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Sharing Shelves: Traumatic Brain Injury or Post-Traumatic Stress Disorder
Because traumatic brain injuries are the result of a trauma, it’s common for TBI survivors to also suffer from PTSD. But differentiating the cause of symptoms can be challenging. Depression, anxiety, cognitive difficulties, and fatigue are common to both. But PTSD is a mental condition, whereas TBI is a neurological condition. In TBIs, individuals may experience retrograde amnesia: memory loss of events – usually recent ones – that occurred prior to the injury. Before the elderly driver ran into me at the Santa Monica Farmers’...
read moreFiddling My Way to a Stronger Vocabulary
Ten months before I suffered my traumatic brain injury, I started learning how to play the fiddle. But, distracted by pain, fatigue and medical appointments during the first months of my recovery, I thought I’d never play it again. And the few times I tried, the notes sounded either too flat or too sharp. I’d put it back in it’s case, then set it in the corner of the living room, somber and angry at the same time. Through the persistent support of friends, I eventually practiced again, every day. I started practicing for ten minutes at a...
read moreNeuropsychological Testing: Trickling Toward New Beginnings
Neuropsychologists are not medical physicians; they are psychologists who study the relationship between behavior and the brain. They first interview the individual: work and medical history, family dynamics, and school performance. The neuropsychologist gathers this information in order to compare level of functioning prior to a traumatic brain injury with post-injury functioning. The testing covers a broad range of areas: concentration, attention span, basic and abstract thinking, memory, mathematical reasoning, motor skills,...
read moreMemoir: Past versus Present Tense Telling of a Past Event
When writing about a past event in the present tense, how does the author manage to control the narrative? In other words, how do readers know when the author is speaking from the present of the past versus the present of the now? It is usually much later when we are able to reflect mindfully on a past event, say, pose rhetorical questions and conjure answers about what happened. So how does the author insert reflection, or what Sue William Silverman calls the voice of experience – the metaphors for instance – in to the present tense telling...
read moreAn Invisible Injury
Physicians rely on various tests to diagnosis a TBI. The Glascow Coma Scale (GCS) measures three areas: ability to open eyes spontaneously, to speech, pain, or not at all. The ability to speak: is the patient confused, unable to speak coherently, or not able to speak at all? The ability to move: does the patient respond appropriately to painful stimuli? Are there abnormal movements? Each area is scored. The best possible score is fifteen. Thirteen or greater indicates a mild TBI. Nine through 12 suggests a moderate TBI, and 8 or lower is...
read moreCognitive Feedback Therapy: How a Stop Sign Silences the Screams
My EMDR treatments for PTSD included Cognitive Feedback Therapy, which focuses on the individual’s thought processes and how they affect behavior and beliefs. For example, it did not take much for my mind to swirl with negative thoughts when my husband traveled out of town for music gigs. I imagined him sprawled on the side of the road after being hit by a car. At night, I would wake and watch my husband’s chest for movement. In the dark, it was difficult to see if it was rising and falling, so I’d gently lay my hand on his chest, feeling...
read moreStepping Beyond an Eclipsed World
While writing the initial drafts of my memoir I engaged in an exercise: I read the start of a chapter I had written about the earlier days of my recovery from the multiple injuries I had suffered after an elderly driver struck me. I focused on each sentence, each word and visual detail, then created a list of elements –objects, emotions, as well as the atmosphere of the piece – I anticipated would continue in the chapter. I then read the remaining pages, realizing the tone of the entire chapter smacked of self-pity in my telling of how I felt...
read moreEye Movement Desensitization Reprocessing: In Need of a Computer Geek
How exactly does EMDR work? Francis Shapiro, who discovered the treatment, explains it through the theory of the “Adaptive Information Processing Model.” The theory sounds metaphysical, but it’s not. The assumption is that all individuals have an information processing system, which takes our experiences and stores them in a section of our memories that is easily accessible. These experiences are connected to particular images, emotions, sensations, and beliefs. Think of a computer. If you’re like me, you might have several folders filled...
read moreEye Movement Desensitization Reprocessing: The Answers are Rooted in the Onions
There are 8 phases to EMDR: First, the therapist gathers background information about the client and discusses possible targets, or memories, on which the client may focus during treatment. In phase 2, the therapist ensures that the client is prepared to cope with potential distressing feelings. This may involve imagery or other stress reduction techniques. During phases 3 through 6, the EMDR procedure takes place. In phase 7, the client keeps a log noting any thoughts or emotions that arise. Finally, in phase 8, the client and therapist...
read moreFiddling My Way to a Stronger Vocabulary
Ten months before I sustained a traumatic brain injury, I started learning how to play the fiddle. Distracted by pain, fatigue and medical appointments during the first months of my recovery I thought I’d never play again. And the few times I tried, the notes sounded either too flat or too sharp. I’d put it back in it’s case, then set it in the corner of the living room, somber and angry at the same time. Through the persistent support of friends, I eventually practiced again, every day. I started practicing for ten minutes at a time, but...
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