What Is Concussion?

A brief guide for mental health professionals understanding concussion symptoms, recovery, and rehabilitation.

Download or send

Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Concussion is a term used to describe the symptoms following a mild traumatic brain injury (mTBI). While most individuals recover within days or weeks, a notable percentage experience persistent symptoms. This handout provides insights into common symptoms, recovery trajectories, rehabilitation strategies, and the psychological aspects that might influence recovery.

Why Use This Resource?

Concussions, often resulting from blows to the head, cause temporary changes in brain function. Early intervention can enhance recovery trajectories and reduce prolonged symptoms.

  • Educates clients and their families about concussion symptoms and recovery.
  • Encourages the adoption of self-management strategies for optimal recovery.

Key Benefits

Educational

Offers concise information on concussion symptoms and recovery.

Supportive

Promotes self-management strategies to encourage recovery.

Informative

Details common symptoms for clinicians and clients.

Who is this for?

Post-Concussion Syndrome (PCS)

Individuals displaying prolonged symptoms after initial recovery.

Traumatic Brain Injury (TBI)

Clients suffering from mild head injuries with cognitive and emotional symptoms.

Integrating it into your practice

01

Identify

Recognize the primary symptoms of concussion.

02

Educate

Provide psychoeducation on the transient nature of most symptoms.

03

Manage

Encourage a gradual return to regular activities while monitoring symptoms.

04

Support

Offer strategies to manage stress, sleep disturbances, and emotional distress.

05

Normalize

Address misconceptions about the injury to reduce anxiety and frustration.

Theoretical Background & Therapist Guidance

Concussion, also referred to as mild traumatic brain injury (mTBI), involves temporary disruption in brain function caused by movement of the brain within the skull. This disruption affects how brain cells communicate and manage energy, resulting in symptoms such as dizziness, headaches, fatigue, memory difficulties, and emotional changes.

Although many people recover within a few weeks, a notable proportion experience prolonged symptoms. These persistent difficulties are not always due to structural brain damage but may be influenced by psychological and contextual factors. Stress, a history of anxiety or depression, and negative beliefs about the injury or recovery process are key predictors of ongoing symptoms. Some individuals develop unhelpful coping behaviours, such as avoiding cognitively demanding tasks, which can inadvertently maintain impairment.

Therapists can play an important role by offering early psychoeducation, which helps to normalize symptoms and reassure clients about their typically transient nature. Interventions should aim to correct cognitive distortions, promote adaptive coping strategies, and encourage gradual re-engagement with daily activities. Including family or support networks in early education may also enhance recovery (Wade et al., 1998)

Cognitive behavioral therapy (CBT) has been shown to be particularly effective for clients with persistent post-concussion symptoms. CBT helps individuals address maladaptive thoughts, manage emotional distress, and reduce behavioural avoidance. It can be especially useful in treating common post-concussive difficulties such as anxiety, depression, sleep disturbances, and social withdrawal (Chen et al., 2020).

What's inside

  • Explanations of concussion symptoms and their typical progression.
  • Sections on recovery timelines and influencing factors.
  • Guidance on self-management strategies for clients and their support networks.
  • Discussion points for therapists to explore client beliefs and expectations.
Get access to this resource

FAQs

Symptoms typically include headaches, dizziness, difficulty concentrating, sleep disturbances, and emotional changes such as irritability or sadness.
Most individuals recover within two weeks, with full recovery generally occurring within a month. Persistent symptoms may require further intervention.
Early intervention with education, reassurance, and self-management techniques significantly improves outcomes for persistent post-concussion symptoms.
Begin by discussing their injury's nature and symptoms. Normalize these as typical and transient, and incorporate family involvement if appropriate to reinforce support networks.

How This Resource Improves Clinical Outcomes

By incorporating this information handout into clinical practice, mental health professionals can:

  • Increase client and family awareness of concussion and recovery processes.
  • Clarify misconceptions, reducing anxiety and promoting cognitive and emotional recovery.
  • Aid in distinguishing concussion-related symptoms from other psychological conditions.

References And Further Reading

  • Barlow, K. M. (2016). Postconcussion syndrome: A review. Journal of Child Neurology, 31(1), 57–67. https://doi.org/10.1177/0883073814543302
  • Chen, C. L., Lin, M. Y., Huda, M. H., & Tsai, P. S. (2020). Effects of cognitive behavioral therapy for adults with post-concussion syndrome: A systematic review and meta-analysis of randomized controlled trials. Journal of Psychosomatic Research, 110190. https://doi.org/10.1016/j.jpsychores.2020.110190
  • Dewan, M. C., Rattani, A., Gupta, S., Baticulon, R. E., Hung, Y. C., Punchak, M., … & Park, K. B. (2018). Estimating the global incidence of traumatic brain injury. Journal of Neurosurgery, 130(4), 1080–1097. https://doi.org/10.3171/2017.10.JNS17352
  • Dikmen, S., Machamer, J., & Temkin, N. (2017). Mild traumatic brain injury: Longitudinal study of cognition, functional status, and post-traumatic symptoms. Journal of Neurotrauma, 34(8), 1524–1530. https://doi.org/10.1089/neu.2016.4696
  • Hiploylee, C., Dufort, P. A., Davis, H. S., Wennberg, R. A., Tartaglia, M. C., Mikulis, D., … & Tator, C. H. (2017). Longitudinal study of postconcussion syndrome: Not everyone recovers. Journal of Neurotrauma, 34(8), 1511–1523. https://doi.org/10.1089/neu.2016.4613
  • Iverson, G. L., Brooks, B. L., Collins, M. W., & Lovell, M. R. (2006). Tracking neuropsychological recovery following concussion in sport. Brain Injury, 20(3), 245–252. https://doi.org/10.1080/02699050500488224
  • Iverson, G. L., Gardner, A. J., Terry, D. P., Ponsford, J. L., Sills, A. K., Broshek, D. K., & Solomon, G. S. (2017). Predictors of clinical recovery from concussion: A systematic review. British Journal of Sports Medicine, 51(12), 941–948. https://doi.org/10.1136/bjsports-2017-097729
  • Iverson, G. L., Lange, R. T., Brooks, B. L., & Ashton Rennison, V. L. (2010). “Good old days” bias following mild traumatic brain injury. The Clinical Neuropsychologist, 24(1), 17–37. https://doi.org/10.1080/13854040903190797
  • King, N. S. (2003). Post-concussion syndrome: Clarity amid the controversy? The British Journal of Psychiatry, 183(4), 276–278. https://doi.org/10.1192/bjp.183.4.276
  • King, N. S., Crawford, S., Wenden, F. J., Moss, N. E. G., & Wade, D. T. (1995). The Rivermead Post Concussion Symptoms Questionnaire: A measure of symptoms commonly experienced after head injury and its reliability. Journal of Neurology, 242(9), 587–592. https://doi.org/10.1007/BF00868811
  • Leddy, J. J., Sandhu, H., Sodhi, V., Baker, J. G., & Willer, B. (2012). Rehabilitation of concussion and post-concussion syndrome. Sports Health, 4(2), 147–154. https://doi.org/10.1177/1941738111433673
  • Levin, H. S., Amparo, E., Eisenberg, H. M., Williams, D. H., High, W. M., McArdle, C. B., & Weiner, R. L. (1987). Magnetic resonance imaging and computerized tomography in relation to the neurobehavioral sequelae of mild and moderate head injuries. Journal of Neurosurgery, 66(5), 706–713. https://doi.org/10.3171/jns.1987.66.5.0706
  • McCrea, M. (2008). Mild traumatic brain injury and postconcussion syndrome: The new evidence base for diagnosis and treatment. Oxford Workshop Series: America.
  • McCrory, P., Meeuwisse, W., Dvorak, J., Aubry, M., Bailes, J., Broglio, S., Cantu, R. C., Cassidy, D., Echemendia, R. J., Castellani, R. J., & Davis, G. A. (2017). Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. British Journal of Sports Medicine, 51(11), 838–847. https://doi.org/10.1136/bjsports-2017-097699
  • Sussman, E. S., Pendharkar, A. V., Ho, A. L., & Ghajar, J. (2018). Mild traumatic brain injury and concussion: Terminology and classification. Handbook of Clinical Neurology, 158, 21–24. https://doi.org/10.1016/B978-0-444-63954-7.00002-8
  • Wade, D. I., King, N. S., Wenden, F. J., et al. (1998). Routine follow-up after head injury: A second randomized controlled trial. Journal of Neurology, Neurosurgery & Psychiatry, 65, 177–183. https://doi.org/10.1136/jnnp.65.2.177