There are days when you have mood swings and do not feel good about yourself.
On such days you do not like your self, nor are you particularly pleased
with the direction your life is taking. Some days, for no apparent reason,
you might feel irritable, tearful and become difficult to get along with.
On other days you feel physically ill, dizzy, weak, and lose your appetite.
When such symptoms characterize your days, and when symptom-free days become
the exception, a neuropsychological evaluation might be in order. Such
symptoms filled days are the stuff of Post Concussion Syndrome, without
proper management they can lead to crippling consequences.
Take care to note what caused you to notice
any troublesome impairments. Identify and record things that made them
better and things that made them worse. Also note, to what degree, if any,
they interfered with your activities. It can also be used for tracking
things that you want to change or work on that are not particularly troublesome.
| The foregoing represent the types of the impairments
or difficulties that commonly follow brain injury. Individually, the effects
of such impairments may be quite subtle, but collectively, they can be
quite devastating. The interventions in this section were designed to track
and measure such impairments.
You know you need help when such impairments substantially
interfere with your ability to perform your normal daily activities. Other
times, you might want to seek help for things that you want to change that
are not especially troublesome. You should consult a doctor regarding
anything that causes you to feel concern.
Conditions such as auras, altered consciousness, weird reveres,
flashing lights in your head, metallic taste in your mouth, smelling fragrances
that others do not smell, or hearing music that others do not hear, muscle
spasms or twitching, feelings of disembodiment or observing yourself from
afar, vague longing or yearning, raging, crying or laughing for no apparent
reason might signify seizure activity. In such cases you might want to
pursue a seizure assessment. Your doctor and/or The
National Epilipsy Foundation , http://www.headinjury.com/linksepil.htm,
can refer you to a center in your area where you can obtain such an assessment.
Anger, anxiety, and anxiousness, rapid mood
swings, depression, feeling blue, fearful, guilt, rapid mood swings, listlessness,
paranoia, feelings of panic, irritability, and loneliness and other such
symptoms might signify psychological disorders. For such conditions you
should first seek a medical assessment; then choose a doctor with special
training and interests in diagnosing and treating psychological disorders
that result from brain injury, see Doctor
Difficulties concentrating, mental tracking,
making decisions, executing or doing things, initiating or starting things,
along with diminished analytical skills, diminished capacity for reality
testing , attentional defects, etc., have to do with cognition or knowing
and doing things. Often such problems respond well to cognitive rehabilitation.
Centers that specialize in diagnosing and treating head injuries are good
sources of cognitive rehabilitation. Visit the Rehab
Facilities , http://www.headinjury.com/rehabfacility.htm,
page on headinjury.com for a rehab center near you.
Difficulties communicating, stuttering, finding and expressing words,
understanding and being understood are the stuff of speech pathology. The
Aphasia Foundation can provide information about such communications
disorders. Conditions such as, blurred and/or double vision, floaters,
blind spots and visual neglect fall within the purview of opthometrics,
or vision specialists that treat vision difficulties caused by physical
trauma, such as head injury. See Vision
Heart pounding, rapid pulse, shallow respiration,
headache or pain, tinnitus or ringing in the ears, nausea, vomiting, dizziness,
might signify brain injury impairments they could also indicate other medical
conditions, and should be evaluated by a knowledgeable physician. Refer
to the Doctor Finder
page on headinjury.com for guidelines on selecting and evaluating
doctors and practitioners that treat these and other such conditions. Also
see TBI Programs
and Support Groups