Navigating Neuropsychology

146| Persistent Symptoms After Concussion – A Conversation with Dr. Noah Silverberg

28 snips
Jul 1, 2024
Dr. Noah Silverberg discusses persisting symptoms after concussion, including prevalence, risk factors, mental health importance, TBI vs. functional cognitive disorder, assessment, and treatment. The conversation explores psychological factors, resilience, overlap with FCD, management strategies, and improving neuropsychological tests.
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INSIGHT

FCD and DSM-5

  • FCD is not yet a recognized DSM-5 subtype, so it cannot be directly diagnosed using that model.
  • Experiences like mild COVID-19 or exposure to perceived toxins can also be precipitating factors for FCD.
INSIGHT

Shared Mechanisms

  • Mechanisms leading to PPCS-like syndromes and FCD are likely similar across various precipitating factors.
  • Concussion may be unique due to cognitive exertion intolerance and potential fear generalization.
ADVICE

Assessment Recommendations

  • Assess psychological symptoms, illness beliefs, and coping styles after concussion.
  • Avoid routine cognitive screening after concussion unless symptoms persist beyond a month and other factors are optimized.
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