BEHAVIOURAL MEDICINE

SYMPTOMS THAT ARE WELL TREATED BY BEHAVIOURAL MANAGEMENT

  • Headache
  • Fatigue
  • Sleep dysfunction
  • Cognitive issues
  • Neck pain
  • Dizziness & Imbalance
  • Sleep dysfunction
  • Mood swings, irritability, anger, nervousness Social consequences

FACTORS THAT INFLUENCE THE SEVERITY OF PCS SYMPTOMS

1. Physiological status
e.g., the state of the nervous system and genetic susceptibility

 

2. Environmental & lifestyle factors

e.g., stress, certain foods, alcohol, hormonal fluctuations, etc.

 

3. Psychological (cognitive & behavioural) factors

i.e., the ability to cope with these factors, both cognitively and behaviourally

 

4. Social factors

i.e., the consequences of having a post-concussion syndrome.


e.g., if a post-traumatic headache causes a day off from work, and the patient really wants that promotion because they need the extra money because they are having financial problems and it’s causing relationship problems, headache will seem a lot more painful.


Still unsure of the effect of social factors on our health?

CHECK OUT THE SOCIAL READJUSTMENT RATING SCALE

  • a.k.a., The Holmes & Rahe Stress Scale
  • named after two Psychiatrists in 1967
  • studied the correlations between social situations changes and health over time
  • They found that on average, we can seem to handle a stress score of about 150.
  • WHAT IS YOUR SCORE?

    WHAT ARE BEHAVIOURAL TREATMENTS?

  • They are focused on improving and regaining function
  • They retrain factors that influence performance (i.e., physical, environmental & lifestyle, psychological & behavioural, social)
  • Match up with the patient’s goals and their unique life situation
  • WHAT ARE SOME EXAMPLES OF BEHAVIOURAL TREATMENTS?

    1. Identifying one’s values and aspirations.


    2. Identifying goals and strategizing on how to accomplish them.

    S.M.A.R.T. goals, decision-making style, etc.

     

    3. Identifying where you need help (e.g., a crutch) and strategies to make the job easier.

    e.g., cognitive compensatory strategies

     

    4. Retraining skills required to be the version of yourself you would like to be.

    e.g., cognitive training, organizational and executive functioning

     

    5. Retraining physiological rhythms/habits.

    e.g., retraining your sleep, exercise habits, etc.

     

    6. Coping with Trials & Tribulations

    e.g., Journaling & Expressive writing, Vision boards, Strategies to check worrying

     

    7. Learning and enjoying the skill of relaxation and mindfulness.

    Relaxation is a skill!
    It requires nurturing and growing; it is not our default setting.
    It facilitates neurological recovery
    It facilitates super-performance
    There are many techniques: e.g., mindfulness, therapeutic activities

     

    8. Enhancing perspectives and control of what you pay attention to…

    Which is your true experience of life!!
    e.g., Cognitive Behavioural Therapy, Solution-Focused Brief Therapy, Psychotherapy including group psychotherapy, mindfulness, Flexible Optimism (Positive Psychology)
    The brain gets molded and changed by the way we use it: “What fires together, wires together!”

     

    9. Regaining balance in life and your “presence”

    Learning to have fun again
    Committing to doing things you enjoy
    Learning skills of stress-free productivity

     

    10. Learning to control your autonomic nervous system & physiology

    Biofeedback

     

    11. Retraining/Strengthening your body, balance/power and visual system

    e.g., neuromuscular control, vestibular therapy, neuro-vision rehabilitation

     

    12. Improving physical symptoms

    Headache, Low energy, depression, visual strain, screen tolerance & computer vision syndrome, etc.

    OUR PROVIDERS WILL HAVE UNIQUE SUGGESTIONS IN THE FACE OF YOUR UNIQUE SITUATION.