Somehow I managed to hit my head with my fist as I was sleeping this morning. I hit the side of my head but I'm not sure how hard it was, enough to wake me up and startle me. I know I've been struggling with anxiety but is it possible that I caused damage to my brain?

I feel awful now - I'm sort of dizzy - but I can't figure out if it's just my anxiety. My head is definitely a little sore around that area. I had been making solid progress the last week and now I am worried and sad about backtracking again. I really hate that I have to live like this.

I have Physical Therapy and Speech tomorrow morning. Should I cancel these appointments to rest just in case?

I'm really lost. I am glad that I have my first counseling appointment on Wednesday.

Danny, hopefully you'll be able to go to those two important appointments tomorrow. It would be a real shame to miss them after all this time.

It is possible that you're feeling more anxious about it just because you can feel pain in the area that you hit. Your attention would be more focused on this because you can feel it.

You have a big week this week. Take it easy today and try to keep your appointments.

Danny,

When I have accidental bumps like that now the first thing I ask myself is, "Would I be worried about this in my pre-concussion status?". I have great anxiety about hurting my head as well and I've found this to kind of help me with it. I highly doubt that you can hit yourself hard enough in your sleep to cause any damage. Your subconscious is probably so focused on any hit and that's probably why you woke up. I imagine the hit could've only happened while tossing/turning in your bed, which couldn't have been that hard.

Individual subconcussive impacts do not cause damage. It is the accumulation of hundreds of them overt a short period ( a month or so) that is a concern.

The rest is just anxiety.

Donniedarko's comment is a great way to look at these bumps.

Keep your appointments. Even if you smashed your head into a brick wall, you should still keep your appointments. Two hours of appointments out of a whole day will not set you back.

Danny, your punch was probably not hard enough to reach the sub concussive level(10-20g).
I can't calculate these stuff but I have a video for you.

This punch has about 10-20g, decisive is the weight of your head.

https://youtube.com/watch?v=iqGKpUjBfjE

Go to 5:26

All right it seems like I'm feeling better and there's not too much to worry about.
I really need to work on this anxiety...

I am off to my appointments. I'm sure I will be fine. Thanks to all for the concern and support.