Persistent post concussion symptoms & concussion management

PPCS shares symptoms with other conditions including anxiety, depression, chronic pain, and vestibular disorders. A thorough clinical assessment including history, symptom review, and sometimes cognitive testing is the best way to understand what you are experiencing. Our psychologists are experienced in this area and can help clarify your presentation.

Yes. Psychological factors such as anxiety, avoidance, sleep disruption, and stress are known to amplify and maintain physical symptoms in PPCS. CBT and pacing strategies can directly reduce headache frequency and dizziness, and substantially improve quality of life even when physical symptoms have not fully resolved.

No. Psychological support can begin at any stage of concussion recovery, including without a formal diagnosis or scan. A clear brain scan does not rule out PPCS most people with PPCS have normal neuroimaging. Your GP can provide a referral, or you can self-refer for a private appointment.

This varies depending on symptom severity, duration, and complexity. Many people experience meaningful improvement within 6 to 12 sessions. Those with longer standing or more complex presentations may benefit from longer term support. After your initial assessment, your psychologist will discuss a recommended treatment plan and timeframe.

It is never too late. Research shows that psychological interventions can reduce symptom burden and improve function even in people who have had PPCS for years. If you have been managing symptoms alone, specialist support may help you make meaningful progress.

Yes. Children and adolescents are a particularly important group, as they can experience prolonged or subtle PPCS that goes unrecognised until they return to school or sport. We offer age appropriate psychological support and can liaise with schools around return to study planning.