Health is your Wealth Magazine Issue 1, 2017

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

Page 1

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

Page 3

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

Health is Your Wealth Magazine

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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

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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

Health is Your Wealth Magazine

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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.

Health is Your Wealth Magazine

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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

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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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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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