Traumatic Brain Injury and Posttraumatic Stress Disorder By: Angela I Drake, Ph.D. Defense and Veterans Brain Injury Center & Defense Center of Excellence www. dcoe.health.mil
Differences and similarities between PTSD and TBI
Mild TBI/Concussion Physical Symptoms Headaches Dizziness/Balance problems sensitivity to light or noise Changes in vision and hearing Fatigue/Sleep disturbances
Mild TBI/Concussion Cognitive Symptoms Forgetting Poor concentration Changes in speech Slowed thinking and behavior Poor organizing/follow-through
Mild TBI/Concussion Behavioral Symptoms Personality changes Mood swings Apathy Irritability Impulsivity
PTSD/TBI: Overlapping Symptoms Sleep disturbances/insomnia/fatigue Irritability/anger/aggression Problems thinking and remembering Changes in personality/mood swings Withdrawal from social, work, family activities Hypersensitivity to noise
PTSD/TBI: Distinctive Symptoms Concussion: – Headaches - Dizziness/vertigo/ balance problems – Reduced alcohol tolerance – Sensitivity to light PTSD: – Flashback/ intrusive memories – Increased startle response – Hyper-vigilance, physiological arousal – Nightmares, night terrors
We have a voice! “So, before analyzing, classifying (symptoms), before thinking, before trying to do anything – we should listen…..just listen!” …Jonathan Shay, Achilles in Vietnam
Open Discussion Voice your opinion on differences between TBI and PTSD What do you want people to know?