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Ptsd And Traumatic Brain Injury

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mamachick

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I am confused about seperating symptoms of ptsd and symptoms of tbi. When I was in my about 30 yrs old, I went to counseling for co -dependency issues. My therapist told me that I had symptoms of ptsd. We addressed both co-dependency, raised by an alcoholic and all that goes with that and ptsd as a result of childhood neglect/abuse and a victim of domestic violence.

At that time I had been out of the abusive situation and married to a non violent partner. Somewhat unconsciously, I had created a life that was very safe. Over the following years, it became evident to me that I had chosen a partner that had very little emotion (no anger) but it was also lacking emotional intimacy because everyone has emotions whether they show/share them or not. I was able to have a very stable and safe life that allowed me to heal and grow-at least I thought.

After 17 years of marraige we seperated. Of course this made life more stressful as a single mother and working and attending school. I can recall having some fear of unknown, of things being ok. I was certainly a bit over protective of my daughters-at least Im told by therapist and I mostly agree. I thought this was co-dependency (taking care of) issues.

Five years ago I had a fall. I was 47 years old I was exiting a supermarket and felt both feet going up and loosing control. As I write this-I can feel what I felt at the time (in slow motion, sense of out of control, nothing I can do to stop, sickening feelings, the loud sound/humming of a machine). I was unconscious for only a couple of minutes before I started coming to and people were over me. I tried to get up but could not. There was a sense or flashback???( of being in trouble the way a child feels, I need to get up and go home, almost panicked as Im going to be in big trouble with my mother). My mother had been dead for several years but as a child, I would be punished and ridiculed if I had any accidents which of course I had.

I had cat scan and xray and was told that I was ok. Over the next days, my sleep was messed up and pain increased. A week after accident, I was told that I had a broken rib and partially collapsed lung. A test indicated a blood clot and when the doctor told me this, I felt panic. After another test, they decided I did not have a blood clot in lung. Months later, I was diagnosed with a sleep disorder (daytime sleepiness) for which I have to take a stimulant. My memory, concentration, focus and the like were all impaired. I had neuropsychological tests that showed only mild impairment. Then why can't I work and learn as I had prior? The answer is that when you have a mild TBI, you can have a lot of affective symptoms (anxiety and depression) which interefere with memory, concentration, and focus.

My personality also changed. I had difficulty communicating as prior and felt great frustration. I became inpulsive and abused alcohol. I had poor decision making skills and allowed people in my life that brought about some further traumatization. I became extremely depressed and suicidal before things turned around and I began to recover.

While I am recovering, my therapist says I have ptsd from childhood. My mind goes in all different ways and it keeps me exhausted and is paralizing. I can not seperate what is ptsd and what is tbi. There are few articles that I have been able to find. I suspect that the fall was a traumatic event for me. Some research indicates that when a person is inconscious for a long period of time(6 or more hours) they are less inclined to develop ptsd because they are unaware. Those who were not unconscious or for only a short period are more inclined to be traumatized and develop ptsd.

I uncertain what I can hope for as far as improvement. Will I ever be able to concentrate and focus enough to work again. I don't know just how much ptsd effects concentration, focus, memory, learning new things, etc because mine are very effected.

I would appreciate any information or suggestions as far as helping me understand more about this co occuring condition.
 
Did a physician actually tell you that you have TBI, or have you been reading the Internet and seen it used due to military? Falling over and hitting your head is not TBI, unless there is permanent neurological damage sustained, which is TBI. TBI is a physical diagnosis, not a psychological one. Did you get diagnosed with TBI, and if so, what is the severity?

You are also mixing pre-existing traumatic life events into a physical event.

TBI and PTSD can present extremely similar symptoms... and are often confused on a psychological level of symptoms, though one is physical, one is purely mental.
 
I was diagnosed with "mild traumatic TBI". Been to neurologist, neuro-psychologist, family doctor and through series of tests including those for seizure (which I do not have), sleep studies, neuro-psych testing, etc.
They are very similiar and supposedly I have both. I don't know how to seperate the mental from physical. Further, I tend to think I can change the mental more easily and this may not be true.

I have permenant neurological damage accorrding to my neuraologist. Unfortunately, he is Indian and very difficult for me to understand verbally. I can read his dictated notes but they do not make a recomendation.
The neur-psychologist wanted me to go to Florida and have a test ? magnetic diffuse imaging MRI ? to see damage done on a cellular level as my head bounced off a concrete floor several times.

Not unusual, it was about $5000 and my insurance would not cover. My attorney said that since it was not mainstream, it was not a real test.

People ask me if Im alright because I zone out. For example, I was getting my nails done earlier this week and the guy that was doing them said-are you alright-then I caught myself zone out. Its obviously not a seizure but it doesnt feel like dissociation either? I cant get organized and struggle and am not productive, and I want to work again.
 
This is a major issue with military right now, as TBI and PTSD symptoms near mimic one another, yet if the soldiers trauma involves percussion from an IED or such explosion, then TBI is given vs. PTSD. There has been much debate around the entire scenario of whether TBI and PTSD can exist together, and it seems the experts majority was that they can.

They are also quite baffled on what to do, as TBI cannot be healed, PTSD can be healed for the most part.

I have to actually say, in your specific case, I am quite sympathetic for you actually, as your circumstances are not so easy. You can work your arse off to reduce PTSD symptoms, and achieve that result, yet actually have reduced nothing much at all, because the same symptoms are still present due to TBI.

Brat... seriously nasty predicament to be perfectly honest.

What has your neurologist given you on recovery or outcome for TBI? My knowledge concluded that it can only be treated with medication... that is as far as treatment goes, which from understanding, it doesn't help most with TBI.
 
Treating symptoms, anti-depressants for depession, Adderoll to wake up and stay awake, Ambien to go to sleep, IB profiin for pain for cervical disc herniation/fibromyalgia pain, massage therapy, suggests exercise. Disability for income and if you feel like you can work, go ahead and try. A personal coach for organization skills. Quit smoking, dont drink alcohol, and eat healthy. URRRR I dont mean to complain-but it does sucks, and Im not smart enough to figure out which is which.
There is one medication that has worked for some with TBI (improved memory) but the patient has to be monitored closely as it may cause psychosis. I live alone.
 
Quite honestly, for your specific situation, you would be the one type of case I would seriously point towards SGB treatment. $1000 could make a significant difference to your life right now. I would not normally make such a statement, but PTSD + TBI, I actually think warrants it. Beg, borrow or sell the shirt of your back, I think it could offer you a solution to rid some of the issues, and something you should seriously review.
 
[DLMURL]http://www.ptsdforum.org/c/threads/sgb-ptsd-treatment-article.11417/[/DLMURL]

It does more than just PTSD... also works with pain.

It is experimental at present, though is having the most success of any treatment to date for PTSD.
 
If I may interject....

I have three TBIs to date. Trust me, I'd rather cut both my nuts off than have a TBI.

I have met so many doctors that told me that TBIs can be cured. Yeah, right. Then they tell me I don't have the right to be angry over what happened. Oh please. Getting 9-1/2 months in the hospital when you're a teenager is NOT pleasant.

A TBI is very similar, but it's way different. I wish I could explain it so you'd understand. I assure you, it's one thing to set a serious concussion (I had one of those) and a TBI that nearly kills you.
 
I suspect also that I have had more than one TBI but undiagonosed so I am uncertain. At any rate, concussion or TBI seem to get worse as they accumulate.
I find myself without the answer to questions like I am some complete dumb a@%. Particularly when put on the spot or when unexpected or out of context of the conversation. Then I end up feeling ???9 I guess shame, embarrassment, ) Im just sick of it and everything seems like so much work at times. Other times, like on this forum, words just roll , even when its informations related. So I cant be that stupid I guess. Sure feels like it at times
 
They do get worse. My third one is getting bad enough my neurologist is starting the initial treatment for alzheimers. Because I hale alzheimers in my family, and what may typically start around 55-60 years of age (in my family) has already started with me. And I'm 41.

On top of that, I took a plea agreement on the harassment over the last head injury. The kid that nearly killed me gets to walk. He has a well paying job, wife & kid. Me, I can't work because I'm permanently disabled (I can work, but who wants a cripple working for them?); same for college; and I ain't got a wife, hell I can't even have an erection because of the last wreck. I can count on both hands how often I've had an erection in the past four years. And then when I do it don't matter how horny I am, it drops like a damn rock. That kid can get laid. I can't even if I do it myself. I need nearly a case lot of viagra just to keep from pissing on my feet in the morning.

So when I tell of hatred and anger, no one can comprehend. No one can understand. They think they can, but they just don't "get it". Big difference.

What the hell did I do to deserve this?
 
I find myself without the answer to questions like I am some complete dumb a@%.

brat17, you're certainly not alone in this and omg how humiliated I too feel, as this frequently comes up for me. There is what you mentioned above in quotes and just a whole world more.

One of the reasons I really appreciate you discussing what you've been going through, because I both never could ever begin to be able to, nor want to. It presently just enrages me to. The whole subject scares me from no matter what angle I would attempt to ever dream of going at it. It's not worth it to me. So, though I can read, and can very much appreciate you and cactus jack sharing your experiences, if I were even to attempt to go anywhere on this disucussion, I'd most seriously worsen Ptsd matters for myself and family. And, yet now that this subject has been brought up I am tempted, but must obey my knowledge of my own personal limitations. I'm sorry that I can't be of any help to you, I wish this were different.

All I can do is say, that I do believe I know just how absolutely sick and frustrated that this combination can make a person.

You mentioned feeling so stupid at times, I too feel like this and nearly every day. Earlier tonight I had reason to go into my kitchen several times, and the need to step over a short gate in order to get in there, twice I nearly tripped stepping over it, knocking the thing down, and another time I somehow managed to fall over the damn thing and into the refridgerator; It kinda really hurt, and sucked and boy do I feel stupid just doing this sort of thing fairly regularly.

Anyhow, I hope you don't mind me commenting in your thread here, and I do hope you find more answers, hope and management solutions for yourself.

My best advice is to search and draw up as many positive ways of seeing yourself, so that for any and every negative that surfaces, you have developed a internal positive diaglogue with yourself that contradicts the enormous challenge and struggles that you face. Because really that's what this is really about. You have both diagnosed Ptsd and TBI and so you must learn to live with both; None of these challenges define you personally! So please when any negativity about this overwhelms you and threatens you personally, contradict it with something useful.

Wishing you improvements and great acceptance for yourself!
 
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