Depression and Traumatic Brain Injury

Las Vegas Traumatic Brain Injury Law Blog

When you have depression, it's more than feeling sad. Intense feelings of sadness and other symptoms, like losing interest in things you enjoy, may last for a while. Depression is a medical illness - a condition - not a sign of weakness. And it's treatable.

If you're depressed, it might not be easy to figure out why. In most cases, depression doesn't have a single cause. Instead, it results from a mix of things -- your genes, events in your past, your current circumstances, and other risk factors.

In cases I handle depression is typically associated with brain injury.  There is organic-based depression which is a result of insult to the brain itself and the chemical processes.  Other depression, more psychological, can be serious as well.  When one of my clients learns of their limitations, due to injury, and the process of trying to overcome them, depression becomes a factor.  Both types are compensable but different in how they are proved.

The following are causes of depression commonly encountered:

  • Biology. While we still don't know exactly what happens in the brain when people become depressed, studies show that certain parts of the brain don't seem to be working normally. Depression might also be affected by changes in the levels of certain chemicals in the brain, called neurotransmitters.
  • Genetics. Researchers know that if depression runs in your family, you have a higher chance of becoming depressed.
  • Gender. Studies show that women are about twice as likely as men to become depressed. No one's sure why. The hormonal changes that women go through at different times of their lives may be a factor.
  • Age. People who are elderly are at higher risk of depression. That can be compounded by other factors -- living alone and having a lack of social support.
  • Health conditions. Permanent Conditions such as cancer, heart disease, thyroid problems, chronic pain, and many others increase your risk of becoming depressed.
  • Trauma and grief. Trauma, such as violence or physical or emotional abuse -- even if it's early in life or more recent -- can trigger depression. So can grief after the death of a friend or loved one.  Job changes, moving into a new home and other life changes can also contribute to depression.
  • Changes and stressful events. It's not surprising that people might become depressed during stressful times -- such as during a divorce or while caring for a sick relative. Yet not as well known is that even positive changes -- like getting married or starting a new job -- can trigger depression.
  • Medications and substances. We all take some medication at some point in our lives.  Many of us take medication more or less for life.  Many prescription drugs can cause symptoms of depression. Alcohol or substance abuse is common in depressed people. It often makes their condition worse.

Brain Injury

Depression is typically associated with brain injury.  Feeling like there is nothing you can do to make you like you were before the brain injury brings on emotional and organic depression.

Post Traumatic Stress Disorder  

People with post-traumatic stress disorder (PTSD) often re–live the traumatic event in flashbacks, memories or nightmares. Post-Traumatic Stress Disorder, PTSD, is an anxiety disorder that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. Traumatic events that may trigger PTSD - post traumatic stress disorder - include violent personal assaults, natural or human-caused disasters, auto accidents, falls, assaults, or military combat.

Other symptoms of post traumatic stress disorder include irritability, anger outbursts, intense guilt, and avoidance of thinking or talking about the traumatic ordeal. In a National Institute of Mental Health (NIMH)–funded study, researchers found that more than 40 percent of people with PTSD also had depression at one-month and four-month intervals after the traumatic event.

Talk to your doctor or traumatic brain injury lawyer if you have depression you suspect was caused by trauma and injury. Getting treatment is critical to recovery.

 

Concussion and Traumatic Brain Injury

Concussions are a form of mild traumatic brain injury.  Mild traumatic brain injury, or concussion, can be defined as  loss of brain function due to head trauma that resolves spontaneously. With concussion, function may be interrupted.

Even mild traumatic brain injury, as opposed to moderate or severe brain injury, can have devastating consequences.  Cognition, including memory, headache, confusion and attention difficulty can result with mild traumatic brain injury or concussion.   Even a mild concussion may leave "invisible" but disturbing symptoms, which are indicators of a postconcussive syndrome.

Post-concussion syndrome is a complex disorder in which a combination of post-concussion symptoms — such as headaches and dizziness — last for weeks and sometimes months after the injury that caused the concussion.

Statistics from the U.S. National Library of Medicine From the National Institutes of HealthNational Institutes of Health  report that every year, millions of people in the U.S. sustain head and brain injuries. More than half are bad enough that people must go to the hospital. However many do not get hospital attention and go undiagnosed. The worst injuries can lead to permanent brain damage or death.  And many more less serious head injuries can also have permanent effects.

Half of all traumatic brain injuries (TBIs) are due to motor vehicle accidents. Military personnel are also at risk. Symptoms of a TBI may not appear until days or weeks following the injury. Serious traumatic brain injuries need emergency treatment.

 Treatment, prognosis and outcome depend on the injury. TBI - traumatic brain injuries can cause a wide range of changes affecting thinking, sensation, language, or emotions. TBI - traumatic brain injuries can be associated with post-traumatic stress disorder. People with severe injuries usually need rehabilitation.

Concussion is often though of as a minor traumatic brain injury.  Technically, a concussion is a short loss of normal brain function in response to a head injury, but people use the term to describe any minor injury to the head or brain. Concussions are a common type of sports injury, auto accident injury, or a blow to the head after a fall.

Repeated impacts, like in sports, or multiple hits to the head, have a cumulative effect on the brain.  If you have a concussion you should be sure to watch for several symtoms which may be indicative of something more serious.  Unusual fatigue, abnormal headaches, difficulty paying attention, irritability are a few.

Nevada Helmet Law Repeal

 Helmets are just common sense safety.  Helmets save lives.  Most states have helmet laws.  But the Las Vegas Review Journal reports Nevada helmet laws may be repealed.  That is if Sen. Don Gustavson gets his way.

Mimicking the "build it and they will come" line, Gustavson says "Let them take off their helmets, and they will come."

According to 2006 data from the National Highway Traffic Safety Administration (NHTSA), 4,810 motorcycle occupants were killed on our nation's roads last year, a 127% increase from 1997. Motorcycle helmets have been shown to save the lives of motorcyclists and prevent serious brain injuries.

Fatalities among motorcycle riders have increased by more than 127% since 1997. (NHTSA, 2007)

In 2006, 65% of fatally injured motorcycle riders were not wearing a helmet in states without all-rider helmet laws, compared with only 13% in states with all-rider helmet laws. (NHTSA, 2007).

So what is the motive to repeal helmet laws?  It would be good for business and create jobs!  Wow.  Has this guy got his priorities mixed up or what?

Attention Deficit Disorder Association Website

The Attention Deficit Disorder Association has announced the launch of its new website.  For those of us who have or know someone who has Attention Deficit Disorder, this website can provide useful information.  Sometime called Hyperactivity, ADD is experienced by virtually everyone at one time or another in their lives.  But a strict diagnosis arises when the behavior affects multiple areas of a person's life.

The Mayo Clinic defines Attention Deficit Disorder as:

...a chronic condition that affects millions of children and often persists into adulthood. Problems associated with ADHD include inattention and hyperactive, impulsive behavior. Children with ADHD may struggle with low self-esteem, troubled relationships and poor performance in school.

While treatment won't cure ADHD, it can help a great deal with symptoms. Treatment typically involves psychological counseling, medications or both.

A diagnosis of ADHD can be scary, and symptoms can be a challenge for parents and children alike. However, treatment can make a big difference, and the majority of children with ADHD grow up to be vibrant, active and successful adults.

Signs and symptoms include:

  • Often fails to pay close attention to details or makes careless mistakes in schoolwork or other activities
  • Often has trouble sustaining attention during tasks or play
  • Seems not to listen even when spoken to directly
  • Has difficulty following through on instructions and often fails to finish schoolwork, chores or other tasks
  • Often has problems organizing tasks or activities
  • Avoids or dislikes tasks that require sustained mental effort, such as schoolwork or homework
  • Frequently loses needed items, such as books, pencils, toys or tools
  • Can be easily distracted
  • Often forgetful

Signs and symptoms of hyperactive and impulsive behavior may include:

  • Fidgets or squirms frequently
  • Often leaves his or her seat in the classroom or in other situations when remaining seated is expected
  • Often runs or climbs excessively when it's not appropriate or, if an adolescent, might constantly feel restless
  • Frequently has difficulty playing quietly
  • Always seems on the go
  • Talks excessively
  • Blurts out the answers before questions have been completely asked
  • Frequently has difficulty waiting for his or her turn
  • Often interrupts or intrudes on others' conversations or games

Brain Changes

While the exact cause of ADHD remains a mystery, it increasingly appears that structural changes in the brain are linked to the disorder. Here are several factors that may play a role in developing ADHD:

  • Altered brain function and anatomy. Brain scans have revealed important differences in the structure and brain activity of people with ADHD. For example, people with ADHD appear to have less activity in the area of the brain that controls attention than people who don't have ADHD.
  • Inherited traits. ADHD can run in families.
  • Maternal smoking, drug use and exposure to toxins. Pregnant women who smoke, drink alcohol or use drugs are at increased risk of having children with ADHD. Likewise, women exposed to environmental poisons during pregnancy — such as polychlorinated biphenyls (PCBs) — may be more likely to have children with symptoms of ADHD.
  • Childhood exposure to environmental toxins. Preschool children exposed to certain toxins are at increased risk of developmental and behavioral problems. Exposure to lead, which is found mainly in paint and pipes in older buildings, has been linked to disruptive and even violent behavior and to a short attention span

Check out the new websiteClick here to view a state by state and city by city Adult AD/HD Support Group list.