I've been battling whatever this is since hitting my head last October.

I've always had low-level anxiety throughout my life but it has always been very manageable.

A week after hitting my head, I had my first panic attack. I got better after a few months but smoked marijuana and had a second MASSIVE panic attack. Since that attack, I haven't been right.

I experience hand tremors, muscle twitching, jaw clenching, soft spots on my head are always sore, some type of vertigo/ dizziness, derealization/ depersonalization, tunnel vision, I can feel the pulse in my body...sometimes it feels like my head or body are vibrating.

Neurologist (specializing in headaches) did blood work and MRA but to no avail. Psychiatrist gave me Xanax after a 45 minutes consultation.
What irritates me is the Psychiatrist seems to not care that I hit my head and the Neurologist seems to not care that I have anxiety.

It this PCS? It this anxiety? Does it even matter?
Any advice on what I should do next?

I keep flipping between the two. The hit to the head started it all...so it must be PCS...however the symptoms only started after I had my panic attacks...so it must be anxiety.

I've been debating for months about seeing a Psychologist but I really don't think these symptoms are thought-based. But who knows.

Anxiety is probably one of the most common symptoms of PCS. So, the answer is likely is you have anxiety cause by PCS.

The doctors only address symptoms they can treat. A neuro will rarely offer to treat anxiety. A psychiatrist will not usually be interested in head injury issues.

I think the key issue is to find the triggers of your anxiety. Often, anxiety can be triggered by over-stimulation. This can be visual or auditory. Sometimes, it is thought based but that is often in response to minor anxieties that trigger 'why am I feeling this way' anxieties.

Many of us manage some of our PCS symptoms by reducing triggers and such that cause these anxiety issues.

it it does matter because you matter. My anxiety and depression got much worse after my head injury. I know it is hard to get anybody to believe you and that can get your down but don't let them tell you what is wrong with you. If your anxiety got worse after the concussion then that was most likely the cause.

But that's my question....do I need to overcome the head injury or overcome the anxiety?

Are my symptoms caused by the head injury or the anxiety?

I have a hard time thinking the two are one and the same because I don't experience many of the classic symptoms that I'm reading on these forums.

For God's sake, I was diving for volleyballs the other night, having a grand old time without incident. But then I wake up, every morning, feeling like complete crap after sleeping for 7 hours straight. I then spend the rest of the day feeling tired, feeling ill, just feeling bad overall. It's a weird, vicious and confusing cycle.

first of all it can take up to 2 years to recover from head injury in general and that is not to discourage you but give you hope that you would go a lot more healing. You are waking up feeling lousy because your brain reserves are low as it heals. There are others on this board that know a lot more than me but be hopeful and feel free to post any questions you have

You need to overcome the urge to do things like dive for volley balls. That is far more aggressive activity than your brain is ready for. That kind of activity can be a trigger for all kinds of symptoms returning. The severe head movements looking up and following a fast moving ball is also likely too much neck movement.

It is very common for the activities of one day to not show up with symptoms until the next day. The dopamine flowing during the busy day is not there the next day and one's brain crashes. It may even end up dopamine deficient.

Many of us have learned to expect or even plan to have a bad day after a busy day.