When a Concussion Doesn’t Fully Go Away
Many people are told that a concussion is “mild” and will resolve quickly. But for some, symptoms linger for weeks or even months. If you’re experiencing ongoing brain fog, fatigue, memory problems, or difficulty concentrating, you may be dealing with Post-Concussion Syndrome (PCS).
An episode of the AOTA Everyday Evidence podcast, “Post-Concussion Syndrome,” highlights how common PCS is — and how often people go without the support they need. These symptoms may be invisible to others, but they can deeply affect your ability to work, socialize, and manage everyday life.
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What Is Post-Concussion Syndrome (PCS)?
Post-concussion syndrome occurs when symptoms continue beyond the expected recovery window of a concussion. These symptoms are often cognitive or mental rather than physical and may include:
• Brain fog or slowed thinking
• Difficulty concentrating or multitasking
• Memory challenges
• Mental fatigue
• Trouble organizing or planning
• Sensitivity to noise or light
Even if scans or physical exams appear normal, these symptoms are real and can interfere with your confidence, performance, and quality of life.
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How PCS Impacts Daily Life
The podcast emphasizes that PCS often affects “high-level” activities — the things that require complex thinking and sustained focus. This may include:
• Returning to work or school
• Managing schedules and responsibilities
• Participating in social activities
• Completing multi-step tasks
• Handling stress or busy environments
Many people with PCS feel frustrated or misunderstood because they “look fine” on the outside but feel mentally overwhelmed inside.
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How Occupational Therapy Supports Concussion Recovery
Occupational therapy plays a vital role in helping people with PCS regain control over their daily life. Rather than focusing only on symptoms, OT addresses how those symptoms affect your meaningful activities.
1. Individualized Assessment
Your occupational therapist takes time to understand: - What feels harder now - What tasks are most important to you - How your daily routines have changed
This client-centered approach ensures therapy focuses on what truly matters in your life.
2. Metacognitive Strategy Training
One of the most effective approaches highlighted in the podcast is metacognitive strategy training. This helps you learn how your brain is working and how to adapt effectively. Strategies may include:
• Task breakdown and planning systems
• Using calendars, reminders, and checklists
• Energy conservation and pacing techniques
• Self-monitoring strategies to prevent overload
• Structured rest breaks
Instead of pushing through exhaustion, you learn to work smarter and protect your brain’s healing process.
3. Real-Life Skill Practice
OT focuses on functional improvement. You won’t just talk about strategies — you’ll practice them in meaningful contexts like:
• Organizing your workday
• Managing cognitive fatigue during errands
• Returning to social engagement
• Building sustainable daily routines
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Why PCS Is Often Overlooked
The AOTA podcast highlights that many individuals with PCS fall through the cracks because:
• Symptoms are subtle or subjective
• Follow-up care after concussion is limited
• People believe their symptoms are “not serious enough”
But early and targeted intervention can significantly improve long-term outcomes and confidence.
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What You Can Do If You Suspect Post-Concussion Syndrome
If you’re still not feeling like yourself after a concussion, consider:
1. Talking to your healthcare provider about ongoing symptoms
2. Requesting a referral to occupational therapy
3. Tracking symptoms, triggers, and fatigue patterns
4. Asking about cognitive rehabilitation or PCS-informed care
Seeking help is not a weakness — it’s an informed step toward recovery.
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Final Thoughts
Post-concussion syndrome can feel confusing and isolating — but you don’t have to navigate it alone. Skilled occupational therapy helps translate complex brain changes into practical, achievable strategies that support healing, independence, and confidence.
Reach out to OYMT today for more information!
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Reference
American Occupational Therapy Association (AOTA). Everyday Evidence Podcast: Post-Concussion Syndrome. Available through AOTA podcast platforms.