Concussion and stress (Prof. Tenovuo half 3)

Concussion and stress (Prof. Tenovuo half 3)

Table of Contents

Concussion and stress: they share probably the most logical connection for all of us who are suffering from lingering concussion signs. Nonetheless, in my expertise, not a lot has been written or stated about it. It appears like one other taboo surrounding residing with concussion signs. Nicely, let’s blow that taboo broad open! 

Professor Tenovuo shares 3 main sources of stress after concussion that create much more and greater issues. That is how post-concussion despair got here up, too. You’ll find out how that is extra regular than you would possibly assume. Psychological well being after traumatic brain injury is a giant factor, and it can not get sufficient consideration!

Desk of contents:

02:52 Concussion and stress
07:01 Melanie’s work situation after concussion
08:58 Concussion and depressionI
11:02 Treat post-concussion depression

Concussion Tales podcast introduction

[00:00 Melanie] If I say there’s hope for full restoration for folks with a concussion, you say…?

[00:07 Professor McCrea] 100%!

[00:08 Professor Maas] And in reality, you didn’t solely really feel it: you had been outdoors the common medical system, as a result of they weren’t all in favour of you.

[00:16 Professor Sitskoorn] Neuroplasticity really opens you as much as the world. It makes it potential to develop; it makes it potential to rehabilitate.

[00:25 Professor Wilson] Traumatic brain injury has been known as a silent epidemic for that cause, as a result of it consists of modifications and disabilities that aren’t apparent to different folks.

[00:35 Dr. Zasler] If, as a doctor, you felt you had nothing to supply a affected person, then I believe ethically, it is advisable to say] “I don’t assume there’s something I can give you. Possibly it is best to see Dr. M.”

[00:48 Professor Diaz-Arrastia] Traditionally, now we have known as these items delicate traumatic mind accidents, which means that, effectively… It could be a brain injury, nevertheless it’s not going to have nice penalties, proper? And that’s frankly not true.

Concerning the Concussion Tales podcast

[01:05 Melanie] Welcome to Concussion Tales, a Lifeyana podcast sequence stuffed with hope. I’m right here to let you recognize that you’re not alone in your post-concussion restoration journey. My title is Melanie and I spent six and a half years studying, experimenting, and coaching in an effort to discover a method to heal myself from post-concussion syndrome.

After making a full restoration by the top of 2018, I launched into this mission to make the restoration journey simpler for you. This is the reason I began this podcast, wrote detailed blog post and downloadable guides, provide coaching and likewise the course that I want I had again once I was recovering — educating you every thing that I wanted to know in an effort to make my restoration occur.

On Concussion Tales, we dig deep whereas discussing hopeful tales of restoration in addition to the arduous stuff within the messy center. Let’s dive proper in!

Professor Tenovuo

This already is episode quantity three out of 4 with Professor Tenovuo! Have a take heed to the episode about renaming post-concussion syndrome as ‘post-concussion symptoms’ with him, too. Apart from being professor of neuro-traumatology on the College of Turku in Finland and being a part of CENTER-TBI, the massive European analysis group researching traumatic brain injury, he’s a compassionate physician who has seen over 6,000 sufferers and actually understands the implications of lingering concussions.

On this episode, he and I talk about widespread issues that trigger stress after concussion and the way vital it’s to acknowledge and eradicate them as a lot as you may. We additionally cowl post-concussion despair, which is extra regular than most individuals assume. Let’s take heed to Professor Tenovuo.

Concussion and stress

Concussion and stress

You wrote to me a couple of matter you wish to discuss: the stress from the uncertainty coming with traumatic mind accidents, what are you able to share about this? What are issues that you really want folks to know?

[03:10 Professor Tenovuo] Yeah, in fact. There are various sources of stress for delicate traumatic brain injury sufferers. 

Virtually no assist for concussion from medical doctors

We’ve already mentioned the stress supply for post-concussion sufferers who typically don’t feel like getting any help from medical professionals. That, in fact, is a significant supply of stress after concussion.

Return to work after concussion

One other main supply of stress is that if sufferers have been thought of to have a minor harm, concussion or delicate TBI, they’re anticipated to return to work, though they don’t seem to be match to try this but. They attempt to cope, however burdened folks often can’t handle their job. Nonetheless, they need to hold their job and earn their every day residing. So that they attempt to cope. 

It typically occurs that post-concussion sufferers understand that issues are usually not going effectively, however they don’t actually perceive why they can not handle their work as they did earlier than. They attempt to cope and cope, and begin growing sleep issues, post-concussion despair and exhaustion. Issues turn into extra difficult, as a result of they don’t get any assist. 

They attempt to cope, though they don’t have the vitality to handle the problems they need to do of their every day lives. This causes a whole lot of stress surrounding concussion.

Monetary stress after concussion

The third supply of ‘concussion stress’ is a quite common downside: concussion insurance compensation is tough. You ought to be compensated in some way if you’re unable to work. Many delicate traumatic mind accidents occur in accidents which can be coated by various kinds of insurance coverage, similar to visitors accidents or work associated accidents, and so forth. 

In my expertise, and this varies between nations, some of these accidents are insured by non-public insurance coverage corporations. They typically need to see that there’s nothing main unsuitable: it is best to have the ability to work. After which they don’t compensate you. The truth is then that you’re not in a position to work, however you aren’t in a position to get sick go away both. You’re unable to get compensation wherever. That’s, in fact, a significant reason for stress for anyone.

Publish-concussion stress inhibits restoration

So, our system is creating many extra sources of stress for post-concussion sufferers. From there, issues begin to get much more difficult. After which you may have even much less vitality left to get well out of your traumatic brain injury.

[06:34 Melanie] Sure. In the event you sum it up the way in which you do, it simply appears like the entire system… What I’m now going to say is an exaggeration, so I wouldn’t usually state it as bluntly as I’ll now. It sounds just like the system is working towards you when your mind already just isn’t working. It’s already having to manage, after which the scenario is made solely worse.

[07:00 Professor Tenovuo] Yeah.

Melanie’s work scenario after concussion

Sightseeing before my accident

[07:01 Melanie] I really feel I’m fortunate. I’m privileged to be from the Netherlands. Once I acquired my concussion, I used to be working in a giant company. They had been in a position to maintain me in a approach, to assist me. I used to be in a position to hold my job whereas having sick go away. Increase my hours was actually arduous as a result of the medical physician was employed by the corporate and anticipated me to construct up a lot sooner than I might. 

Unable to manage whereas returning to work

I used to be not in a position to vocalize what I wanted again then, as a result of I used to be actually unaware of how I ought to take care of the scenario, in fact. The corporate physician tried to get me again to work. I used to be attempting to get again to work, too, as a result of I wished to be the individual I used to be earlier than. However I simply couldn’t.

Fortunately, my supervisor actually helped me. Nonetheless, I do know that lots of people are usually not in that privileged scenario. Once you don’t have your job anymore, you’ll get into monetary bother. To not point out lawsuits that lots of people with mind accidents are concerned in. How do you handle with a mind that doesn’t work?

Problematic insurance coverage of post-concussion sufferers

[08:15 Professor Tenovuo] Yeah. Possibly I’ve a unfavourable angle on these points. As I stated, issues are completely different in several nations. Nonetheless, in some way I believe that some insurance coverage corporations make use of the issue that post-concussion sufferers are usually not in a position to deal with their very own points.

[08:48 Melanie] Yeah, this is the reason we have to change issues.

[08:54 Professor Tenovuo] Yeah, I agree.

Concussion and despair


[08:58 Melanie] You already talked about post-concussion despair. Is that this one thing you see so much in observe?

[09:10 Professor Tenovuo] That may be a tough query. In precept, sure, in fact. What you see very often is that issues actually get difficult: sufferers with concussion are usually not in a position to work and are usually not compensated wherever. Most of those folks develop despair. Who wouldn’t in that sort of life scenario? 

Who wouldn’t develop despair?

Your life has modified. You aren’t okay. You’re unable to deal with on a regular basis issues in your life, you’re unable to work and also you don’t get compensated, so you’ll develop monetary issues. You get poor sleep as a result of you may have so many worries in your every day life. I believe I might say that it might be irregular if one doesn’t develop any sort of despair in that sort of scenario.

Publish-concussion despair is extra regular

[10:09 Melanie] Actually, I’m grateful for you saying that approach. Lots of people with post-concussion syndrome really feel like they shouldn’t converse out about their despair. Nonetheless, I believe that it’s to be anticipated, if you happen to endure from extended concussion that one would possibly develop despair. Individuals shouldn’t be afraid of it, they usually shouldn’t count on it, like: “Now it’s coming”. However it’s actually such as you say: post-concussion despair is extra regular than folks assume.

[10:42 Professor Tenovuo] Yeah, in fact. As folks we react with depression if we face main difficulties in our lives. That may be a approach of reacting to tough life situations. 

Deal with post-concussion despair

Treat post-concussion depression

In fact, the query is: when and the way ought to despair after concussion be handled? That’s one other query.

Many major studies have proven that greater than half of the sufferers with TBI (traumatic brain injury) develop despair in some unspecified time in the future. Though despair is prevalent additionally within the so-called ‘regular’ inhabitants, this proportion amongst TBI sufferers is approach larger than within the regular inhabitants.

Is it a psychiatric dysfunction?

We’ve to contemplate: is the diploma of despair such that it is best to do one thing about it? Does it stop you from making progress? Is it so extreme? Or is it only a regular response to the scenario? Is it in a approach an ‘enough’ despair for the scenario and an enough response to the life scenario? Or is it a psychiatric dysfunction that it is best to deal with?

[12:15 Melanie] Sure, I absolutely perceive that as a health care provider you’re looking at it from this angle.

Combat any sort of despair head-on

What I all the time inform sufferers with post-concussion syndrome is the next. In the event you really feel depressed, deal with it. Begin engaged on it straight away. See if you will discover a psychologist, see if you happen to can learn on the web about how to deal with despair. I additionally wrote a information about post-concussion depression

In any case, it’s vital to struggle it head on, as a result of if despair lingers, it’ll simply turn into worse and worse. You don’t need to go there. So all the time handle it straight away, regardless of the analysis could also be.

[12:58 Professor Tenovuo] Yeah, it’s very simple to develop completely different sorts of vicious circles after delicate traumatic mind accidents. You’ve got issues after which begin growing despair after concussion. You develop sleep issues, and issues get solely worse and worse. Then you may have a large number in all places. Even if you happen to deal with one of many issues, you continue to have the others left. After which you aren’t making any progress.

Share your ideas with me?

[13:31 Melanie] Now, I might love to listen to from you. What do you’re taking away from this episode? Is there one thing that you would be able to apply to your life straight away? Head on over to and go away your remark now.

And if you wish to hear and browse extra Concussion Tales, actionable steps and inspiration, make sure you subscribe to the Lifeyana e-mail record whilst you’re there, so that you just by no means miss out on new supplies we continually make for you.

If you wish to help this podcast, head on over to Thanks for listening to this concussion tales episode by Lifeyana. Could you can be effectively and should you be joyful.

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