We are neuropsychologists in Toronto providing concussion treatment informed by evidence-based guidelines for concussion management. We have significant experience treating adults (18+) with post-concussion syndrome, also known as concussion with persistent symptoms. We offer assessment to identify barriers to recovery and evidence-based treatment to address them. Our psychologists providing concussion therapy have doctoral (Ph.D.) and post-doctoral training and specialization in neuropsychology, in addition to practice areas in clinical psychology and rehabilitation psychology.
Our services include the following:
Education and concussion management (for recent or older injuries)
Assessment and treatment of barriers to recovery for individuals with persistent symptoms
Treatment for chronic pain (e.g., headaches, physical symptoms)
Treatment of anxiety, depression, irritability, trauma, sleep problems, symptom preoccupation, low stress tolerance.
Cognitive rehabilitation/cognitive exertion tolerance
Return to work/school planning and guidance
Workplace injuries (through WSIB) and motor vehicle accidents (through HCAI)
Concussion (also referred to as a mild traumatic brain injury) can be defined as an immediate and temporary change in mental functioning following a direct blow to the head, face, neck or elsewhere on the body with an “impulsive” force transmitted to the head. This can include injuries incurred due to falling, assault, injury in sport or in motor vehicle accidents (e.g., whiplash). A diagnosis of concussion does NOT require a loss of consciousness or even a direct hit to the head. Further, brain imaging using MRI or CT scans is usually normal following a concussion and structural changes to the brain are not visible.
Symptoms typically reported soon after a concussion can be physical (e.g., headache, dizziness, nausea), cognitive (e.g., concentration and memory difficulties), and/or emotional (e.g., irritability, feeling down, anxiety, low stress tolerance). The good news is that most individuals can expect a full recovery with symptoms resolving within a few days to a few weeks. In 15-20% of cases, individuals may experience persistent post concussion symptoms and recovery can take longer.
At Toronto Brain Health, concussion assessment begins with an initial consultation with one of our experienced neuropsychologists. Here we can discuss your concerns and identify likely barriers to recovery. Further recommendations may be made pertaining to more detailed assessment and/or referral to other qualified professionals to ensure you receive the comprehensive care you need.
We offer individually tailored intervention. Many post-concussive symptoms are not unique to concussion or can be made worse by other factors. Although symptoms experienced immediately or shortly after injury are likely to be related to brain trauma, over time the brain heals and persistent symptoms can be maintained by many other factors. Such factors can include depression, anxiety, avoidance of triggers (e.g., sound, lights, physical exertion), sleep problems, fatigue, pain (e.g., headaches), preoccupation with symptoms, and even misinformation by well meaning family and health professionals. These factors often form barriers to recovery and can even make it feel like the post-concussion symptoms are getting worse. Fortunately, neuropsychologists knowledgeable in concussion management can treat most of the barriers to recovery and get you on the right track to feeling like yourself again.
For more information see our concussion blog