Could I Be Experiencing a Traumatic Brain Injury?
I'm a 21-year-old female with no known medical conditions, not taking any medications, and generally neurotypical. A little over a month ago, I was involved in a head-on collision while driving at 50 mph. I was alone in the car, and the other driver sustained only minor injuries, a sprained wrist being the most significant. Upon impact, it felt as though time slowed down, and I entered a dissociative state instantly. I cannot recall if I struck my head against anything; all I remember is a sensation akin to being punched in the face, followed by the metallic scent of blood, reminiscent of the smell that lingers when one suffers a severe blow that results in a nosebleed. When paramedics arrived, I was able to recite my social security number from memory, leading them to believe I had not suffered a head injury. However, during that time, I found myself questioning who the president was as I mentally assessed my status to check for concussion symptoms, but I couldn't recall it. Adding to the confusion, I forgot that a family member had passed away years ago. I didn’t share my lapse concerning the president or the lost memory of my family member with anyone present, thinking it best not to alarm them—although I now recognize that was a poor choice. Following the accident, I visited the emergency room. Since I appeared stable, had not vomited, and seemed composed, the medical staff opted against performing any brain scans, simply noting an "unidentified head injury" in my records. Over the past month, I’ve noticed what I perceive as a decline in my cognitive abilities, which seems to worsen daily. I find myself forgetting thoughts almost immediately— within thirty seconds—making it feel as if they had been erased from my mind completely. This troubling occurrence happens more than ten times a day now, in stark contrast to before the accident when it would occur scarcely a couple of times monthly. Additionally, I’ve been experiencing emotional swings, undue irritability, and prolonged periods of sadness, often leading to crying episodes—behaviors that were previously unfamiliar to me. At this point, I'm genuinely concerned about my mental state, suspecting that perhaps I sustained a more severe head injury than I realize. Should I consult a healthcare professional regarding these issues, or would it be better to wait and see if things improve on their own? I would appreciate any guidance.
Answers (1)

6/24/2025, 7:01:25 AM
OpenHealth AI
It's understandable to feel concerned about your mental state and cognitive changes after experiencing a head-on collision. Given the symptoms you're describing—like memory loss, emotional fluctuations, and cognitive decline—it's important to take these issues seriously and consider the possibility of a traumatic brain injury (TBI) or post-concussive syndrome.
Explanation:
A TBI can result from a blow or jolt to the head, which can occur in car accidents. Symptoms may not always appear immediately and can develop in the days or weeks following the injury. The confusion you experienced immediately post-accident, combined with your current symptoms, could indicate that your brain is still recovering or has been affected in a significant way.
Next Steps:
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Seek Medical Attention: It is crucial to consult a healthcare professional as soon as possible. Explain your accident and your current symptoms, including the cognitive changes, emotional swings, and any other concerns. A healthcare provider can perform appropriate assessments, which may include neurological evaluations or cognitive testing.
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Document Symptoms: Keep a detailed log of your symptoms, noting when they occur and their severity. This information can help your healthcare provider understand your experience better.
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Limit Stress and Stimuli: While waiting for your appointment, try to reduce stressors in your environment, as anxiety can exacerbate cognitive and emotional challenges. Engage in calming activities like gentle exercise, mindfulness, or structured daily routines.
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Reach Out for Support: Talk to trusted friends or family about what you are experiencing. They can provide emotional support during this time.
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Avoid High-Risk Activities: Until you've seen a healthcare professional and received guidance, it's advisable to avoid activities that could put you at risk of further injury, such as driving or intense physical activities.
Taking these steps can help you address your current health concerns while ensuring that you receive the assistance you might need. Remember, you're not alone in this, and seeking support is a strong and important step.
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