Issue 1 - 2017
MENTAL HEALTH
MANAGE YOUR CONDITION
IMPROVE COGNITION
IMPROVING AWARENESS
THERAPY
RELATIONSHIPS
www.HealthisYourWealth.co.uk
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Health is Your Wealth Magazine
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Editors Message
Readers Letters … Send letters to: letters@healthisyourwealth.co.uk Please note some of these
articles
are
written by patients who are still in recovery. Welcome to issue 15 (the
These
first edition of 2017). We
deliberately unchanged
hope you enjoyed an “Uneventful” Christmas and
and
articles may
spelling,
worked make
with
us
things
to
better,
even though it wasn’t really their problem”
are
contain “Their
patience
punctuation e f f i c i e n c y
and was
and grammar mistakes. impressive”
wish you a happy new year. I am sure that many of you are hoping that 2017 will be more enjoyable than 2016
“Health is Your Wealth A copy of our medical is
a
cost
effective disclaimer
plus terms
method of advertising and conditions is on which shows results”
our website.
and it all starts with a positive mental attitude and by selecting the right New Years Resolution and then consistently doing it ! David, Editor
“It’s only when thing We can’t acknowledge don’t go to plan that all the letters but will you really find out how aim to respond to each good a supplier is, we one! were
pleasantly
surprised at how their team
reacted
and
Please note that errors and omissions are exempt from this publication. For terms and conditions please see www.HealthisYourWealth.co.uk
Health is Your Wealth Magazine
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Contents Editors message and Reader Letters Contents Contributors
2 3 4
RELATIONSHIPS Christmas. What a nightmare?
Importance of Nutrition
42-45
Importance of a Routine
46
5
Claiming Compensation.
6-7
Headaches
9
Loosing Memory
MANAGE YOUR CONDITION
11-14
Safe Cinemas
15
I aged 25 years in 3 weeks!
16
IMPROVING AWARENESS Headway Alyesbury Vale
17-19
Headway Derby
22-23
IMPROVE COGNITION Train Your Brain
47-49
Brain Training Applications
50-54
REVIEWS & SUBSCRIPTIONS Book Review
55-56
Movie Review
57
Subscriptions Key Contacts Supporting Awareness
58 59 60
MENTAL HEALTH Coping with Loneliness
24-29
PLEASE NOTE THAT
How to Keep Motivated
31-33
THE ADVERTISING AND ARTICLE SUBMISSION FOR THE APRIL
THERAPY Exercise -Body Maintenance Art Thherapy
36-38
ISSUE IS MARCH 20th
39-41 Health is Your Wealth Magazine
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Contributors To This Issue Thank you to the authors who gave their time to this magazine. Without your valuable content this issue would not have happened!
Headaches - Anthony Ball Exercise: Body Maintenance: Lucy Langford Headway - Alyesbury Vale & Derby Living with brain injury - Derby Head Injury Team Importance of Nutrition - Michelle Pitt Book Review - Daniela Silva
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and although did not go to the gym as much
“Christmas. What A Nightmare”
we did some stretching everyday.
This change was uncomfortable at first but We used to love Christmas but now this
on return to our routine we suddenly
holiday highlights all of our deficiencies!
realised that the rigour we so enjoyed was significantly
reducing
flexibility
and
Wrapping presents, putting decorations up,
introducing a level of stress through trying
writing Christmas cards, opening presents,
to ensure continued adherence. Therefore
making dinner, dealing with lots of busy
we have created a New Years resolution
people, extra noise, lights, visitors etc. The
'to find the middle ground’
fun and yet we can't wait until it's over and can return to the normality of our safe routine!
Rather
than
religiously
try
and
fit
everything around or routine we are going It shouldn't be like this and we end up feeling like the Grinch that stole Christmas. We don't want other people to feel like they have to tiptoe around and be conscious of disturbing our 'precious' routine! So we decided to see what would happen if we just 'went with the
turn life on its head and try and fit our routine around “Living Life”. Perhaps this will work! We are not sure and I guess we wont know whether or how this can work or what the impact will be until we try it! We will let you know!
flow'. We continued the medicine schedule
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Relationships
whole thing is a horrible, it's supposed to be
“CLAIMING
public place, you may be able to claim compensation from them.
COMPENSATION Following a Head Injury�
Most claims are
covered by insurance that the other person has. This means that the insurer will deal with a
Have you or someone you know suffered a solicitor that you appoint to act for you, taking brain or head injury as a result of an accident, away the additional stress and possible personal assault or medical mistake?
issues that might otherwise be involved. It is really important that you get the right advice
If so, you may be able to claim compensation from an expert when you make a claim. not only for that injury but also for financial losses such as being unable to work, for Even a minor brain injury (sometimes referred medical or rehabilitation costs as well as any to as concussion) can have long lasting and care or support you may need.
serious consequences, some of which are not realized immediately or at all by the injured
Most claims are able to proceed within 3 years person. Often it is close relatives or friends who from the date of the accident (2 years for an notice the change in someone after a brain assault). This is known as the Limitation injury They may not know where to get advice, Period. I It is sometimes possible to proceed what to ask or where you can get help. It can be with a claim outside of this period, particularly confusing when you first start dealing with a if you lack capacity to manage your affairs claim. It is important your solicitor has the time after your injury.
to listen and to explain.
If someone else was responsible, even just Seek advice from a solicitor who specialises in partly responsible, for example following a head injury claims as to whether you may have road traffic accident, accident at work or in a a claim or not. Most solicitors will be happy to
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speak to you free of charge initially and with Your solicitor will discuss these options no obligation. They can also give advice about with you when you first speak to them. cases which are ongoing or have been turned down by another firm.
Solicitors specialising in head injury claims will
You could ask questions like
and
impact on someone suffering a head/brain
Who deals with the claim on a day to injury and the rehabilitation that is
Do they have small caseloads so there
they
have
any
references
such
as
independent Legal
500,
Chambers or Headway Directory?
Most solicitors will deal with these claims on a no win no fee basis, meaning that there is no risk to yourself of paying legal costs if you lose. You may have legal expense insurance (through a policy of insurance that you hold already, i.e. home insurance, car insurance) that may pay for your legal costs. Alternatively you may be a member of a trade union that would fund your claim.
amount of compensation that will be
also be able to help you to get early rehabilitation which could help with your recovery. It is never too early to make an enquiry and see what services and advice may be available to you.
A list of Headway accredited solicitors can be found at:
https://www.headway.org.uk/supporting -you/in-your-area/head-injurysolicitors-directory/ for the area in which you live.
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Relationships
Do
required. Expert Solicitors know the
needed to cover lifelong losses. They may
is time to handle your case;
problems
How long have they been dealing with be facing. They will appreciate the full
day basis and how qualified are they;
the
difficulties that you and your family may
head injury cases;
understand
The Leading Personal Injury and Clinical Negligence Solicitors in the East Midlands area. At Barratts we are proud to be different. We ensure that every client has an experienced lawyer acting for them throughout the claim. We visit clients at home and we take the time to listen, understand and explain. We have a reputation for handling claims with sensitivity and offering support during the rehabilitation process. That is why we are locally based but recognised for our expert, independent advice by:
Headway, The Spinal Injury Association, AvMA, APIL, Law Society and independent legal guides including Legal 500 and Chambers Our clients are nearly all personally recommended to us by former clients and professionals. Our caring approach is second to none. If you have been injured and want advice from a lawyer with experience, who has the time to fight for you, then please contact us:For Nottingham contact
Ed Myers
For Derby contact
Debra Morris
And for Clinical Negligence contact
Julie Hardy
We can discuss how best we can help you and your family in a relaxed setting.
Both Ed and
Debra are specialist head injury lawyers, accredited by Headway and both act as volunteers for local Headway groups at Nottingham and Derby. Visit www.barratts.legal for further information on our solicitors, case studies and news items, or follow us on Twitter. Debra Morris 01332 565395
Ed Myers 0115 931 5171 3 Wheatcroft Business Park Landmere Lane Nottingham NG12 4DG
The Old Courthouse 18-22 St Peter’s Churchyard Derby DE1 1NN
Email ed.myers@barratts.legal
debra.morris@barratts.legal
Health is Your Wealth Magazine
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Why are headaches a problem after brain injury?
“Headaches�
Headaches after TBI can be long-lasting, Most mornings I awake with a banging
coming and going even past one year.
headache. It doesn't
appear to make any
Headaches can make it hard for you to carry
difference whether I have had a good nights
out daily activities or can cause you to have
sleep or not, I still feel as if I have a hangover
more difficulty thinking and remembering things.
and it doesn't disappear all day and then for no
Why do headaches
In many cases, you can
happen after brain
treat your headaches at
injury?
home
with
over-the-
counter painkillers and
Right after a severe
lifestyle changes, such as
TBI,
getting more rest and
hav e
drinking enough fluids.
because surgery or
because
they
people
may
h eada che s of
the
on
their
have
small
However headaches are very common after a
skulls
head injury and over 30% of people report
collections of blood or fluid inside the skull.
having headaches which continue long after
However headaches can also occur after
injury.
mild to moderate injury or, in the case of severe TBI, after the initial healing has taken place. These headaches can be caused
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Relationships
reason it just goes away!
by a variety of conditions, including a change
Pain level rated as moderate to severe.
in the brain caused by the injury, neck and
You might get a warning signal that a
skull injuries that have not yet fully healed,
migraine is coming on, such as seeing
tension and stress, or side effects from
spots or bright lights.
medication. Tension Headaches Although there are many other types of headaches, these are the most frequent. It is not unusual for someone to have two different
These headaches are associated with muscle tension or muscle spasms and stress. They may have the similar features to:
types of headache.
What are some typical kinds of headaches after TBI?
Migraine headaches
Tight, squeezing sensation, often around the entire head or on both sides.
Pain level rated as mild to moderate.
Occur later in the day.
These kinds of headaches happen because an area of the brain becomes hypersensitive and can trigger a pain signal that spreads out to other parts of the brain. Typically they have some of the following features:
Cervicogenic headaches This type of headache can occur when there has been some injury to the muscles and soft tissues in the neck and the back of the head. Many nerves that are located in the tissues and bones
Dull, throbbing sensation, usually on one side of the head.
of the neck have branches that travel to the skull and scalp and can result in head pain. This type of headache sometimes:
Nausea or vomiting.
Light and sound sensitivity.
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Often start in the neck, shoulders and
experienced in treating persons with brain
back of the head, and may travel over the
injuries.
top of the head.
Neck movement or positioning can make
IF the following occurs:
the pain worse.
Your headache gets worse.
You have nausea and/or vomiting with
These
headaches
are
not
usually
a headache.
associated with nausea and can range from mild to severe.
You develop arm or leg weakness or problems
speaking
along
with
a
headache.
Rebound Headaches Sometimes the very medicines used to treat
You have increasing sleepiness with headache.
When pain medicines are taken daily on a regular schedule, missing one or two doses can result in a headache. You also can develop a rebound headache if you decrease the amount of caffeine you use. For example, if you normally drink a lot of coffee, tea or
DON’T DELAY, IF YOUR UNSURE GO AND SEEK A MEDICAL PROFESSIONAL AND EXPLAIN YOUR HISTORY
energy drinks but don't get your usual amount, you may get a headache. What can be used to treat a headache after TBI?
Should I worry about having a headache? Most headaches are not dangerous. In the first few days after a concussion or head injury, a person should see a health care professional
This will depend on each individual case. It's important to discuss your headaches
Health is Your Wealth Magazine
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Relationships
headaches can actually cause headaches.
with your doctor and to keep track of headaches and your response to treatment.
Common types of treatment for occasional
Many people use a headache diary to help
headaches include:
them do this. [See the application reviews
Over-the-counter pain medicines
section]
Prescription
medicines
for
migraine
headache Lifestyle changes to help prevent headaches
Relaxation therapy/meditation.
Biofeedback therapy.
Stretching and self-massage.
Acupuncture.
whether or not headaches occur. Certainly try
Therapeutic massage.
to:
Heat or ice packs.
Many times, lifestyle factors can trigger headaches or make headaches worse. Simple changes can often make a big difference in
Get enough sleep.
Get daily exercise. Aerobic exercise such as walking and good stretching often help
Treatments for recurrent headaches that happen more than twice a week
to prevent headaches by improving sleep and decreasing triggers. If a headache is worsened by any particular exercise, check with your health care provider.
There is no single remedy for headaches but often a combination of things can have results. A systematic approach of trial and error should be taken, eventually working alongside your
Avoid caffeine.
Avoid certain foods that may trigger a headache, like red wine, food that
healthcare professional you will find what works for you!
contains additive for colour/flavour or certain even cheeses.
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the parts of the conversation I need later or
“Living With a Brain Injury”
won’t remember.
The big one for me is that I still don't remember the day my daughters friend
“Loosing Memory”
come round for dinner after school, or
My partner has the patience of a saint! Like most people you remember the things which are important to you! However on most occasions,
depending
on
what
else
is
happening in your life (routine, fatigue, other things to think / stress about) it’s hit or miss
After five years the most common thing that occurred like pressing the wrong light switch
her mother on the way to work. There are many examples of when my wife has told me the same thing three or four time in the space of twenty minutes and I can remember it. So when I ask her again she thinks
“I haven't being paying attention”.
or placing the milk in the cupboard instead of the refrigerator have now ceased. Additionally I am no longer going into a room and thinking:
I can imagine that this is very frustrating and sometimes infuriating as it used to drive me nuts to keep having to repeat myself’
“Why did I come in here again?”
However there is still a struggle with reference numbers or telephone numbers greater than five characters so I use a Dictaphone to record
especially my name!
The ‘forgetfulness’ does not only occur with conversations
but
also
extends
to
recognising faces. For example if I saw my physiotherapist out of the hospital I would
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Relationships
whether I will remember something or not.
which mornings she is dropped off early by
recognise her, either by her voice or because Brain Training seems to help which is why there she is wearing a therapy uniform. However if has been some progress in this area, although she didn't speak and was wearing something hampered by visual issues and fatigue there is different I wouldn't have a clue who she was, some progress there which is better than zero even though I have known her for four years. progress at all. A similar thing happened to me when I went for Sunday lunch. Someone started talking to me so to be polite I was chatting with them. I asked my wife afterwards whether I knew them and she exclaimed,
“That was Glenn; our neighbour�
I though it was just someone being friendly! What threw me is that he was out of context and
was
wearing
sunglasses.
This
has
happened many times to me but the worst was when I walked past my mum in town; as you There is a section in this magazine which has can imagine she was not amused. Apparently my memory is similar to a filing cabinet. Everything is stored in there I am unable to recall it as I am not sure which draw
some brain training and also some tablet/phone application which you can use and may help you in this area. Just remember to co-ordinate your activities with your medical team !
to open and which file to look at. Yet if I am prompted then I can recall fairly quickly and accurately.
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cinemas through our website, and want you
Living With a Brain Injury” “Safecinemas” Have you ever been to the cinema and felt that overwhelming sense of dread? The lights go down, the sound gets loud, and suddenly your heart feels like it might beat out of your chest. There are lots of reasons people feel uncomfortable at the cinema: anxiety, ASD, as well as many others. ASD stands for Autistic
help us in this.
Health is Your Wealth readers, we're calling you. We want to hear your stories, find out from you what your experiences of your cinemas are. Perhaps you want to offer us some advice. What do you want from your l o c a l
c i n e m a s ?
Or maybe you just want to say hi. We'd love to hear from you!
Relationships
Spectrum Disorder, which is a condition that affects social interaction, communication, interests and behaviour. This means that people on the spectrum might find sensory processing in a cinema hard. However, everyone deserves to enjoy the cinema.
We're Safe Cinemas, and we're dedicated to making sure everyone feels safe at the cinema, and help people be able to see their favourite films on the big screen. We're working with local cinemas to help make their venues more
Email us at safecinemas@gmail.com or say hi on our website w w w. s a f e c i n e m a s . w o r d p r e s s . c o m Tweet us at @SafeCinemas or say hi on Facebook at /safecinemas
accessible. We plan to do this by highlighting exceptional aspects of specific screenings at
We hope to hear from you!
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Living With a Brain Injury “I Aged 25 Years in 3 Weeks”
years to recognise this and my family and I are
At thirty nine I awoke from a coma in 2011
To improve strength and flexibility there is a
after twenty one days; however it took another
maintenance program that my physiotherapist
four years aged forty four to realise that in
put together to preserve and further enhance
three weeks I aged approximately twenty five
progress. To further improve balance I am
still working through the emotional trauma of everything and I am still in therapy to help improve my balance, posture and gait.
years. I now had the
attending a Yoga
balance,
posture,
type class called
strength and gait of a
‘Qi Gong’ and to
sixty five year old.
aid strength and
“For the majority of
posture I attend a gym three times a
people they age
week; executing a
slowly over time and
program designed
health deteriorates
for
over many years”
my
specific
requirements.
In my case it was very quick and this amount of rapid change takes my
If you marry this to an excellent diet long term
neuropsychologist most people take between
things are in place so that in twenty five years
five and seen years to come to terms with a
health decline should be minimized and the
life changing injury. Certainly it has taken five
status quo will be ‘normal’ !
some
time
to
absorb.
According
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Headway Alyesbury Vale “Survivors Urged To Use Brain Injury Charity As Stepping Stone”
to an individual plan, based entirely on their needs, with milestones and time scales.
From our specially adapted hub in Fairford Leys, with its free parking and excellent transport links, we already offer activities that can really help survivors including art,
Acquired Brain Injury (ABI) can happen to anyone, anytime through accident or illness, and the charity Headway Aylesbury Vale is looking to make contact with any adult with
know of the services we offer. In particular we are searching for younger people between the
computers to help re-engagement with the on-line world that is so much part of modern life. However there is no restriction on our activities and we are actively looking to provide our clients with support relevant to their particular needs.
ages of 18-30 to who, the statistics tells us, the greatest number of accidental events happen.
We would really like to make contact with survivors as soon as the NHS has treated
Headway Aylesbury Vale’s mission is to provide services that will form one of the stepping stones of choice for all people affected by ABI in our area, as part of their
their primary injuries so that they can access and participate in the range of services available as part of their individual rehabilitation journey.
pathway towards regaining their greatest possible independence.
So their journey can begin as soon as
To help us achieve this, each survivor is given a free in-depth professional assessment leading
possible, thereby avoiding the isolation and depression
Health is Your Wealth Magazine
that
often
Page 17
occurs
together
Improving Awareness
ABI or their relatives or carers to let them
music and photography and a suite of
with the fact that ABI often leads to severe
So if you know anyone who could benefit from
personality changes putting further strain on
what Headway Aylesbury Vale has to offer, be it
relatives and carers.
ABI survivor, their relatives or carers please get
In a documented case study for the charity, one carer told how her previously happy family life had disintegrated overnight when her husband suffered a serious illness in his
them to contact us by phone on 01296 415469 or email info@headwayaylesburyvale.org and look at the website:
40s. It meant that even going out for a day was difficult and required extensive planning.
“This has put a massive strain on our family and changed our lives completely,” she said. But things improved radically when the husband joined Headway. “From the start it was an absolute Godsend. He went for two days a week and it gave me a bit more time for myself. He loves it and socialises there. He
www.headwayaylesburyvale.org Phil Simmons (Chairman)
even went out bowling the other week with
If you are not local you can find your nearest
Headway. It was so nice. If he could go there
Headway group or branch, visit
every day, I would love it.”She urged other
www.headway.org.uk
survivors of acquired brain injury to seek out
or contact the free phone helpline on 0808 800
the charity’s help.
2244
“I would recommend He’s made friends there and looks forward to it.”
E-mail: helpline@headway.org.uk
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Improving Awareness
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Annual Head Injury Study Day-Back to the future Lead by the Derby and Nottingham TBI teams Wednesday February 8th 2017 Venue: The Education Centre, The Royal Derby Hospital Ref:1939
The Study Day will look at
Patient Experience ‘Aiming for Independence’ Nottingham trauma network ‘the first 3 years’ Supporting people with ABI to understand their fatigue and maximise their resources Driving after brain injury Results of the Return to work study (FRESH Project) With area for stands and networking. All stands will have a technology in brain injury theme . The course is aimed at all staff who work with clients with a brain injury. CPD Certificate of attendance awarded – 5.5 hours Fee £130 (including Lunch and refreshments) Limited funded places available for AHP’s working for the NHS in the East Midlands
Some subsidised places maybe available For further details telephone 01332 254679, email dhft.ncore@nhs.net or www.ncore.org.uk or post to NCORE, Room 216, Level 3, Junction 3, London Road Community Hospital, London Road, Derby DE1 2QY. App. Address www.ncoretrainingevents.com
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Improving Awareness
The Derby and Nottingham TBI Teams have put together an interesting day of good practice and news of innovation taking place in the field of brain injury. Every year we try to focus on what is new especially around the local region and to give people who work in the field of brain injury a chance to be informed by this practice and hopefully be inspired!
The week after being made redundant Ruth
HEADWAY DERBY A Tribute to our Volunteers
returned to Headway Derby as a volunteer, supporting members to meet and socialise and carry out gardening activities as a way to continue supporting their rehabilitation.
We wouldn’t be where we are today, still
Ruth had worked for us for over 10 years as a
going strong and being able to support local
support worker and took on the allotment
people following a brain injury if it wasn’t for
project in 2008 as part of her role. She did
our dedicated staff and volunteers.
voluntary work at the allotment in addition to her work at the centre and worked tirelessly on
Following cuts to our funding we had no
the project.
choice but to reduce staff, move to smaller premises and were facing a situation where we
In recognition of the selfless way that Ruth
may have had to stop supporting people who
continued to support people, despite losing her
had accessed our services for many years.
job, we nominated her for the Headway UK Volunteer of the Year award. We were delighted
One member of staff, Ruth Wright, took
to find out that Ruth had been shortlisted to the
voluntary redundancy.
She understood the
final 3 nominees and was invited to attend an
position that many of our members were
award ceremony at the Dorchester Hotel in
facing, so worked with the team to plan an
London in December 2016.
alternative provision where some people would still be able to meet up socially with
Leading up to the ceremony Ruth appeared in
support from volunteers. The ideal place was
the local newspapers, radio and TV news. One
our allotment!
member said:
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“Coming along to the project gives me over the last 10 years and the generous a focus and inspires me to do more things for myself. Without it I’d be sat on my own at home and I’d get into a
way in which she took up a voluntary position following redundancy, preventing many people from losing their only avenue of support and becoming isolated.
rut that is difficult to get out of.” Thanks once again to Ruth, but also to all We were thrilled to learn that Ruth had been awarded runner up and are so pleased for her. However all of us at Headway Derby are the real winners, we have benefitted from
would not be able to continue. Headway Derby will be planning a “Thank You” event for staff and volunteers in the near future. (The date and location is coming)
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Improving Awareness
hundreds of hours that Ruth has volunteered
our staff and volunteers without whom we
slowly over time.
Mental Health Coping With Loneliness Loneliness is a massive thing and very common after brain injury. When you are in hospital there is a flurry of activity and a schedule that the nursing staff and therapists rigorously adhere to. Breakfast, lunch and dinner plus medication rounds all happen at se times. Visitors are regular and at specific times
plus
physiotherapist
occupational, and
speech,
neuro0psychology
sessions occur and then add to that regular
Feeling lonely isn't in itself a mental health
reviews and meetings with your case manager
problem, but can lead to other issues and
you seem to be very busy.
having a mental health problem increases your chance of feeling lonely.
“Then when you get home this activity slowly disappears�
Although most people need some kind of social contact to maintain good mental health,
Sometimes during your recovery there is a
everyone has different social needs. You may
personality change which you yourself don’t
be someone who is content with a few close
realise but can result in friends and even
friends, or you may need a large group of
family members slowly distancing themselves
varied acquaintances to feel satisfied.
and your social circle shrinking steadily and
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This publication helping increase awareness for these organizations:
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