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“No one told me that my anxiety could lead to depression.” Again, we hear those words from patients. They may go to the emergency room (ER), or see their primary care physician, or simply pretend that their head injury is no big deal. They expect headaches and fatigue to last for weeks, but few are prepared for permanent symptoms (although up to 30% of concussions cause chronic symptoms). Even less expected are the psychological changes and mental battles that concussions can cause. So, if you are suffering from post-traumatic stress disorder, know that you are not alone. Over 80% of our patients report mood or personality-related symptoms since their head injury (which escalates to post-concussion pain). It is not uncommon for patients to suffer psychologically after a traumatic brain injury (TBI) or mild traumatic brain injury (mTBI). In this article, we hope to answer some of your questions and help you understand how to proceed on your journey to recovery. We will cover: Depression What are the three possible causes of post-traumatic stress disorder Understanding the role of depression in post-traumatic stress disorder and some depression treatment information Considered about antidepressants. If you are experiencing psychological and physical symptoms that cannot be resolved after a stroke, you are not alone. 95% of our patients experience statistical recovery of brain function after treatment. To see if you are eligible for treatment, schedule a consultation. Note: Any information related to brain function mentioned here comes from our first generation fNCI scans. The Gen 1 test compares the activation of different regions of the brain with a pool of healthy control brains. Our clinic is currently developing a second fNCI that looks at the activation of individual brain regions and the connections between brain regions. Results were interpreted and reported differently in Gen 2 than in Gen 1; The report will not be the same if you come to the clinic. What is depression? Depression is really an umbrella term; Can be used to describe different mental health conditions. For the purposes of dementia patients, we use “depression” to refer to a disturbed mental state, with some of the characteristics of these feelings: negative feelings beyond normal sadness (maybe feel some sadness, but you recognize it). (Different from depression) Low or no motivation, such as impaired ability to do what you want or need, inability to feel pleasure (anhedonia) persistent lack of interest (apathy) feeling of emotional burden or as if you are walking through. Depression Feeling empty or robotic A negative view of self, the world, and/or the future Feeling worthless and suicidal. Note: If you are experiencing suicidal thoughts, please seek help from a qualified medical professional. You are important, and you can be better. In an emergency, call the National Suicide Prevention Lifeline at 1-800-273-8255. Again, depression can have different causes, risk factors (such as family history), and manifestations. In this article, we have focused only on the most common types of depression in post-concussion patients. If you had depression before the head injury, whatever caused the depression may be at work now. How can unconsciousness cause depression? There is more than one way that dementia can cause depression. The most common method, especially for those who have never experienced depression, is excessive activity of the immune system (I will explain what it consists of now). That said, sometimes it can be caused by other factors such as hormonal imbalance and lack of sleep. Let’s consider each one. Anti-Behavioral System: Common Causes of Post Depression Syndrome Before we talk about what goes wrong with dementia, we need to explore how your brain works. Each of us has behavioral patterns and anti-behavioral systems. They monitor and reward (or reward control) our behavior. When the behavioral control system is overstimulated, depression can result. How Activation and Inhibition Work You can think of the activation system as a place in our brain. It makes us interested and want to learn. It helps us to feel the reward of managing something or experiencing something pleasant. It is an important part of why we interact with the world and the people around us. But behind the scenes, an anti-moral system monitors everything we do. It tracks losses, and tells us whenever we encounter losses. And if we experience what it believes to be too negative, it pulls back control, reducing (or completely blocking) the behavioral activity system. For example, think of your activity as investing in the stock market. If you invest in stocks and win, you feel great! When you fail, you feel disappointed or even sad. But when you lose a lot of money, you may start to reconsider your investment; You may leave the stock market altogether because the price is high, you have little or no return on your investment. Similarly, whenever you experience a loss, your behavioral immune system will consider it. It effectively says, “Hey! You! You’ve lost something. That’s about you.” It is an important process – if we do not notice when we zero lose what is important to us, we will lose more than we can do, but when we We lose something big – or we lose something very small in a short period of time – the inhibitory system wants to slow down what we are doing and take us out ( to protect us) loss of loved ones, health problems, unemployment … there are many ways for the inhibitory system to go. “Determine that we need protection. How moral restraint leads to depression. After a concussion that leads to paralysis, if you have a concussion and recover within a few weeks, the chances of staying positive are high. Matters, you may lose social relationships, work, independence, or even the ability to communicate as you used to. Due to loss of consciousness. Staying away from anything you used to do (whether due to anxiety or COVID-19) is very difficult for your mental state and quality of life. When that system is out of control, it can prevent you from feeling happy or feeling rewarded when you do something that makes you feel good in an effort to protect you from losing something else. And when the blocking system looks into the future, all it sees is more loss, leading to a feeling of hopelessness. As if it wasn’t depression enough, dementia patients face a double whammy: not only The inhibitory system is overactive, but they have lost many activities that can jumpstart their behavioral activation system (which will help reset the inhibitory system. and allow the feeling of reward and happiness again). Think: physical symptoms such as headaches, sensitivity to sound and light, fatigue, along with cognitive symptoms such as brain fog, memory problems, poor concentration, causing difficulty in working or going to school, participating in social activities. or even some exercise. So recovery can feel impossible. result? People who are really heartbroken, who have experienced a lot of loss and don’t know how to get better. Often, our patients are surprised by how they feel. For example, sometimes parents will talk about how they think they must be monsters because they can’t feel anything, even for their children. They try to ignore anything and show that they never know how bad it is to feel that they don’t feel anything or that they will be robots. It is very important to understand: there is nothing wrong with this kind of feeling. Your brain – specifically, your behavioral control system – is just trying to keep you from losing more, and it’s messing with your emotions in the process. Note: We still have more reasons to explain, but if you want to go to the part of the article where we talk about treatment options, click here. What if you already have depression? The above description is usually for concussive patients who have not experienced depression before the head injury. But a decline in mental health can cause depression again in patients with pre-existing depression. If you have experienced depression in the past, you may have repeated experiences (this is often the case). The onset of a depressive episode is often (but not always) linked to a life event. A seizure is definitely a big enough deal to cause another episode of depression, mainly in the process of losing as described above. Hormonal imbalances: a lesser (but very real) culprit.
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