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Concussion induced Depersonalisation

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Old 05-18-2018, 10:02 PM   #11
Patriotic American
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Quote:
Originally Posted by mothbox View Post
There is comfort in hearing that others have been through similar conditions and come out the other side. How long did this last for with you?

I started on B12 (1,000 mcgs) this morning so hopefully that will provide my brain with some additional nutrients to aid its recovery.
My recovery wasn't typical, as I sustained pituitary gland damage from a whiplash sustained in a rear-end collision. As a result, I had hypopituitarism, along with a concussion. I produced very little growth hormone. I didn't know it at the time, nor was it diagnosed for two years post-accident, so the concussion only minimally healed for the first two years.

When I was placed on growth hormone therapy, I'd say it took about six months to a year for the depersonalization issues to go away. All said and done, I had depersonalization for I'd say 2.5-3 years. Without the hypopituitarism issue, it'd probably have been two years less.
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Old 05-19-2018, 04:56 PM   #12
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Ive seen depersonalization resolve after testosterone replacement therapy. It can be caused by hormonal imbalances that are due to a concussions affect on the hypothalamus or pituitary. clearly, as identified in medical literature and studies, hormonal issues can cause psychiatric like symptoms.
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Old 05-21-2018, 02:00 AM   #13
mothbox
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The source of the depersonalisation (if it actually is that) could be one of a few things from what I have read:

1) hormonal imbalance
2) reduced blood flow to brain
3) temporary swelling due to concussion
4) brain damage

All of these, I assume, could cause a variation in the way in which particular brain waves are sent, travel, or read, which could be the source of this current feeling. I hope its the 3rd one and eventually subsides.

It's very difficult to get any clear answers as it's all done with external tests.

Upper cervical chiropractic or osteopathic therapy could be the way to go as a start and I'm currently looking into where to get this service locally.

I've started on B-12 supplements alongside omega-3 and multi-vitamins which will hopefully aid recovery. I will add additional supplements as necessary but am cautious about loading up in one go to ensure that there are no reactions.

The next stage would be to review the possibility of a hormonal imbalance as a result of the concussion - and how this could be assessed and treated if it was to be the source.
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Old 06-06-2018, 07:41 PM   #14
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Entering month 5, my feeling is fairly consistent with the past month. The sense of ďdepersonalisationĒ, a distance from reality, still remains with no noticeable improvement. The feeling of a detachment from reality doesnít appear to be effecting cognitive ability and overall I seem to be getting used to living with it.

I have had a couple of weeks of good amounts of energy throughout the day and evening which seem to correlate with reduced sleep despite me focusing on trying to increase sleep. My sleep posture, on my side, is a work in progress as I adjust pillow height with towels under a memory foam pillow to achieve the right height. Over the last week I have found that Iím waking up between sleep cycles and finding that I'm naturally waking before my alarm and needing less sleep than previously. This may be a cycle that I'm going through or it could be a sign that I am returning to my pre-concussion sleep requirement of around 7 to 7.5 hours per night.

My diet has been important to me, not just because of the concussion recovery but in general I recognise that when Iím outside of the home I can easily be let astray. I have been trying to improve my lunches with salads containing plenty of nuts, fish, vegetables, and peas. I find I can eat a lot without feeling lethargic afterwards and this provides me with energy for the rest of the day and is likely the link with my increased daily energy.

In conjunction with this diet improvement I am trying to drink 2 to 3 litres of water a day and have started carrying a water bottle with me as much as possible to provide a stimulus to drink. Iím probably about a month into it at the moment and have slackened off over the last week but am conscious of it and am picking it up again.

Iím trying to tie my supplements into my eating habits as well and have begun to string out the fish oil tablets over the day with my meals, totalling 1,000mg of DHA per day. I take a multi-vitamin with breakfast and try to ensure I donít take it on an empty stomach because it makes a noticeable difference to my urine indicating Iím passing it relatively quickly when taken without food.

Iím about 3 weeks into taking vitamin B12 (1,000 mcgs) every morning on an empty stomach about 1 hour before breakfast. Initially there was a noticeable energy boost when taking this which would have been a placebo effect. I have noticed some increase in concentration ability over the day so I will continue with this into the future. Currently Iím taking 1,000mg of DHA (fish oil) and 1,000 mcgs B12 per day plus a multi-vitamin.

I very recently saw a chiropractor who has set me up with some exercise for posture overall and didnít find anything concerning with my neck Ė my main concern had been C1-C2 following online research and forums. He will continue to work with me on my overall posture and this will also focus on my neck as part of this but at present there hasnít been a specific issue found. I have no neck ache or pain.
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Old 06-16-2018, 01:01 AM   #15
SilenceIsSacred
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I am now 15 months out and this aspect of the injury has not really improved much at all for me. I HATE it.

I completely understand what you guys are going through, and it is one of the most unsettling aspects of this whole thing. It reminds me of the old axiom "I think, therefor I am."

Well the sad fact now confronts me that because my thinker is diminished, my existence itself is diminished in that I feel less present, almost as though I exist less. The crispness of reality that I once took for granted seems gone for now. Reality is less sharp, less vivid, less convincing.

It is very similar to the effect of taking dissociative drugs. So I hypothesize that this aspect of the injury may be due to a reduction of glutamate neurotransmission, reflecting white matter damage in particular. This is based on my experience taking these drugs in the past where the same sort of feeling has occurred, but of course always resolving spontaneously. TBIs sadly do not.
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