Postconcussion Syndrome: Symptom Management

Psychotherapy for Families after Brain Injury

“…If the loved one's treating professionals arrive at a diagnosis of postconcussion syndrome, their treatment approach will be to promote recovery (Walker and Kunz 2011). Walker and Kunz (2011) have proposed a number of interventions.…”

“…Walker and Kunz (2011) have proposed a number of interventions. These involve guidance, education, and support, also including how to manage troubling symptoms.…”

“…Therapeutic exercises to address dizziness, disequilibrium, and vestibular disorders may be needed. Educational interventions and psychological counseling to address mood changes and to assist with goal setting are recommended, especially when anxiety and depression are pronounced (McAllister and Arciniegas 2002;McCrea 2008;Powell and McCrea 2011;Walker and Kunz 2011). One method is referred to as "cognitive restructuring," in which the psychotherapist helps the loved one dismantle distorted self-perceptions and instead substitute accurate selfappraisals about his or her injury, abilities, and potentials (see Powell and McCrea 2011, for a review).…”

“…Other suggestions by Walker and Kunz (2011) include incorporation of normalizing exercise and recreational activities, as well as resumption of occupational, academic, and social responsibilities. This should be done gradually, to reduce distress and facilitate mastery.…”

“…The importance of mainstreaming into the community and being productive is crucial. As with other neurological syndromes, good sleep hygiene is essential for improved daytime functioning (McAllister and Arciniegas 2002;Powell and McCrea 2011;Walker and Kunz 2011). Meditation, relaxation training, and white noise devices can also improve sleep (Walker and Kunz 2011).…”