头部损伤和焦虑的关系得到证实

嗨,贝基,
脑震荡肯定会加重现有的焦虑。无法放松是脑震荡和焦虑的常见经历，你正在经历双重打击。有时候，“积极地”放松是有帮助的。做一些事情来释放紧张和所有其他身体症状可以帮助身心充分放松，从而进行其他减少焦虑的活动。当然，脑震荡限制了我们能做的身体活动，所以要选择不损害大脑的活动(不要跳绳或跳蹦床或进行任何形式的接触性运动!)。你可以在车库或房子的一侧踢球，在游泳池游泳，或任何其他重复性的体育活动，都不会加重你的脑震荡(开始前和你的医生谈谈是一个好主意)。
然后，在你释放了一些紧张和焦虑之后，你的思想和身体可能会更容易从放松活动中受益。准备一些你喜欢做的事情，比如涂色、岩石绘画、任何类型的手工项目等等。当你参与项目时，听一些平静、放松的音乐会有所帮助。如果一个在任何给定的时间都不起作用，那么尝试另一个。适应和放松可能需要一段时间，但这是可能发生的。对自己有耐心，不要放弃你选择的活动。此外，还要知道，焦虑和脑震荡都会有所好转，你的生活质量也会有所改善。

嗨罗伯特,
我很抱歉让你一直饱受脑震荡后焦虑的困扰。我对你描述的你看各种医生的经历非常感兴趣。很多时候，高功能实际上阻碍了治疗。然而，高功能是可取的。这就变成了你自己寻找解决方法的问题——你就是这样的人。关于专业人士，你试过咨询师/治疗师吗?他们不处理医学诊断和治疗，这意味着他们会帮助你缓解对再次受伤的焦虑和担忧。这种疗法可以帮助人们理清事情，制定一个消除焦虑的计划，或者制定策略来阻止恐惧干扰你的生活。同时，你也可以自己做一些事情来减少你的恐惧和焦虑。应对这种基于现实的恐惧的一个有效方法是把它写下来，深入研究它的细节，并挑战它。 For example, in what situations do you experience your anxiety? Rate them on a scale from 1-10 to untangle the general fear/anxiety and notice when it is better and when it is worse. Then, identify a situation near the low end of your list (jumping in at the top is often overwhelming. The idea is to gradually minimize the fear of re-injury rather than making it worse). Gradually allow yourself to experience the worrisome situation. Be there just past the point of feeling uncomfortable, then leave or stop what you're doing. Day by day, increase the time spent with this activity until it doesn't bother you as much. Write down what it was like, how you felt, what you were thinking, etc. Then proceed to another activity or situation. You might encounter a similar procedure when working with a therapist. You'll also learn other things, both new thoughts and actions, to shrink this very normal anxiety and stop it from bothering you so much. One more quick thing: there is absolutely a correlation between concussion, anxiety, and vision (I know this from experience as well as reading articles and studies). I hope the eye doctor can help. Don't give up your journey to reduce this anxiety. Frustratingly, concussion sequalae can last well beyond a year. But that doesn't mean it's permanent.

嗨,弗兰西斯卡,
你经历了多么严峻的考验，而且还在继续经历。我很抱歉让你经历这些。脑损伤后的焦虑是很常见的。虽然愈合的过程往往是一个等待的游戏，但你可以做一些事情。最重要的事情之一就是休息。我相信经营酒店很难做到这一点。休息并不意味着要在黑暗的房间里躺上几个小时。重要的是让你的大脑在一天中定期地从思考、压力、明亮的灯光和噪音中休息一下。对于治疗大脑和减少脑震荡带来的焦虑来说，两个月的时间其实并不长。每一两个小时就休息五分钟(我真的知道这有多难，但如果你把它安排好，就会变得更可行)，有助于大脑(以及随之而来的焦虑)恢复。 Close your eyes and breathe deeply, concentrating on the feel and sound of your breath--and when your mind wanders, simply return to the breath). You can also practice mindfulness, just noting what you see, hear, and feel without judging it, and again, when your mind wanders just return to your senses). Walking helps, too, as does eating nutritiously and avoiding junk foods and fast food. Given that you're a cyclist you probably know that. All of the activities I mentioned work for both concussion and anxiety. As far as diagnosing, I didn't have luck with that. Doctors looked for structural damage, bleeding, etc., and when they couldn't find that they couldn't do anything else. My anxiety was seen as separate from the injury. Granted, that was 15 years ago and things might have changed. Researchers are learning more and more about brain injury and its impact on the whole person, including mental health. It might be worth it to talk with your regular doctor about what you're experiencing and see what he/she has to say. It's frustrating that recovering from all aspects of a concussion, including anxiety) takes so much time. Be patient with yourself in the process. Your anxiety doesn't have to stay this way.

嗨,露易丝,
我很高兴你看到了脑震荡/脑损伤这一漫长黑暗隧道尽头的曙光!我希望很多人读到你的评论，这样他们就可以被鼓励，大脑是可以治愈的。我也仍然有焦虑的症状(受伤14年后)，但知道它们是什么，知道如何处理它们真的能将它们最小化。当它们发生时，它们只是我在背景中注意到的一些事情，而不是干扰我生活的焦虑事件。所以也要知道，即使光点时不时出现，它们也不必打扰你。继续治疗吧!：）

你好,方,
对于你的脑震荡，脑残和焦虑，我很抱歉。我很高兴这些信息是有帮助的(你的评论提醒我，我想写更多关于这个问题，因为这是一个很常见的问题，但对它知之甚少，所以太多的人感到孤独和困扰)。对自己有耐心，因为大脑需要时间和TLC来治愈。在其他症状缓解后，焦虑可能会持续一段时间。但这并不意味着你的余生都要背负着它度过。你可以回到你的基线。

你好,扎克,
休息有助于缓解脑震荡的许多影响，包括焦虑。至少，试着限制看屏幕的时间(电视、电脑、手机、电子游戏等)，因为这些会让人烦躁不安。医生通常会建议这样做，但许多人没有意识到限制屏幕使用对缓解焦虑的重要性。用其他方法让你的大脑平静下来，比如深呼吸、正念、冥想、瑜伽(但要避免会引起头痛、头晕或恶心的姿势)。一般来说，与脑震荡相关的焦虑的第一步是安抚大脑。照顾好你的身体健康有助于你的心理健康。安抚大脑可以缓解焦虑。你还可以采取其他措施，但同时做太多事情实际上会增加焦虑。最重要的是，要对自己有耐心。焦虑绝对可以好转，但当涉及脑震荡时，有时需要更长的时间。