Symptoms that are well treated by behavioural management

  • Headache
  • Fatigue
  • Sleep dysfunction
  • Cognitive issues
  • Neck pain
  • Dizziness & Imbalance
  • Sleep dysfunction
  • Mood swings, irritability, anger, nervousness
  • Social consequences


Factors that influence the severity of PCS symptoms

1. Physiological status


2. Environmental & lifestyle factors

    • e.g., stress, certain foods, alcohol, hormonal fluctuations, etc.


3. Psychological (cognitive & behavioural) factors

    • i.e., the ability to cope with these factors, both cognitively and behaviourally


4. Social factors

    • i.e., the consequences of having a post-concussion syndrome.
    • e.g., if a post-traumatic headache causes a day off from work, and the patient really wants that promotion because they need the extra money because they are having financial problems and it’s causing relationship problems, headache will seem a lot more painful.
    • Still unsure of the effect of social factors on our health?

Check out the Social Readjustment Rating Scale

    • a.k.a., The Holmes & Rahe Stress Scale
    • named after two Psychiatrists in 1967
    • studied the correlations between social situations changes and health over time
    • They found that on average, we can seem to handle a stress score of about 150.

What is your score?

What are behavioural treatments?

  • They are focused on improving and regaining function
  • They retrain factors that influence performance (i.e., physical, environmental & lifestyle, psychological & behavioural, social)
  • Match up with the patient’s goals and their unique life situation

What are some examples of Behavioural Treatments?

1. Identifying one’s values and aspirations.


2. Identifying goals and strategizing on how to accomplish them.


3. Identifying where you need help (e.g., a crutch) and strategies to make the job easier.


4. Retraining skills required to be the version of yourself you would like to be.


5. Retraining physiological rhythms/habits.


6. Coping with Trials & Tribulations


7. Learning and enjoying the skill of relaxation and mindfulness.

    • Relaxation is a skill!
    • It requires nurturing and growing; it is not our default setting.
    • It facilitates neurological recovery
    • It facilitates super-performance
    • There are many techniques: e.g., mindfulness,  therapeutic activities


8. Enhancing perspectives and control of what you pay attention to…


9. Regaining balance in life and your “presence”

    • Learning to have fun again
    • Committing to doing things you enjoy
    • Learning skills of stress-free productivity


10. Learning to control your autonomic nervous system & physiology


11. Retraining/Strengthening your body, balance/power and visual system


12. Improving physical symptoms




Our providers will have unique suggestions in the face of your unique situation.

Last update: February 2021