Headaches After Head Injuries — Post-Traumatic Headaches

Seymour Solomon, MD, Headache Unit, Montefiore Medical Center, Albert Einstein College of Medicine
Headaches After Head Injuries — Post-Traumatic Headaches

Headache immediately following a head injury usually clears after minutes or days but sometimes headaches may persist for months or rarely years. The long-term headaches are called post-traumatic or post-concussion headaches.

One can understand why headaches may follow a moderate or severe injury to the brain such as a concussion (bruise) or laceration (tear). What has been more difficult to understand and has presented an ongoing controversy are chronic headaches following mild head injuries.

Mild injuries of the brain are characterized as a concussion (a brief disturbance of brain function causing loss of consciousness or transient difficulty in thought processes).

Because the neurological examination after mild head injury is normal and standard tests as well as imaging studies (such as MRI or CT of the head) similarly fail to reveal abnormalities, many thought that the symptoms following mild head injury were psychological.

But microscopic studies have shown disruption of the nerve fibers in the brain due to the stretching or shearing forces of the trauma. Other subtle changes have been noted in brain functioning.

The clinical features of post traumatic headache may vary from one individual to another. Most headaches would be now classified as chronic tension-type headache. These headaches are typically a steady ache affecting both sides of the head and occurring daily or almost everyday. They are of slight to moderate intensity but intermittently, upon this base of low grade headache bouts of severe or moderately severe headache may occur and these often are similar to, if not identical with migraine (one sided throbbing pain associated with nausea and sensitivity to light and noise).

Unfortunately, people who experience post traumatic headaches also experience other symptoms of the post-traumatic or post-concussion syndrome. There may be other neurological symptoms such as dizziness, ringing in the ears, vague blurring of vision, psychological symptoms occur such as depression, anxiety, personality change, disturbance in sleep, and impairment libido.

Finally, people with the post-concussion syndrome have changes in their mental functioning, primarily difficulty in concentration, inability to work efficiently and associated difficulty maintaining attention and retaining memory.

The treatment of post-traumatic headache, as well as other features of the post-traumatic syndrome is symptomatic. That is each symptom is treated individually because, unfortunately, there is no medication that will alter the underlying disturbance in the brain.

Most often treatment of the chronic tension-type headache consists of such medications as the tricyclic antidepressants (for example amitriptyline). These agents not only diminish depression but also decrease pain.

The periodic worsening of headaches, if they have characteristics of migraine, are treated with typical migraine medications (for example, sumatriptan for an acute attack).

Non-drug methods of therapy are also advisable. Healthy habits should be encouraged by elimination of nicotine and alcohol, by recommendations for regularity with regard to sleep and meal time and by exercise at least every other day. Relaxation techniques may be helpful. These can be learned by biofeedback techniques as well as by such methods as meditation.

Last but not least is attention to psychological factors. The family, friends, and employer or teacher should be educated so the fact that headaches are not purely psychological but have a basis related to the disturbed structure and chemical functions of the brain. A psychologist may be helpful in teaching pain coping techniques and in treating the psychological symptoms that are part of the post-traumatic syndrome.

Fortunately, most headaches following head injury gradually taper off within the first three to six months. Even those unfortunate individuals who experience symptoms much longer can be helped.


Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only.

Posted on BrainLine December 15, 2008. Reviewed August 9, 2018.

About the Author

Dr. Seymour Solomon is a neurologist in Bronx, New York and is affiliated with multiple hospitals in the area, including Burke Rehabilitation Hospital and Montefiore Medical Center. He received his medical degree from Medical College of Wisconsin and has been in practice for more than 20 years. He is one of 41 doctors at Burke Rehabilitation Hospital and one of 78 at Montefiore Medical Center who specialize in Neurology.

From Help for Headaches. www.headache-help.org.

Comments (491)

Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only.

Post-concussion symptoms are very frustrating. You need to talk to someone to work through these frustrations. DO NOT hurt yourself, as there are many options for making life better. Please contact the Suicide Hotline 1800-273-TALK.

Thank you all for sharing your stories. I was in a car accident in 2013 and like many of you, I suffer from a constant state of trying to accept that this is my new norm. I sleep a lot. Suffer from confusion, forgetfulness irritability anger depression and the list goes on. I experience what I have dubbed as "involuntary napping" where i could be sitting somewhere reading something or watching tv and the next thing I know I'm waking up. I no longer drive at night or go very far from home. I feel like I do not even know who I am anymore and cannot trust what is in my mind at times. I feel like i get lost in my own mind sometimes searching for the words to speak or to respond to a question. The hardest part of all of this is others think you are the same as you were before the accident. Famous line "well you look fine". I want to scream. I can only hope that I have more good days than bad at this point. On my good days I run myself ragged because I have so many days where I am incapable of doing anything. Reading all these comments I finally don't feel crazy and I find comfort in knowing I am not alone. I'm SO SORRY you all suffer as I do... I would never wish this on anyone!

I fell on my 6 feet double deck bed. I dont know where i bump into coz i pass out for about 2 hours and walk up into the hospital with my blood unto my shirt, hands and especially on my head. I got 13 stitches then suffer from vomiting, head aches, nausea. Its been 8 months. Since then.

I'm experiencing the same things you are. But my insurance company has said I'm fine to go back to a normal life.. disbelieving I am having chronic headaches..

It has been over 5 years since I had a biking accident without wearing a helmet and ended up with my head hitting the cement which caused a severe head injury along with a broken collar bone, and separated shoulder.  Afterwards, I blacked out for a couple of minutes.  For two days I had extreme vertigo and couldn't keep anything down.  A wonderful physical therapist did some therapy to help realign the crystals in my inner ear.  For me, this was a cure for that issue.  I also had many chiropractic visits after my collar bone and shoulder had healed.  Along with that I have had extensive cranial work done.  I don't know where I would be without the cranial therapy that I have had done by a very caring therapist. For some reason now though I am getting headaches daily.  I have a full time job that is pretty stressful - I am hoping that is just the issue.  There are a lot of wonderful things we can do to help heal the body and mind after a head injury.  Unfortunately, like mentioned by others, since this is not seen on the outside, many have no idea what we go through.  But I hope we can all just listen to our bodies, love them, and be patient with ourselves through each of our personal journeys.  

I got in a bicycle accident too. Landed right on the top of my head EXCEPT I had my helmet on. Thank god i was wearing one and I don't weigh too much. Fractured sternum which is pretty hard to do. 3 months after accident I am getting severe headaches that last almost all day and worst of all nausea and vomiting.

I got a concussion about a year and a half ago. It healed in two months. Two months later, I got another.Ever since, I've had constant pain and ringing in my ears. I'm lucky, though. I don't have memory or working problems, and the initial dizziness has sort of faded away. Still, I'm wondering what else I can do for the pain. I see a neurologist and take anti depressants. I changed my diet to be organic and more healthy. I got my ears, nose, and throat checked, and even though my ears always ring, my hearing is perfect. I've done cognitive tests that concluded that my current brain is faster and has a better memory than most humans my age. I've been to an allergy doctor who determined that allergies aren't the source of my pain. I've taken and MRI and they said everything was fine. I've done yoga and meditation. None of this works and no one knows what's wrong with me. Some people are even convinced that I'm faking the pain because they can't actually see any physical damage. It sucks.

I don't know if it's in my head or its just be but ever since I was in an accident about two years ago my head has been recently hurting and since then I haven't checked my head for a CT scan. It was a bad car accident, both of my parents passed away including my uncle and my 16 year old cousin I survived including my little brother, my nephew and two of my other cousins. But my head has been hurting and I'm just nervous if I do have something but I haven't gone to check myself.

Hey I understand that not everyone is the same but I have been dealing with headaches constantly for 13 years and every time the weather wants to act up I can feel it and tell you that it's coming before the weather man knows it's coming. So my question is when does my headaches stop or decrease in the amount I have a day? Can anyone answer that I am so ready for this pain to go away or at least ease up.

My husband has been dealing with these headaches for almost 6 years now.  Some days they're tolerable and other times he won't even come out of the bedroom he hurts so bad.  He suffered a TBI after a big rig accident he was in.  He was cut off by a Mercedes in upstate New York and he hit the brakes on a wet, icy road and the truck rolled three full revolutions before landing on the drivers side.  His head hit every square inch of the cab and he hasn't been right since.  Even doctors at UMass haven't been able to help.  Amitryptilline hasn't helped him at all.  I wish doctors would spend more time researching this for those of you and your loved ones who are suffering with this.

Has anyone on here had an anoxic brain injury? I have headache due to that. Looking for anoxic hypoxia injury advise. I don't see a lot of those. Thank you in advance

Please look into nuerofeedback and also cranial sacral massage therapy

You are not alone I had a head injury 9 monthes ago and the pain has been so bad that I can hardly stand it. Nobody can understand unless you go thru it I am on strong pain medicine that helps very little and people just look at me like i am overreacting or that I am just crazy.what I am saying is don't give up you are not alone I pray that God will help us and others that are in our situation.God bless. help

to the last comment--- please Call Dr Mark Gordon at Millenium Health Care in Orange County California. He treats from a distance as well. Its Very common to have a hormonal imbalance which sounds like what you have, after TBI and he does specific testing and treatment. Can turn your life around! I'm currently starting there

I been suffering from my concussion for 2 years now and nothing helps or works and the pain is getting more and more severe. I been on medical marijuana for about 5 months now and nothing really has changed, doctor even increased the THC level and still no changes. Now I'm fighting for disability and was denied because I don't have physical characteristics no mental impairment but u have tried committing suicide 3 times since the injury back in August 2014. I am desperate for answers and help is there way too prove what I'm suffering from even though there's no physical characteristics? Please anyone if anyone can help shoot me an email iamLegacyy7@gmail.com

I am 4 weeks removed from a fall where I hit my head. Didn't black out, thought I was okay at the time. Next day vomiting, dizzy and realized I had a concussion. CT scan was clean and doctors kept telling me I would be better in a few days with dizziness being my main symptom. Now I get daily headaches and definitely have reached the point of frustration where there seems to be no end in sight. Wasn't more than a very occasional pot smoker prior but now I find marijuana to be the thing that helps me the most with the headaches. Anyone else medicating with marijuana?

I got a severe concussion about 3-4 weeks it ago. What I mean by severe for two days I had to stay in the complete dark and not do anything but lay in bed because my eyes hurt so bad. I've been having chronic headaches, blurry vision/watery eyes, and ringing in the ears. I got and MRI and everything was clear. I'm only 14 and I want to be able to do the physical things I normally did which was cheerleading. tumbling and stunting is a big issue because I can't flip because it makes me dizzy,and it's scary to stunt because that's how I got the concussion in the first place. AHH THE STRUGGLE

Our four year old granddaughter has a linear skull fracture. We've gone through a few days of hospital treatment, and she seems to be recovering normally. The thing we can't find info on is the fact that she wakes periodically from headaches in her sleep. Any suggestions on where to look to research this would be greatly appreciated.

is anyone doing research on this?    what can be done....

8 months after being rear-ended at full speed. Daily headaches...... nothing helps...

The most helpful thing for me is chiropractic adjustment which includes cranials.  If you have not been referred to a chiropractor, just know that everyone with a brain injury should be examined and evaluated by a chiropractor, usually an Applied kinesiologist), because they can help you without drugs. You will never be 100% the way you were because brain cells have died.  You can, at least, get closer to the 100% with spinal and cranial adjustments.  In my case, the pseudo-bulbar affect is almost gone, I don't hardly ever scream at the top of my lungs anymore.  I certainly walk better.  I still use a cane for feeling where the ground is, but my balance is much better and my gait patterns are more steady.  My eyesight is still problematic, however, I no longer have saccades and I can read music and play the piano at about 75% of my expertise prior to my TBI injury.  Head pain is less often, thinking thoughts is easier and less confused.  Hope to continue improving is in my heart.  Chiropractic care is what helps me.  Medical drugs gave me terrible side effects including suicide tendencies which are not in my nature.  So, no drugs for me.  Chiropractic care is giving me back my life.  I highly recommend it for every person with brain injury of every age.  It is certainly worth a try.

I sustained a concussion at work about 6 weeks ago, the result of having pieces of wood and other objects fall off a shelf and strike me in the front and side of the head (got a pretty good cut above my eyebrow). My memory and speech was affected within 20 minutes of the incident. Since then I've had very wild mood swings, severe headaches, memory loss, sensitive to light and sound, a change in appetite, and difficulties sleeping. The worst part to date are the headaches and my difficulties thinking, speaking, and even writing. I had to withdraw from my final semester of college and haven't been able to return to work since the accident. As a teacher and a college student having my cognitive functions affected this severely has been a nightmare. It's amazing what a blow to the head to do.

As a fellow head injury person struggling with various physical and psychological symptoms I can unequivocally state that trauma and damage to the substructure of the impact area is a reality even if it is yet undefined.

if u have this deal with it now, u know your body. i have had 4 hrs without head pain after several severe head injuries 29 years ago, and it continues to worsen. medication increases pain level. i don't see/talk to anyone so i can deal with this privately, its not a very fulfilling existence - good luck

I was beat in the head with a hammer nine times by an ex. It was horrible and that is only part of a nightmare that I still live with everyday. Anyway that was ten years ago and ever since then my migraines are horrible and they come with auras and nausea, dizziness and lightheadedness. I have had several tests but they never see anything. I'm like is it psychological because believe it or not my head is still rather tender even though it happened ten years ago. If I press it (it's a lot of scar tissue now) it feels really weird. Also I have spots where the hair will never grow back so thank God my hair is thick.

Hi I seen ur post I am in the same boat as you I was hit in the head the Temple area buy a hammer on accident by my father-in-law this was 14 years ago and this year I have been having more problems out of the area the area feels really weird like what you're talking about a spot where I was hit kind of swollen and a pressure in it now and I do get headaches everyday it's been freaking me out not knowing what's going on with it and I don't really want to go to the hospital right now because of the virus going on do you have pressure as well is it normal or should I go to the doctor it's no pain just pressure and kind of numbing feeling around it so sorry you have to deal with this I know it's aggravating thank you for your time

Aloha all. In 2013, I was involved in a car accident in which the vehicle I was driving was rear ended. Diagnosis: whip lash, brain trauma, concussion depending on the doctor. After 6 weeks, I was still informing my doctor of this funny feeling behind my forehead: Nothing to compare this feeling with. I was sent in for an MRI: A brain tumor about the size of a cherry was found (schwanoma). So far, still considered benign. Was told that there was no relationship between that tumor and the accident. However, the funny feeling behind by forehead continued. Over the next 1-2 years, saw neurologists and neurosurgeons. This particular symptom persisted. In addition, I began having problems with concentration and thinking along with memory problems. Some doctors attributed this to the tumor. An EEG results indicated that my brain was like that of persons that has seizures when in between seizures. An attempt to treat with a popular anti seizure medication caused that funny feeling behind my forehead to increase to the point where I was unable to function. A doctor that recommended the tumor be removed also encouraged me to seek a second opinion at Stanford's Brain Tumor clinic. The diagnosis: Post Concussion Syndrome. Had history of previous concussions in youth (football-believe what they are saying and bicycle accident).Currently being treated by personal physician: Feeling like a guinea pig with medication experiments. Marginal improvements in the funny feeling however concentration and memory problems persist. As a law enforcement officer, I finally had to come clean with the employer: In lieu of being placed on sick leave, was assigned desk duties as the personnel department goes thru the 'reasonable accommodation' process. Fortunately (?), got enough years in if they decide they can't accommodate: I can retire and then initiate the SSDI process. CONCLUSION: A THING WE HUMANS, IN OUR INFINITE WISDOM, DON'T KNOW SQUAT: THE BRAIN.

Anyone that has not had a TBI just cannot grasp the pain and problems a person goes through.  People minimize because they can't see the injury.  I don't wish this on anyone.  10 months now and still with post concussion headaches and short term memory problems.  My life has changed dramatically!  I'm so sad.  I was assaulted and landed on my head and lost consciousness and developed a large hematoma immediately.  I have been in pain ever since.  I deal with balance problems when I close my eyes.  Some doctors do not take this seriously.   

I had a 'mild' concussion over 10 weeks ago. I went back to work part-time but had a dramatic increase in symptoms. I have been out of work for weeks now, waiting to feel better. I will be seeing a neurologist soon and hope to have some answers, take those tests you mentioned. I'm learning to put my health first, mostly because my body won't let me do otherwise. Try to take it slow is my advice. Acupuncture helps a little. Good luck!

Lee, I just finished up neuropsych testing, it took 2 days and 4 hours each day. Testing exercises include puzzles, math equations, memory testing, vocabulary, questions regarding common sense, speed testing, grip strength etc. It was very tiring for me, but nothing to worry about. Sabrina

I was knocked down by a student about 3 months ago and he fell on top of me. In addition to a torn rotator cuff, I got a nasty concussion. Since then, I've been diagnosed with Post Concussion Syndrome. I still have daily headaches, sensitivity to sound, dizziness, sleep problems, trouble concentrating, and anxiety. The headaches range from irritating and annoying to excruciating. I'm a 5th grade teacher. I've been back to work 3 weeks, but still have difficulty making it through the day. (I'm not full duty yet.) A quiet, dark room is my happy place. PT helps some. I have Neuro-psychological testing next month. Anyone had this? -Lee

Passed out due to narcolepsy brought on by severe sleep deprivation almost 2 weeks ago. I'm relieved to know these headaches are fairly normal.....but not a lot of people have mentioned having extreme pain at the injury site. It's almost 2 weeks later and if I merely touch the site it hurts so bad. It's a very irritating pain. Like someone is continuously bashing my head with a nail covered 2x4 ..... they said there was no fracture but a lot of bruising on the brain.....could that be the cause I wonder....I'm just concerned that it's still so painful. Laying down ... brushing my hair.... forget it. Doesn't happen right now. I can't even wash all of my hair as the water on my head sends me into tears. Anyways has anyone else experienced this ??? If so anything other than cold compresses that will give any form of relief.....I'm on methadone so I can't take narcotics so pain meds are pretty much out of the question.

My girlfriend had suffer a head injury about 4 yrs ago at work....doctors told her she had post traumatic concussion syndrome.... I feel bad because I can't help her...she's been through maybe 30/different pills and like 8 different doctors no one can help her...they're even trying botox shots to see if it helps....if any one has the same problem and can help US get out of this hell pit it will be very appreciated thank you...

Can a tension headache bring back pcs sympoms? 10 months after injury... 6 months after pcs symptoms disappeared?

I fell on ice in January of 2015. I thought it was just my right side at first. Then within twenty minutes I recall feeling confused and unable to answer questions. It was so weird. My coworker and supervisor drove me home. My son took me immediately to the hospital. I'm told I was incoherent and did not know my birthday. I have very little recall of the hospital visit. I remember people talking to me but not sure what was asked, said, or done. One year and some months later, I can't keep dates straight, miss appointments, concentration sucks big time, unsure of memories. All the doctors do is treat the super severe migraines and sent me to therapy for depression. I didn't realize this is a real thing this post-traumatic concussion syndrome. I've lost my job because of this thing that had no name. I seen many many doctors. Why didn't they explain this? I will have to add this to the disability application. Thanks for the information. 😱Nique

I was tboned the 4th of Jan and have had a headache of varying degrees since then. I am waiting to see a neurologist. Tylenol 3 and a muscle relaxant ease the pain but I cannot drive or work and am high when I take these pills. I wish there was a better fix than waiting for it to go away.

This could be a case for medical malpractice. Save all of your documentation and talk to your lawyer about this.

I had 2 severe concussions 6 months apart from each other in 2015. I still suffer PCS but a clean diet, long walks (restores cerebral blood flow), and high grade fish oil have brought me close to recovery .

I was hit in the temple last june. Since then I have had a constant headache and a pain around my right eye. It is especially bad while standing up and after exercise. My vision has been slightly blurred and I think im suffering from memory loss. I now have a lack of concentration and not much motivation to do anything due to the on going headaches. Please help as I don't want this to (in a sense) control my life.

I would go to the ER & get an X-Ray that is not normal & you could have bleeding on the brain. (A small bleed which is worse)

I find comfort in reading everyone's posts.  I too suffered a TBI  in July 2015. I was dropped on my head on  the concrete after drinking with friends.  I slept 7 hours with a fractured skull and brain hemorrhage.  It has been 8 months.  I experienced moderate to severe headaches and emotional issues the first few months that were intense.  I went from working 2 jobs, being constantly busy, and motivated to feeling very limited, in pain, worried for my health, and irritable.  I began nursing school that fall. I stayed busy and went back to work both jobs.  I experienced dizziness and blood pressure issues, extreme fatigue, and a serious sense that I was being pulled backwards. As soon as I would get busy or overworked I would feel sick and have pressure in my head and really, still do. I laid off of my busy schedule and worked on being less stressed.  Symptoms faded but never fully went away.  Recently I have experienced pain in the left side of my head (where I sustained my injury), tingling in the left side of my body sometimes accompanied by sharp sudden pains that go away almost as soon as they come.  Occasionally I get the feeling of dizziness and a sense that I'm being pulled backwards again.  The tingling and slight pressure has continued daily for 2 weeks.  I was cooking supper this evening when I experienced a loud ringing (tinnitus) in my left ear that lasted about 20 seconds and went away.  I have terrible anxiety so immediately worried something is wrong.   I feel like I'm frowned at for constantly worrying if there are complications resulting from my TBI 8 months prior.  Honestly, just want to feel relief and comfort that there are no further issues. Reading everyone's stories at least gives comfort that I am not alone.  Thanks All. I hope you find answers and relief.

I feel from the moving bus, whole horizontal as if in a sleeping position. Hip pain got well soon, but the back portion of my head was severely hurt in it. Pains. That subsided after some days. But now, even after 20 days, I can't tuck any clutcher or tight pins in hair at that portion. It pains. Is it normal? Should I get an x-ray done of it or just a normal physician checkup is OK?

HELP?? I'm on Drill Team, 4th in the Nation for solo. Not dance Drill, military style spinning 9 pound rifles. I hit around my left eye. It was bruised badly, eye was beyond swollen, not really any headaches till now. Almost a year later it hits hard, I get really bad headaches on my right eye. ( not the side i hit) I also get sharp 30 sec shocks that causes my eye to close. What is this?

Its been 4 years now since my accident. I was 24 at the time I'm now almost 29. I was working on a drilling rig and got hit by a 3 ft pipe wrench that was on the drill string and my driller slipped and turned it on and spun that wrench right into my head. It put me in a 5 day coma, I broke just about every bone on the right side of my face and had a small fracture on the back of my head.three weeks before that I was in a snowmobile accident that knocked me out 15 minutes or so so they weren't far apart. Almost the day I left the hospital I started getting these terrible headache in the back of my head and behind my eyes, sometimes they are so bad I can't even get out of my room except to vomit cause I'm so nauseous. I've seen between 15-20 doctors for it, work comp apparently won't allow me to deal with just a few doctors instead. I have so many aide effects depression, anxiety, really bad memory problems some long term but mostly short term and everyone tells me I'm a different person than I was the day it happened. I've tried all medications out there for migraines, seizure meds and I can't even think of all the others. It seems to me most people think I'm just making it up and I felt like I was the only one having problems like this. Its nice to see there other people having the same problems, not nice but hopefully you all know what I mean. Hopefully someday there will be a way to get rid of these problems. If anyone has any suggestions of something that worked for you or any in general please let me know. Thanks for reading and good luck.

Very Insightful. Thank you.

well.. I got 36 stitches in my head at age 1.... I'm  now 30. I was dealing with migraines on a monthly basis, good fun. Had trouble concentrating, never lived a day without anxiety so it actually took me a long time to realize I had it. Had to teach myself everything to get by in school because I lacked the attention span and focus to hear the teachers out without my brain going off into its own tangent. If life was a video game, then I've been playing on hard whilst everyone else got to play on normal. Every day was tough but I forced myself through it and eventually wound working as network engineer after graduating school/college.  At this point I honestly didn't think anything was wrong with me, I had never not felt this way and I assumed its how everyone was. I never really gave my head injury much thought when I was younger and how it might of made me a different self to what I was meant to be, theres just no point dwelling on something I couldn't change and did not want my parents to feel guilty again over what happened, they been through enough as it is. I was still getting by in life and doing well in school/work so why bother digging....until I hit my mid twenties....The evil beast known as depression grabbed his pal Anxiety and proceeded to give me a 24/7 mental ass whooping I will never forget. It was like my brain was locked in solitary and depression had paid off the warden so it could deliver me my daily shanking. It was horrible and I wouldn't even wish it on anyone, not even Hitler.

2 years ago the depression and anxiety got the better of me. A lifetime of fighting/tolerating it made me have a complete breakdown. I became super flaky at work and would use any excuse to stay home. My stress went through the roof, which in turn made the anxiety and depression even worse. I couldn't sleep, sometimes for up to five days at at time. I was sick of being tired but not being able to sleep, then sleeping forever and waking up even more tired than before. Its amazing how anxiety can make you shit more whilst eating less...Mentally I was circling the drain, It had all just gotten on top of me and I felt like I was drowning .So I quit my job and did some soul searching. I studied every piece of literature I could find regarding all the different personality disorders and how they interact with different personality types when treated with various medications. Came to the conclusion that my symptoms pretty much mimic someone who suffers ADHD with underlying anxiety and depression.

I sort out a specialist in the field (not a gp) laid out my case and he agreed to treat me. Now on Dexamphetamines and life has never been better. I can pay attention and listen without my brain doing its own thing. Im interacting with others with ease where as before it use to be a soul draining chore that would spike my anxiety making me quick to anger and short fused with people (never violent, just think grumpy dwarf) My anxiety is almost completely gone whilst medicated. To put it into perspective if you imagine my anxiety was like swimming against a tidal its now just a very gentle ripple. After 28 years of swimming against mental tsunamis a small ripple is child play, its just background noise I no longer notice. Im pulling out of my lifelong depression and stress levels have never been lower. The drugs them selves don't really have any noticeable side effects other than a little bit of a headache if you don't adequately hydrate and eat whilst on them, unlike most anti depressants that just turn me into an emotionless constipated zombie with no libido.

As a result of all this my migraines have stopped being monthly visitors to maybe once in a blue moon. Being able to sleep properly again without a stomach full of worry and self loathing has released a lot of tension  and I feel somewhat normal for the first time in my life. The last two years have been the best I have ever lived. Even though im rebuilding from the ashes my former self left behind, I now have the confidence tools to do it.

So anyone reading this who has suffered a TBI and are experiencing similar symptoms, go see a psych and make your case for some dexies. They have completely turned my life around, might do the same for you.

Has he tried acupuncture? There are also herbal formulas that could be helpful.

My son was in a car accident 14 yrs ago. His head and neck went through the front windshield and he was thrown back into the car. He has a scar about 4 inches on his forehead. A CT scan was done upon arrival to the hospital and they said their was a minuet fracture on the forehead and instead of transferring him to a trauma center hospital the doctor numbed his open laceration and stitched him up. They quit counting stitches when they got to three hundred. The Dr did not admit him into the hospital and instead kept him in the ER room for 9.5 hours. When we took our son home we have always said we took home a different young man than we knew. His personality changed to a complete opposite. The Dr's treated him with Tylenol from then on. 7 years later he was attacked by three men who hit him in the head in the same spot as the first injury against a steel pool and beat his face up leaving him with a broken cheek bone in the upper orbital area. A CT scan was not done. Same hospital as the last. Two yrs ago he was drinking and got out of hand at a football game and was asked to leave. He fought with the officers who took him down and slammed his head into the cement flooring. He had a concussion, a CT was done again but at a different hospital two days later (he was in jail). It showed a concussion with a small area of bleeding. He has suffered almost daily headaches since the first accident. He has not worked and has been denied SSI because of his drinking and marijuana use. Marijuana does not get rid of the headaches, it makes him not care because he is "high". Dr's have tried all kinds of medications on him. He has been waiting for his State insurance to approve Botox injections which has not yet happened. He was in alcohol and addiction rehab for 60 days voluntarily and got out less than 20 days ago. The headaches are still there after getting off of drugs and alcohol and caffeine. Any suggestions would be appreciated. He is ready to start using marijuana again. Has anyone tried a pain control doctor or a headache specialist?

I hit my head hard in a quad accident November 13th. I was unconscious for 15 to 20 minutes. Since then I have had several problems. Headaches pretty much all the time range in severity. Highest being migraine and nausea otherwise mild. Never seems to completely go away. I've become extremely sensitive and emotional. Depressed. At times I have trouble speaking and thinking. This has nearly destroyed my marriage. Im going to mention this medication to my doctor

I had a "mild" concussion 3 years ago. I still suffer from PCS. Found that I became depressed early on due to not being able to honour my responsibilities, and didn't eat much which seems to have not helped my brain heal as quickly. The constant naps have died off and I'm finally able to walk more than 15 minutes without getting a headache and being symptomatic for a week straight. I find that melatonin helps me get a better rest at night and increases my threshold and allows me to get headaches less often. The more stressed, the higher blood pressure, the more headaches. Everything in moderation. I'm only 25 years old and very fatigued due to my brain being so tired but it does get better! Mark your improvements on a calendar and watch the changes and improvements unfold.

I had a concussion July 6th 2015 and still have the headaches and at times having difficultly dealing with things in general. I guess depending on others for rides, in new York an unknown loss of consciousness 6 months no driving is very depressing but almost over