The Cognitive FX Blog

Did you play sports growing up? Hands down, my favorite sport as a kid was soccer. I loved participating in a sport where I could do something I enjoyed with teamwork involved. There was nothing better than stealing the ball and dribbling down the field past every opposing player, to score the winning goal!

While soccer was an important part of my life as a child, I did not realize the implications it could have caused me. According to the CDC, approximately 1 in 3 (31%) concussions among girls and 1 in 4 (28%) concussions among boys happens in soccer while heading the ball.

Depression, one of the five stages of grief, may be the most familiar, and frustrating, feeling experienced after a traumatic brain injury (TBI) or concussion. And it’s not a fun one. Depression is a feeling of loss, emptiness, sadness, loneliness, hopelessness, and/or confusion.

Depression as Part of the Five Stages of Grief

After a TBI, typically you’re told to rest for days, weeks, maybe even months. A forced withdrawal from society, family, friends, work, school, everything. Then, once the rest period is over, you still may not instantly go back to the activities you’ve done in the past.

You may find yourself getting lost driving to familiar places. You put food that belongs in the refrigerator in the pantry. You leave things in a very specific place to prevent losing them—only to forget where that place was! You read the same sentence seven times and still don’t understand what you read. You find yourself yelling at your spouse/children/friends for no apparent reason. You get a headache just walking across the room. The activities you used to enjoy may now cause you pain. You get dizzy running on your treadmill, and staring at your computer screen feels like torture. You may find yourself questioning your faith, your choices, your mindset, your abilities, questioning everything. Your TBI has changed your life. All of it.

Helmets are worn in countless sports and activities to protect the head from injury, specifically brain injury. We all wear helmets frequently in our lives, whether it is for something as as simple as biking or as adventurous as zip-lining.

Answer this question for yourself, honestly. Do you wear a helmet 100% of the time while riding a bike or participating in a sport or an activity that requires a helmet?

I remember when I was a young child I did not like wearing my helmet, especially when riding a bike. As a kid, you don’t think about the what ifs. I thought my helmet was inconvenient and uncomfortable. I was under the impression that I looked “cooler” without it. Clearly I wasn’t thinking about the consequences that could occur if I were to fall off my bike.

According to the CDC, “Leading causes of child unintentional injury include motor vehicle crashes, suffocation, drowning, poisoning, fires, and falls.” Each day, there are about 8,000 children who are admitted to emergency rooms due to falls. This amounts to a tragic number of 3 million children each year.

Think of your own child, niece, nephew, or a child you care for. Children are energetic, loud, and curious as they are constantly learning and trying to figure out who they are in this world. They bring so much happiness to our lives with their optimism and genuine spirits. When it comes to protecting your children, preventing a brain injury is more important than it may appear.

Adults 65+ years have the highest rates of traumatic brain injury (TBI) deaths, according to the New York Department of Health.

Regardless of your age now, we all get older, even if we don’t want to. You can also think about your parents and grandparents, and the importance of helping those you love prevent an injury. Through these tips, you can learn how to reduce the risk of the elderly, or yourself from a concussion or brain injury. While a brain injury cannot fully be prevented here are some suggestions. 

Here are some tips to help prevent falls, specifically for the elderly:

The Cognitive FX Foundation is excited to present an afternoon about Brain Injury Awareness with TBI Survivor and Advocate Rekha Iyer. More Speakers include: Stephanie Kifowit, Illinois State Representative along with TBI Survivor, Amy Zellmer, Dr. Ryan Edwards and Dr. Lindsey Stull from the Dynamic Center for Vision Therapy, Chrys Chrysanthou the CEO of ClearEdge Brain Health Toolkit and Jash Desai.

Please joins us this Saturday, March 31, in Oak Brook, Illinois from 3-5 pm. Donations of $25 per person to attend are encouraged but not required.

RSVP Here 

This event will kickstart efforts to advance industry changing brain research, make treatment available to more people, and deliver to the masses the correct education to inspire impactful legislative changes.

After a traumatic brain injury or concussion, relationships can become strained. Communication can be difficult. Let’s be honest, thinking can be difficult. Sorting out your feelings and sharing them in a healthy way may feel impossible. After a TBI, the areas of your brain that affect processing, language, and word retrieval, can be affected. It takes extra energy and effort to communicate after a TBI. It may feel overwhelming or exhausting.

The good news is it is possible to have healthy communication after a brain injury. It may take more effort and practice, but it is a real possibility.

My memory struggles didn’t make communicating more difficult, but it did require me to come up with some simple tools to remember how to communicate effectively. 

Anger is a stage in the grief process. Many times when we experience loss, or trauma, we experience anger, irritability, frustration, or even frequent annoyance. Anger is a healthy emotion, one we don’t necessarily like, but it’s not wrong to feel angry. Experiencing anger doesn’t say anything negative about us. We feel like just about anything could be the “straw that breaks the camel's back”.

Anger is a common emotion most of us are familiar with, prior to injury. We frequently pretend we have control over it. After the injury, we recognize we may not be able to control it.

Why do we have anger?

Anger can cause us to do, or say, things we don’t mean, we later regret, and can’t take back. Anger isn’t the problem, it’s what we do with those feelings that matters. Anger can cause us problems, but anger is also beneficial. 

Written by the Brain Injury Alliance of Utah 

What is Denial?

Denial is a stage in the grief process. Many times it just doesn’t feel real. We may believe we’re imagining the pain or trauma we’re currently experiencing. It’s a bad dream, a nightmare. We’re in shock and we’re anxious to wake up and go back to our normal reality.

As we start a new year, now is an excellent time to implement a new routine to help you live the life you want.

Not sure where to start?

Begin by thinking about these questions:

If you have had a recent brain injury and are unsure how to deal with the symptoms and changes you are experiencing, then this post is for you! To begin with, we encourage you to find a doctor and work with them throughout your recovery. Finding the right doctor to be on your team is very important to a successful recovery. 

Typically, you will follow the return to play protocol, starting with rest and self-care. Then you can use the following suggestions to help you adjust to the changes after a concussion or TBI. I wish I had a list things to do to support me in my mntal health when I experienced my TBI. 

Past patient, Anna Empey shares her experiences in a series of blog posts including "Perspective After a Brain Injury" and here in this post. 

I sustained my first concussion in July of 2011, playing broom hockey. My roller skates slipped out from under my feet, and I hit the back of my head on the right side on cement.

I didn’t know how severe my concussion was until I went to the doctor a week later with symptoms such as:

• Blurry Vision
• Headaches
• Fatigue
• Not Feeling Like Myself
• Difficulty remembering things including locations, words, names, and more.
• Problems sleeping and waking up

At the time, it was diagnosed as a "grade 3" concussion, which means I also had lost consciousness for more than 30 minutes. I was told to rest for a few months, and slowly I got back into my life over the next six months.

I came to Cognitive FX in 2015 about 9 months after I sustained another concussion on the front right side of my head in a car accident. It has taken me time to be grateful for both of my injuries, but most importantly I am thankful for who and where I am now. I wanted to share 10 things I wish I would have known before I had a brain injury.

Grief and loss are a part of life, but they are the least talked about part of life. Have you ever wondered why that is? It is because grief is HARD. Going through it is difficult. We seem to feel if we avoid talking about it, we will avoid feeling grief entirely. Wrong.

Maybe you have heard of the Stages of Grief, and maybe you haven’t. Either way, you are experiencing grief, due to a recent brain injury, concussion, TBI, or trauma. Learning about the stages of grief gives validation and understanding. But, know that there is no wrong way to grieve. There is only your way. Grief is unique. 

You may experience all of the stages, or you may not. In what order, for what length of time, or how severe it will be is unpredictable. Stages may last minutes, or months. Not knowing is the irritating part!

Elisabeth Kübler-Ross and David Kessler developed the Five Stages of Grief as a framework to deal with death, dying, and loss of a loved one. More information can be found at grief.com. I believe these stages apply to all loss, including brain injury.

Out of all of the injuries a person can suffer in an automobile accident, brain injuries are probably one of the worst. The consequences of a brain injury are often severe and long-term. Brain injuries can be as minor as concussions, headaches, and dizziness or involve more serious conditions like memory loss or physical damage to brain tissue. Brain injuries can be difficult to detect and should be treated immediately by a medical professional. 

Everyone’s experience is different. Anyone experiencing a concussion or TBI has a different story, different outlook on life, and different symptoms, their experience of EPIC Treatment is going to be different as well. With that said, here’s my experience. I was injured 17 years before I received treatment, and you can read more about how I got my injury in another post here if you are interested. Hopefully, my story validates some of your experience, gives hope, and provides direction.

To begin with, I was surprised my schedule wasn’t more packed with activities. I questioned if this would work. I received over 25 hours of treatment during the week when I was expecting a 40 hour week. By the end of the week, I appreciated that I didn’t have a 40-hour schedule because I don’t think my brain could have handled it.

Day One:

I walked into the office on Monday morning. I was handed the check-in questionnaire. I filled out the Post Concussion Symptom Scale (PCSS) check-in and check-out questionnaire each day of treatment. CFX uses the questionnaires to monitor symptoms throughout the week, and is used as a measurement in their research. 

As I sat down to complete the simple form, I started to cry. I’m not against crying, but it takes a lot to push me to tears. I wasn’t sure what was going on. I called my husband. He said a quick “Focus, give it your best, and I love you.” Then I met Porter. Porter is one of the Patient Care Coordinators and I really felt support from him while I was at Cognitive FX. I didn’t have any idea what to expect. I was nervous. He gave me a tour, and we got started.

*Sometimes you might also have an fNCI on your first day. I got my first scan done before I started treatment for my brain injury. 

I was in an auto accident on January 2, 2001. I received a severe TBI, broke my back, pelvis, jaw, ribs, and pretty much every bone in my body. I was grateful to be alive, but after a few years I had accepted the fact that I was going to be deficient for the rest of my life.

A concussion is defined as “the result of the forceful motion of the head or impact causing a brief change in mental status (confusion, disorientation, or memory loss), with or without a loss of consciousness.”

During the holidays it gets hectic and extremely stressful, particularly for those who already are trying to cope with everyday life with post-concussion syndrome or a concussion.

As Susan A. Connors said, “No brain injury is too mild to ignore or too severe to lose hope, but all brain injuries – including concussion – should be taken seriously.” Yes. a concussion is considered a brain injury.  

Many may not realize a concussion is a brain injury because it is called "mild," but it is vital that we recognize that ANY damage to the brain is a brain injury. We take concussions very seriously here at Cognitive FX and we specialize in concussion treatment along with treatment for other neurological diseases. 

No matter how normal a person with a concussion may appear, a concussion can have significant impact on an individual’s life and their ability to function. We are finding that the right treatment protocols can bring improvement, even for individuals who have been diagnosed with Post-Concussion Syndrome.