ABSTRACT

Nineteen months after a collision during a football, or soccer, match resulted in her Mild traumatic brain injury (TBI), the author is continuing vestibular physiotherapy exercises which have been prescribed to treat her dizziness and imbalance. These take up a significant amount of time through-out the day and leave her feeling nauseous. But the author is now able to see a marked improvement in her mobility and balance so is inspired to complete them.

The author’s initial diagnosis of concussion and post-concussion syndrome was expanded to include a bleed in the brain and vestibular migraines for which she was prescribed Amitriptyline as a migraine prophylactic. An increase in the dosage begins to have some unpleasant physical and mental effects. The author is subjected to vivid dreams and is sometimes unable to decipher reality which further hampers her neuro-rehabilitation after acquired brain injury (ABI). Her mental health and dizziness and cognitive fatigue worsen while she is not able to adhere to the Fatigue Management Planner nor her graduated return to work plan.

The cognitive fatigue leads to a serious cognitive lapse in public which could again have turned dangerous. This lapse leads to more feelings of fear and vulnerability with threaten to turn into depression again. Fortunately, the author is able to start Cognitive Behavioural Therapy (CBT) which assists with her with neurological recovery.