Post Concussional Syndrome (PCS)

by Dr. Sarah Almarzooqi on December 21, 2017
Articles

“Emergence and variable persistence of group of symptoms following a head injury” King (1997). Concussion is a temporary injury to the brain caused by a strong hit on the head, an accident blow or jolt to the head.
It usually only lasts up to few days or weeks, although it sometimes needs emergency treatment and some people can have longer-lasting problems.

Signs and symptoms of concussion

Signs of a concussion usually appear within a few minutes or hours of a head injury.
But occasionally they may not be obvious for a few days, so it’s important to look out for any problems in the days following a head injury.
Symptoms include:

  • Headache that doesn’t go away or isn’t relieved with painkillers
  • Dizziness
  • Feeling sick or vomiting
  • Feeling stunned, dazed or confused
  • Memory loss – you may not remember what happened before or after the injury
  • Clumsiness or trouble with balance
  • Unusual behaviour – you may become irritated easily or have sudden mood swings
  • Changes in your vision – such as blurred vision, double vision or “seeing stars”
  • Being knocked out or struggling to stay awake

Postconcussional symptoms overlap with psychiatric syndromes (anxiety, depression, PTSD) and other disorders (e.g. chronic fatigue) is high.

Signs and symptoms of concussion

Still, there are some individual who develop persistent PCS symptoms, and there are emotional and psychological difficulties that maybe present after the injury. Cognitive behavioural therapy is one of the recommended modalities for dealing with these issues.
Below are some examples of the behavioural and psychological issues and the recommended intervention for them:

Behavioural aspects

  • Some individuals tend to misinterpret any or various bodily sensations as serious injury issue even though their physical injury is healed. For instance: they will attribute simple headache to serious problem with their brain.
    • In therapy the ultimate goal is focussing on sustainable levels of / increasing tolerance to effort / activity, and building up.
    • Focus on cognitive/behavioural responses to symptoms (rather than attributions regarding their causes) may be more helpful.
  • Avoidance of various activities or feelings. Some individuals will tend to avoid some chores or socializing
    • In therapy: increase their understanding the role of avoidance (travel phobia, social anxiety and agoraphobia; elements of depressive apathy)
  • Preventing concussion

    There’s no guaranteed way to prevent concussion, but there are some simple things you can do that may reduce your risk of a head injury.

    • Wearing the recommended equipment when taking part in a contact sport, such as boxing
    • Making sure any contact sport you or your child are taking part in is supervised by a properly qualified and trained person
    • Wearing a seatbelt when driving
    • Wearing a helmet when riding a motorcycle, bicycle or horse

    It’s important to avoid head injuries as repeated concussions or blows to the head have been linked to serious problems, including a brain condition called chronic traumatic brain conditions

    By Dr Sarah Almarzooqi

    Clinical Psychologist

    If you would like to talk, feel free to reach out to us. An LifeWorks therapist would be able to help.

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    Harpreet Saini
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    Dr. Mohammed Fried Ahmed
    Dr. Mohammed Fried Ahmed
    Clinical Psychologist - Arabic
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    Khansa Abd Almalik
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    Prerna Siroya
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    CDA Licensed Psychologist - 4+ Years
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    Dina Alqedra
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    Nuzhat Basheer
    Nuzhat Basheer
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    CDA Licensed Psychologist, M.Sc. in Psychology - 10+ Years
    Vidushi Sukam
    Vidushi Sukam
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    Olena Taleski
    Olena Taleski
    Counselling Psychologist - English and Hindi
    Master Degree in Psychology - 13+ Years
    Simrah Hamdulay
    Simrah Hamdulay
    Consultant psychologist - English and Hindi
    CDA Licensed Psychologist, MSc in Child and Adolescent Psychology - 3+ Years
    Javaria Zahra
    Javaria Zahra
    Counselling Psychologist - English, Urdu and Hindi
    MD/ MS/ MPhil in Applied Psychology - 16+ Years
    Fatima Altaf
    Fatima Altaf
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    Aarhie Kaushik
    Aarhie Kaushik
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    Dr. Fatemeh Abdi
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    Dr. Azizreza Ghasemzadehi
    Counselling Psychologist - Arabic, Farsi & English
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    Dr. Abdelaziz Osman
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    Naeema Ali
    Naeema Ali
    Psychologist - Arabic & English

    Dr. Naeema Ali trained psychology and social worker students of UAE University. She is actively providing counselling support to cancer patients and their families. She launched an occupational therapy for cancer patients and cognitive behavioural therapy in Tawam.

    Due to her continued support in oncology and ongoing support to cancer patients, Naeema received countless awards locally and international to recognize her achievements and skills. She has been invited to participate in various conferences and workshops around the world and invited as a guest speaker in various subjects that covers psychology.

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    She continued working as a clinical psychologist providing counselling within the multi-cultural environment of the Emirates Airlines for the past 15 years. Her main task is providing mental health support to inflight and ground staff and addresses any problems, anxieties, or job-related stresses that they are dealing with. She uses her findings to help improve processes and behaviors of a patient to maintain a safe environment, to manage stress, overcome trauma, or avoid job-related conflicts. Cognitive Behavioral Therapy is the method Naeema is using to reduce the difficulties, anxieties, and stress that employee faces.

    Naeema is also part of “ Shawer ”, the “Seek Our Advice”, and “We Listen To You” program of the Family Development Foundation of Abu Dhabi. The aim of the program was to promote family awareness and support a stable family life. It involves a group of community members who deal with family problems in a positive manner and provide individual and group counseling in social, psychological, and educational areas. They do so in a systematic way according to the needs of community members.

    Besides “ Shawer ”, Naeema is also a volunteer of “ Friends of Cancer ” of Sharjah, supporting patients and their families to overcome the multitude psychological difficulties that they are experiencing due to cancer treatment as well as introducing some programs such as health education, self-care and some community programs wherein they can collaborate and share their experiences.

    Area of interest:

    • Psycho-oncology

    • CBT

    • Psychometric Assessments

    • Children, Adults and Family therapy

    Qualification and Membership:

    • Psychology graduation from the University of Wisconsin

    • Licensed by Community Development Authority

    Graduation in Psychology, (Phd) - 30 Years
    Dr. Mohammed Bardi
    Dr. Mohammed Bardi
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    Dr. Mohammed Bardi M.B.B.S, M.D (Psychiatry) has worked under different capacities in clinical and hospital setups in Saudi, USA, and UAE. He comes with over 15 years of experience in mental health. He specifically worked with cases relating to schizophrenic, bipolar disorder, dual diagnosis, major depressive disorder with suicidal risks, anxiety disorders, Intellectual disabilities, Autistic spectrum disorders and attention deficit hyperactivity disorders (ADHD).

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    • Mood disorders

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    Qualification and Membership:

    • MBBS COLLEAGUE OF MEDICINE, KING SAUD UNIVERSITY 2003 (KKU).

    • ARAB BOARD OF MEDICAL SPECIALTIES IN PSYCHIATRY 2007

    • ANXIETY DISORDERS WORKSHOP (DIPLOMA), 2010

    • ADDICTION FELLOWSHIP UCLA, USA, 2010-2011

    • ADDICTION RESEARCH AND MATRIX TRAINING, ISAP, UCLA, LOS ANGELES, CA, USA 2014-2015

    • BACHELOR’S DEGREE OF MEDICINE AND SURGERY

    • ARAB BOARD OF MEDICAL SPECIALTIES IN PSYCHIATRY

    • ADDICTION FELLOWSHIP UCLA 2011, 2015

    • BETTY FORD CERTIFICATE, ADDICTION PROGRAM 2010

    • CDA) Licensed Psychologist

    Therapeutic Approach:

    • At LifeWorks Holistic Counselling Center Dubai, Dr. Bardi works collaboratively within our expert multidisciplinary team, in treating a wide array of psychiatric conditions including:

    • Anxiety disorders

    • Substance use disorders

    • Mood disorders including depression and Bipolar affective disorders

    • Psychotic disorders (Schizophrenia and other psychotic disorders)

    • Personality disorders

    • Cognitive disorders including Dementia

    • Learning disabilities (intellectual disability disorders)

    • Child and adolescents’ disorders like Separation anxiety disorders, conduct

    • disorders and ADHD

    M.B.B.S, M.D (Psychiatry) - 15 years

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