:39 PM #4
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I have two brothers who have struggled with bi-polar. It is not a life sentence. Getting stabilized can help you develop life skills to reduce the highs and lows. One brother had to change careers to avoid the cyclical stress levels of intense projects with intense let downs when the projects get finished.

I hope there are support groups where you can share your struggles and victories. I know there is a group called Emotions Anonymous.

My best to you.
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"Be still and know that I am God" Psalm 46:10
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Old 06-29-2013, 04:57 AM #5
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Cyclecrash - Sorry to hear what happened to you. I wish I could advise but I am not in a position to, take care of yourself.
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PCS following head injury November 2012. Experienced dizzyness, light and noise sensitivity, hypercusis, fatigue, insomnia, migraines, facial pain, problems concentrating, irritability, sensory overload, exercise intolerance.

Symptoms mostly resolved, working full time and I am now mostly better. I wake 6am daily since my injury. Was experiencing daily Neuralgia which was controlled with Cymbalta 30mg, Lyrica 200mg daily. Now only on 30mg Cymbalta.
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Old 06-29-2013, 05:58 AM #6
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Cyclecrash,

Bipolar Disorder, with the help of meds and therapy can be taken care of. Mood stabilzers (Anti-seizure meds, antipsychotics such as Zyprexa and Seroquel), antidepressants are used for depressive cycles. Manic cycles are managed by mood stablizers and antipsychotics.

Therapy may also benefit you at this time, if you haven't already done it.

Get well soon,

Consider
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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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Old 06-28-2013, 10:12 PM #7
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Hi cyclecrash,

Years ago I hit my forehead on a steel dock plate (used for unloading trucks) and now looking back a lot of my mental health issues began shortly there after. I have been diagnosed with bipolar /depression. And I have been on most of the meds you listed. All with the same nasty side effects.including smoking in bed & not remembering it & I never smoke in the bedroom. Very scary!

Until this latest concussion I have chosen to live med free. I am currently weaning myself off Lexapro. I plan on using the L-Tryptophan since Mark from Idaho has been having good success with it.

Like with my PCS I have to learn my triggers so I can avoid them and/or develop work arounds.

It hasn't been an easy road not taking the psych meds but I have had to maintain a strong support network of family & a couple of really close trusted friends and learn to pay really close attention to how I feel and my behaviors, like is this shampoo any better than the other 4 bottles I have, or do I really need 3 bags of chocolate candy, can I afford to go to the casinos, things like that.

I still have depressed days but I allow myself to be human and know that not everyday is going to be an up day and every one has a "blue" day and I give myself permission to be blue. It's what I do the next day that counts.

I attend 12 step meetings and use the "take the body and the mind will follow" approach to feeling better. Going for walks, doing something I enjoy doing even if I don't feel like it. I have to do something to keep the depression from swallowing me up.

My thoughts are with you on this journey.
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Old 07-04-2013, 06:57 PM #8
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I will definitely have to check out that book and thanks again everyone for all the words of support and advice. Still plugging along upping one med and lowering another and adding another. Such a juggling game! I feel pretty good at the moment but tomorrow's increase could change it all in one moment.

The great news is that I finally have a neuro opthalmologist appointment for July 23'rd!!!! Finally going to get these eyes looked at. I had great success with an optometrist that prescribed prism glasses but I still have too much eye strain and cannot progress so I'm very hopeful the neuro opth. might have some ideas.

Take care,

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 07-04-2013, 07:43 PM #9
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Default Hi cyclecrash

Sorry you are going through all that. I am 61 and just dx'd last year being bi-polar too. Evidently I had tendencies toward that all my life. I am over emotional at times. Currently I am on zoloft and serequel as well. Moods have stabalized. I have 5 auto immune conditions,and I wasn't handling them particualry good. I don't know if a concusion can cause bi-polar, the doc. said I might have been born this way. My parents complained I was antsy all my life. So.... are you feeling any better these days? I know the hospital isn't any fun. The meds you are on, should work for bi-polar to my knowledge. I am not familiar with the medication you mentioned that they wanted to switch you to.
I know all these emotions, are difficult, I do wish you all the best. There are alot of bi-polar people on this site. Check out that forum OK? I just wanted you to know, you are not alone. Life throws some real left hooks at you at times. Not all of us are equipped to handle many stresses at one time. You will find some friends here also. On the bottom of the page, there is also Neuro Talk for mental health issues. Both sites, do both medical and mental issues. Explore all you want. I am glad you found us. Hope your 4th was a good one and didn't get rained out like we did. ginnie
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Old 07-07-2013, 08:45 PM #10
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Default Hey CC

I'm now an infrequent lurker but am glad to hear of your update. Even though it is a tough diagnosis it is also empowering to know what you're dealing with... remember how frustrating the big unknown can be? I'm sorry you're going through tough times though!

I am just an uneducated opinion but frankly even the so-called educated doctors don't seem to know that much about the chicken/egg conundrum of mental health versus physical injury. For what it's worth... whether you had the tendencies or not before injury, if it's indeed clear that you have bipolar disorder now, then that is what you must deal with and treat, alongside whatever else helps you cope with PCS. So whether its caused by injury or not, it shouldn't change how doctors deal with it, right? I'm hoping! I don't understand why they are trying to even figure out the cause, maybe I'm missing something.

As you can see I'm not up to snuff these days, I'm giving all my good marbles to my workplace and there's not much left upstairs for anything else. Lol

I hope you find healing, and peace. Good to hear from you.
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About it: October 26, 2012 I fell backward on an icy parking lot at work. I was on Workers Comp for 9 months. My PCS : everyday headaches became once in a while headaches, and neck pain became manageable. Still have occasional mild dizziness, sometimes fullness in the ears, convergence insufficiency, sequencing struggles, short term memory struggles, verbal processing delays. CT neg, MRI neg. Therapies: prism glasses, acupuncture, icing neck, resting, supplementing, Elavil 20mg at bedtime.

NEW: Completed 12 weeks of physical therapy and returned to work full time.

About me: I'm a marketing manager, a mom with a blended family and wife to a heart attack survivor. I believe my brain injury taught me more than it cost me. I'm grateful to still be me!
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