Concussion is an injury that is not easily defined even today. National and world organizations define concussion differently. People with concussions may have a loss of consciousness lasting only 1 minute, or can be unconscious for up to ½ hour. The person who was “knocked out” may show evidence of the injury at the time of the incident – or they may seem okay initially and experience some type of neurological or cognitive issues in the time following their injury.
Regardless of the specifics surrounding the actual incident, it is well known that the effects of concussion can cause both immediate and longer-lasting cognitive and emotional problems that can disrupt daily, academic, occupational, and/or interpersonal functioning. Symptoms of concussion may or may not include:
Following a concussion, a person may experience all or few of the above symptoms. Post-concussive symptoms are often temporary and usually resolve on their own. However, a person may also develop post-concussive syndrome (PCS), where concussive symptoms can continue to be experienced for months, possibly a year.
As a licensed neuropsychologist Dr. Warshowsky has worked with patients who have suffered a traumatic brain injury (TBI) at all ranges of severity, from mild to severe, including concussion, and have extensive experience with both assessment and treatment. A comprehensive assessment for symptoms following concussion involves detailed review of current symptoms, observations from the patient and possibly other close individuals (i.e. family members), behavioral assessment and emotional processing, and a comprehensive neuropsychological evaluation. Neuropsychological evaluation consists of the administration of a number of paper-and-pencil based, question-and-answer type tests that tap all areas of cognitive ability, such as memory, attention, executive functioning, processing speed, visual-perceptual functioning, visual-motor ability, verbal ability, and language processing.
Each comprehensive evaluation yields a report of findings, complete with review of personal and injury history and recommendations for further treatment if necessary, presented at a formal feedback session. Dr. Warshowsky’s common approach is to treat each case on an individual basis, addressing the unique needs of his patients. Time is taken to be sure that the patient understands the test findings and recommendations. Dr. Warshowsky’s treatment often includes the family as well, as concussion and TBI commonly impacts the family system in addition to the individual with TBI, sometimes for many years following the actual injury.