Panic episodes after a concussion can be distressing and challenging to manage, but understanding how to handle them can help reduce their impact. After a concussion, the brain’s stress response system can become overactive, leading to symptoms like rapid heartbeat, sweating, dizziness, and intense fear, which are common in panic episodes. This happens because the injury disrupts the body’s normal balance between “rest and digest” and “fight or flight” responses, making small stressors feel overwhelming[1].
To handle panic episodes after a concussion, start by recognizing the signs early. These may include sudden feelings of intense anxiety, difficulty breathing, chest tightness, or a sense of losing control. When you notice these symptoms, try to focus on slow, deep breathing to calm your nervous system. Breathing exercises help reduce the adrenaline rush and can prevent the panic from escalating.
Creating a calm environment is also important. Find a quiet, comfortable place where you can sit or lie down. Avoid bright lights, loud noises, or crowded spaces that might worsen your symptoms. Gentle distraction, like listening to soothing music or focusing on a simple task, can help shift your attention away from panic.
It is crucial to manage overall stress levels because concussion-related anxiety often worsens with ongoing stress. Techniques such as mindfulness meditation, progressive muscle relaxation, or guided imagery can support emotional regulation and reduce the frequency of panic episodes[1]. Regular rest and avoiding overstimulation are key since the brain needs time to heal after injury.
If panic episodes persist or become severe, seeking professional help is recommended. A healthcare provider experienced in brain injury can assess your symptoms and may suggest therapies such as cognitive-behavioral therapy (CBT), which is effective in treating anxiety and panic disorders. In some cases, medication might be prescribed to help manage symptoms temporarily while the brain recovers[3].
Additionally, monitoring other concussion symptoms like headaches, dizziness, or confusion is important, as worsening symptoms may indicate complications requiring medical attention[2]. Vestibular issues, such as balance problems or vertigo, can also contribute to anxiety and panic after a concussion, so addressing these with a specialist may be beneficial[4][5].
Support from family and friends can make a significant difference. Sharing your experience and having someone to talk to during panic episodes can provide comfort and reduce feelings of isolation.
Sources
https://healthcoach.clinic/traumatic-brain-injury-stress-prevention-tips-and-strategies/
https://www.thechampionfirm.com/blog/head-injury-severity-after-car-accident/
https://www.amenclinics.com/the-3-must-haves-for-brain-injury-assessment/
https://kidshealth.org/en/parents/balance-disorders.html
https://thevertigodoctor.com/your-guide-to-vestibular-disorders/
