brain injury – peterelbridge.com

Baby steps and struggly downward dogs

“If your legs aren’t already straight, don’t try adding this in. Don’t ever force yourself. Let your muscles and tissues grow and change over months and years.”

This morning’s yoga class felt a little different. It was very slow and mild with an emphasis on finding the edge and then not pushing it. A little was enough.

I trained with an absolutely fantastic trainer way back–it felt like studying with a guru. He really knew his stuff. Honestly I probably couldn’t have found a better source of information and direction. Except my body. My body is also would have been a great source of information for me, but I ignored its signals. After some quick progress, I pushed too far, shrugged off the pains and the not-quite-right feelings, and hit a wall. Usually it took a couple days for my muscles to feel recovered. This time, my body felt overwhelmed by pain and weakness and just . . . tension for days and days and then weeks and weeks and by the time the pain had subsided, an “I-can’t-do-that-again” preemptive pain had taken its place. And I stopped. Completely. I had tried too fast. I hadn’t listened to my body.

Maybe that speaks to you, maybe it doesn’t. Since a concussion turned my world upside down, I’ve been really surprised at just how much one person’s response to being pushed differs from another’s. Once upon a time, I was the type to push myself to the max and then past it. And it felt like I had bottomless energy.

When I was a teenager, I would bring my glove and a baseball out to the rock wall in the back. I’d wind up and throw as hard as I could. A hundred times. And then a hundred more. (For context, you’re not supposed to pitch over a hundred pitches in a row every day. Especially as a 13-year-old. That’s ridiculous.) And then I’d head inside with just as much energy as I’d had before. It worked when I was a kid.

Then I moved up to the Twin Cities and dove into running. I started with a mile or two, then six. Then 13.1 out of the blue. Somewhere around mile 11 my left hamstring didn’t really work, but with a forwarder tilt, gravity pulled me forward the last couple miles. I wasn’t ready for it, but I found ways to compensate, and so it sort of worked. My core and hip flexors were weak, but my legs were strong, so I moved 13.1 miles again and again for the joy of it. And there was so much joy. Then I learned that you can push your pace when you run. Learn to breathe through the stress. So I picked up my pace.

One evening, with Marvel film scores playing in my ears, I set out to push my 13.1 pace. Halfway through, the Winter Soldier beat dropped and my pace picked up. It was electrifying. Until about mile 10. Then my body said “Absolutely not!” and I slowed to a walk that was more like a crawl. I could hardly lift my arms. I took a shortcut home and collapsed on the couch. Dizzy. The nausea and stomach cramps hit like a tsunami. I have never, ever, ever felt that absolutely terrible after a run. In a weird way, it felt worth it, like . . . look at how hard I worked! In another way, it slowed me down. A lot. Nervousness replaced excitement, and it was a while before I tried 13.1 again.

And then I had a concussion. And I stopped moving at all for months. And the strong compensation muscles I had became weak, so nothing was ready for a run anymore. And then my head finally felt okay, so I ran a mile. Then I ran two. And then I ran 8. . . . 8! And that was the day I felt a new kind of leg and back pain that I’m still feeling three years later.

I always try things long before I’m ready.

Because that’s how you be a badass.

And it’s worked at some points in my life. For some things.

And then at other times, it doesn’t. Especially after a concussion. Or especially after getting in touch with my deepest self. Sometimes trying things before I’m ready ends up hurting or scaring or discouraging me. Knocking the wind out of me. And the attempted leap forward turns into five steps back, or fifteen if you watch closely as I subconsciously sneak further and further away from my goal because I just can’t get near that awful feeling again.

Pizzeria Balognett was a little hidden garden of a restaurant in the hills above Italy’s Lake Como, where they plopped down freshly picked eggplant and tomatoes sprinkled with olive oil and salt in front of you, whether you asked for them or not, while the pizzas baked. The pizzas were perfection. So we went back for lunch the next day, and left with at least four more pizzas boxed up to enjoy on the next day of our honeymoon. Our rental host, a British expat, stopped by our little apartment, and when he heard how many pizzas we had brought home, he grinned and said “Such Americans!”

We in America, as a culture, are maximum. Always. We’re never halfway, we’re always the most. And that can be wonderful. Like eight of the best pizzas we’ll ever eat.

I’m afraid that we as a culture push ourselves and each other a little too hard, a little too fast, though.

And it’s complicated by the fact that it seems to really work for some. So we just push. Everyone. All the way. “No pain no gain.”

My therapist recently congratulated me for making a fairly forceful ask in my life. The change I want to see, he explained, happens slowly. Very slowly. The bigger the change, the bigger the pushback. So sometimes a clear, hard push is needed. But not because the change should (or even could) hurry up. Just because the change needs repeated reminders and remotivating.

But then, when that push has been pushed, I need to remember that the change is still going to be a slow process. Yes, we need to push and we need pushing. And then we need to accept that the wheels will turn slowly. Sometimes they need to turn slowly. Sometimes if you force them to turn fast, it hurts a little too much, and they stop turning at all.

Like when you decide you’re an exception to the wisdom about building up to 13.1 slowly. Or like when your trainer enthusiastically shouts that “you’ve got this, keep going!” without first having a two-way discussion about what is good discomfort and what is too much overwhelm or even pain. Or like when you decide the answer to beating social anxiety or loneliness is to fill every corner of your schedule with all the people all the time. Or like when you decide it’s time to cut out every single happy food forever, starting today. Or like when you decide you want to be a reader and then force yourself through three brutally boring hours in a row and find that you can never quite pick up the book again.

Maybe you’re the type that changes fast. Maybe. Although if that’s how you’ve always thought of yourself, but you keep finding yourself giving up or worn down or discouraged, then maybe you also could give yourself some extra time for change, too.

Or maybe you’ve already acknowledged that you need time. That you can’t take big leaps. That baby steps are what work for you.

At risk of sounding cliche, remember the tortoise and the hare? “Slow and steady wins the race.” Because slow and steady doesn’t burn you out, injure you, freak you out, or overwhelm you.

Yoga this morning was a great reminder to let time play its part in your growth. We’re all so damn frenzied about our lives. Goals. Progress. Growth. We need to get this, fix this, stop this, change this, find this, and it needs to happen with same-day delivery!

We know better by now about about muscles and fitness. But do we accept this about our core selves, too? The core selves we so badly want to be, to grow into, to experience, to find.

Is it okay that it’s going to take me three brutally long years to learn how to express negative emotions? Is it okay that it may be summer by the time you’ve actually finished that book? Is it okay that when you join all the flexible, toned 30-year-olds at the yoga class, your downward dog will honestly look more like a malfunctioning twerk for at least a few weeks, and that you’re the only one not wearing designer joggers?

So what’s your thing? The change you need. The growth you’re planning. The relationship or communication skills you want to develop. The goals you’ve set for yourself. How you want to take care of your body. How you want to stretch your mind. How you want to show up for the world.

And is it okay that you may be in this “getting-there” stage for a long, long time? Maybe for the rest of your life?

And if you let the change happen slowly, do you think you may give up less?

You’re trying. That’s enough. That’s a lot, honestly. So be gentle with yourself. Don’t push yourself too hard. You still want to feel safe enough to show up tomorrow. And you won’t if you push yourself past what you can be okay with today.

You’re human. And that’s going to take time.

Take a deep breath, give yourself a little hug, and accept where you are today.

Tomorrow can be just a little different.

P.S. If you struggle with taking it slow and giving yourself room to grow and permission to take baby steps only–I strongly recommend looking for a slow, gentle yoga practice somewhere near you, and making showing up your only goal each time. When you soften into change, it’s amazing the pressure you find your body’s been holding, and how desperately it’s been wanting gentle care.

P.P.S. If all this slow change is too slow, look back a year or ten and see just how much it has been adding up. Keeps adding up. Trust the process.

Let’s grow slowly together?

I have anxiety and that’s okay

I have anxiety.

Some days I am in the zone, killing it.

I am a manager and I’m good at it.

I am great at sales and customer service.

I am great at leading projects.

I am the president of a Toastmasters club and I think I’m a good leader.

I am a really good friend to lots of people.

I have gotten straight A’s in basically every bit of education I’ve ever had.

I write a blog that lots of people read and find helpful.

I am a badass public speaker and can give a great presentation.

I make really beautiful piano music.

I have run half marathons.

People come to me for advice.

I survived and escaped a very toxic environment I grew up in and chosen to live life a different way.

I am really, really smart.

I am funny (don’t ask my friends).

I love to help people and at least sometimes I am good at it.

Some days I bury my head in the couch pillows and hyperventilate.

Some days I spend the entire day near-panicking about what would be the best way to spend the day.

Some days I randomly start crying.

Some days I feel this non-stop heavy sadness.

Some days I worry myself sick that I might get sick and die soon.

Some days I am pretty sure my whole life might be a lie, that the people who said they love me, who are supposed to love me, really don’t.

Some days I feel like crying when someone lovingly teases me because I honestly don’t get that it’s teasing.

Some days I worry that lots of people are actually unhappy with me and are out to get me. That if I’m not a good enough leader, I’ll suddenly be surprised by getting booted out the door. That if I don’t make friends or family happy, they’ll tell everyone I’m a bad person.

Some days I worry that I’m actually some really hopelessly awful person.

Some days I’m afraid that I’m just “one of those people” who will never quite be good enough, always find a way to fail.

Some days I feel like I’m floating away and I can’t reach out and grab the world I know, it’s too far gone, and I’m just stuck floating out here where nothing feels right, nothing makes sense, I can’t find anything.

Some days I lay in bed terrified and feel the room spin, and feel like the ceiling is fading away, and I stop seeing what’s around me.

Some days I can feel the *thump* *thump* *thump* of my heart beating really hard and fast and all I can feel is that my heart can’t keep up with the intense panicky drowning “Oh no” feeling.

Some days everything feels yucky and sad and scary and I finally sit down on the floor and cry and cry.

Some days I see people who always make me happy, and I realize that they probably don’t really like me, that they probably are just nice about it.

Some days I try to smile and be in a good mood and be super friendly, but I truly can’t, so I just want to get alone.

Some days everyone and everything is unsafe.

If I had to describe anxiety, as I’ve personally experienced it, in one sentence, it would go something like this: Watching in terror as everything you need, everything you thought you had, floats just out of your reach, and in its place, all-the-danger surrounds you.

Some mental illness is so serious that someone can hardly function. Some mental illness leaves people functioning well some days, struggling on others. And some mental illness injects a little bit of struggle and sadness into a mostly thriving life.

Minds are weird things. And whether someone has a diagnosed mental illness or just happens to deal with the weird stuff that happens in the mind of a human–whether someone feels good 90% of the time or 10% of the time, or maybe 0% of the time–whether someone has a severe anxiety disorder with regular anxiety attacks, or someone “just” gets pretty anxious pretty often–it is okay that you struggle. And it is okay to SAY that you struggle.

Some mental illness just happens, because you just happened to be born with a brain that functions a certain way.

Some mental illness happens because of a thing that happens to your body, like a disease, or like a traumatic injury.

Some mental illness happens because of sudden trauma, experiencing something like watching someone die, being assaulted, being molested or raped, or watching while some tragedy unfolds.

Some mental illness happens because of a life full of trauma, like emotional or physical abuse from your parents, or like growing up with a belief system that makes the world a dangerous place, or like getting bullied a bunch as a kid for being different.

Some mental illness gets better. Some gets worse. Some just sits there.

I don’t know why I struggle with anxiety as much as I do. I’ve had a professional tell me I have anxiety, but I’m not really sure if it counted as an official diagnosis of a disorder, or if it just was a statement that it’s something I deal with that doesn’t quite warrant a label. Actually, maybe it shouldn’t need to warrant a label. Maybe you don’t have to be this-far-broken to be able to talk about being broken.

I had two concussions in the last few years, and the second one sent my anxiety through the roof and it hasn’t quite come all the way back to where it was–or where I imagined it was–back when life felt more “normal.”

I started seeing a therapist after my second concussion, and very quickly he helped me realize that it was probably a good thing for my mental and emotional health that I had my anxiety and my feelings shaken up a bit so I couldn’t keep stuffing them.

I learned that I’ve naturally always had a very codependent personality in all areas of my life. I felt like my feelings weren’t important, which helped to bury my anxiety. Sort of. Until I realized that no matter how much I tried to make everyone happy, I would never stop being anxious about it.

I wish I could say that I have anxiety because of the 18 or 19 years I lived in a home that I think was full of very damaging abuse.

But I’m not sure, because I always heard from my mom that I was always a super anxious kid. (I wish she had gotten me some help about it.)

I cried pretty constantly through most of my childhood. I worried constantly about getting sick and dying. I lay awake many nights worrying that I’d end up in hell for eternity, picturing what it would feel like. I sucked my thumb long past the rest of my siblings, because it was soothing and safe. I asked my younger brother to hold my hand when he slept in the bunk above me so that I wouldn’t feel alone. And like I said, I cried. A lot.

Knowing what I’ve learned as an adult about the mind, I can identify significant anxiety attacks I had as a kid. And I remember one year I spent over half the year crying and panicking alone in my room most of every single day.

So I don’t know. Was I born with anxiety? Probably. Did an unhealthy childhood make it so much worse? Definitely. Has it actually gotten worse since my concussions? I’m not sure, but it’s definitely gotten clearer and tougher to deal with.

I’m a pretty normal person, I think. If you know me well, you probably know me as generally positive and fun. I look like I’ve got my stuff together.

You probably haven’t seen me panic and collapse onto the floor crying.

A lot of mental illness, people can handle well. You can try not to take it out on everyone around you, you can keep it together while you’re in public and not make a scene, you can differentiate between situations where it’s safe and appropriate to open up about your feelings or where you need to be professional, respectful, or just get stuff done.

So you probably won’t see me panic and collapse onto the floor crying.

You probably won’t see almost anybody do that.

Which means when it happens to you, you might think you’re the only one. You might think you’re not normal, you’re not okay, you’re a failure, that nobody would like the real you.

Saying all of this is not comfortable or fun at all. I don’t want attention for it. I don’t want to be treated like I’ve got it especially bad, because, all in all, I don’t. I’m not making a statement about me.

I wanted to share all of this just because this shitty life stuff needs to be okay. Okay to experience and okay to talk about.

If you have intense anxiety or mild anxiety, you are not alone and you’re not weird and you’re not stuck hiding. Lots of people will love you and help you, just like you want to love and help them.

If you struggle with other mental illnesses, like depression, you are not alone. You’re not weird. You can be real about it.

I don’t want to minimize the seriousness and impact of some extreme mental illnesses. For example, some people have such severe mental illness that they can’t function well enough or consistently enough to take care of themselves, and they need real help–from family, from society, from community. Some people have such severe depression that they literally can’t find the strength to get out of bed in the morning, such severe OCD that no matter how hard they try, they can’t stop washing their hands even when their skin is falling off. I don’t want to downplay how much caring support and attention we should be giving those who genuinely can’t make it through without physical, financial, tangible help.

But I honestly think that struggling with mental health is a pretty universal thing. Mild or severe.

And sometimes we just need to know that it is okay, and we need the people around us to know that it is okay. Sometimes the mind and feelings just get weird.

I challenge you to treat your mental health just like your physical health. That means when you need to see a mental health doctor, see a mental health doctor. You go for a physical once a year. Why do we save mental health help for when we’re at the end of our rope? Let’s make mental health care normal.

Don’t be afraid to be real about yourself. Don’t be afraid to ask for friendship. Don’t be afraid that your struggles–little or big–with mental health make you less.

A surprisingly huge number of us are right there with you.

We’re all in this together.

#makeitok

P.S. It’s okay to say “me, too.” It’s also okay to NOT say “me, too.” You can be as open or as private as you need. Just know you’re not alone, and you can at least talk to someone.

P.P.S. I wrote this a couple months ago and didn’t post it about 10 times before I finally decided to. I want to help others know they’re not alone, help others have a safe space to be exactly who they are deep down–that’s my passion. It doesn’t mean that it’s “better” to be public about your mental health. So again, there’s no pressure and no need to be vocal. You be you. Just know that who you are is okay.

“Some people turn sad awfully young. No special reason, it seems, but they seem almost to be born that way. They bruise easier, tire faster, cry quicker, remember longer and, as I say, get sadder younger than anyone else in the world. I know, for I’m one of them.” – Ray Bradbury, Dandelion Wine

you’re not alone

A year later (compassion: we all have some crappy things we need people to understand)

Yesterday I felt really upset and sad that I got a concussion last year. A year–seems like this should be done now, right? When I had my first concussion, everything felt pretty normal again a few months later. This time, it’s been almost a year, and I don’t feel like myself.

I think the last of the physical and mental effects wore off months ago–at least the effects directly from the concussion–but I’m still trying to get past the after-effects of those first effects. Like when you go from running miles and miles every week to suddenly hardly being able to go for walks. Now my head isn’t keeping me from going for runs. Now I just can’t go for runs because I lost so much strength and didn’t realize how slowly I needed to work back into exercise, so I screwed up my back. And I’ve discovered along the way bad habits I’ve always had that have made my back so weak and vulnerable to begin with. Or now my head isn’t making the world seem foggy, confusing, or dangerous. But all the days and weeks and months of extreme anxiety added up and left me feeling scared and on edge and a lot more emotionally vulnerable than I used to feel.

Yesterday all I wanted to do was go to the gym or go out for a run, but I felt self-conscious and weak and frustrated, and running isn’t the healthiest exercise for my back these days. I thought about how fit and active I was a year ago. I had worked hard to be as healthy as I was. It was great. I was always up for anything! It was a part of my identity. Why the hell did that day have to happen? It still sucks.

One silver lining is that all the anxious days made me pay more attention to myself deep down, though that doesn’t always feel like a good change. Another silver lining is that I think I feel more compassion and acceptance than I used to–for myself and for other people. I guess I get that no matter how much you wish you were exactly your dream self, sometimes life has other plans. Or sometimes life just throws a curveball at you, and not everyone is going to find the strength to head in the right direction every day. Some days just giving in to the weakness or the pessimism feels like … well it doesn’t feel good, but it just happens anyway. Like eating your feelings. I think I understand even better now, that people don’t just live screwed up lives because they want to, or because they have bad attitudes. People are fragile. Fragile AF. But we’re also strong, so I decided to go to the gym anyway, and I set a few healthiness goals for August 16–the one year mark since I bonked my head.

Silver lining or no, though–sometimes life has its crappy moments. Crappy days. Crappy happenings, that can leave you feeling weak and frustrated, uninspired, lonely, misunderstood, just … sad.

I think we all need each other to understand each other in times like that.

I spent a lot of yesterday thinking of how much my concussion last year changed my life. I felt embarrassed, because … come on. Right? But I know a concussion can mess with your life pretty long-term. Especially repeat concussions. I think mostly they’re not the end of the world. But I think a lot of people don’t give each other or themselves the benefit of the doubt–space to feel and heal.

And it’s not just concussions–and it’s not just a few of us. PTSD, losing a loved one, sexual abuse, auto-immune diseases, bullying, losing a job, miscarrying your baby, depression, addiction, loneliness, feeling betrayed, verbal and emotional abuse, chronic migraines, cancer…

I think it’s always worth telling each other how these things affect us. Being open and honest about the darkness we sometimes feel. And then, like Lyssi helped me with yesterday, helping each other reflect on the good things we still have, too.

I wanted to re-post something I wrote in January about some of the unexpected effects of dealing with a concussion, along with something Lyssi wrote about it, too.

I also want to encourage everyone I know to learn about all the different hard-things that your people go through. And to share your own. We’re all in this together. Nobody has to be a hero. Mostly we just need some love and understanding. So ask and listen, and speak up, too.

12 Things That Happen When You Get a Concussion

A Glimpse Into My World of Slow Concussion Recovery

What’s your story you want people to understand?

A Glimpse Into My World of Slow Concussion Recovery

My best friend and teammate and life-person Lyssi wrote this yesterday. I asked her if I could share it on my own blog as a window into what concussion recovery can look like. Really it’s the same sort of stuff as a lot of people go through: Depression, anxiety, PTSD, etc.

For all of us, life can be a lot more confusing, challenging, and sad on the inside than people can see on the outside. I think it’s really good to remember that with each other. So here’s a somewhat vulnerable peek into my world lately.

Also, I have to give credit and say how thankful I am for Lyssi, who has been the strongest, kindest, and most supportive friend I could have ever asked for through this!

To anyone else out there living with stuff that doesn’t show up on the outside, remember you’re not alone! Don’t hesitate to share with me, if an ear will ever help! :)

Look at this kid! He just won first place as an evaluator in a Toastmaster’s competition this weekend. He also just aced his accounting final. Just gotta show him off a lil bit. (Don’t worry, I bought him cheese to celebrate).

While I’m bragging, I’m gonna brag some more.

As most of you know, back in August my adorably happy go lucky life-person jumped headfirst into a sideways tree trunk (turns out wearing a hat can drastically increase your blindspots when mobilizing upwards at significant velocity) and what we originally brushed off as “ouch”, and later “altitude sickness” (we were 4 miles into a 8 mile hike in the Rockies), turned out to be his second concussion in 18 months. That same day he started school. When he was officially diagnosed a week later with a concussion, he took a couple days off work, but stayed in school (even though thinking through things or putting thoughts together or even speaking/remembering what he said or what was said to him was difficult). Though he was told it was a “minor” concussion, the injury has greatly affected his day to day life and the things he is capable of physically, emotionally, and mentally. While both injuries have had obvious initial physical effects, this second one has added a side dish of cognitive effects that he didn’t experience the first time around. He’s had to give up a lot of the things he loves the most, some temporarily, some that remain challenging in surprising ways. He’s been in a lot of physical pain on and off, has experienced cycles of severe anxiety and occasional panic attacks, and had to completely give up all strenuous physical activity for much longer than expected.

Sensory things like noise, or lights, or music, or emotional movies, or high energy people (or people who aren’t high energy but are sharing excitement and joy or anger and stress) often feel overwhelming or threatening and can cause him to shut down physically and emotionally. (This can look like me sharing lots of details about my day or telling a happy story with enthusiasm and a minute later he can go from totally tracking with me to suddenly overstimulated, and in need of calming sensory input. Sometimes he has to lay down and have complete lack of stimulation, take a nap, put on headphones, turn off the lights, stop talking, do something that has a calming sensory affect like deep breathing, meditating, a hot shower, heavy blankets, etc).

A lot has healed and improved in the last couple of months – he has been able to go on a few runs or do some low impact workouts recently, he has worked with a therapist for anxiety, he is more cognitively “quick”, has a little more mental and emotional stamina, and is getting really good grades in his accelerated accounting course 😛 – but a lot of things are unexpectedly difficult. There are stretches of days where it will seem that everything is mostly back to normal, he can go running, he can be around noise, the anxiety subsides to manageable, and things feel “normal”. Then randomly days where trying an easy workout or thinking too hard or processing an emotional or stressful moment sends his brain back into a relapse of sorts (he’ll experience brain “fog”, extreme anxiety and heightened emotions, and intense headaches), sometimes for an hour or two, sometimes for days. This can be frustrating because of how unpredictable it is. Lots of starts and stops and excitement and discouragement and trying and waiting again. He’ll have good weeks with bad days, or good days with bad weeks.

He’s had to relearn how to take care of himself. He’s had to relearn how he learns and thinks and processes and works and relates and finds balance and happiness and peace. So many things changed for him. We’ve had to relearn how to take care of eachother. The concussion-induced anxiety is something that’s hard to talk about sometimes, because some don’t believe it or think it’s being blown out of proportion, because some misunderstand what it is or try to help in ways that actually hurt, because it’s deeply personal and constant and affects everything in life. It’s exhausting for him. Emotionally, but the anxiety also takes a physical toll. We have friends and family who openly or secretly also struggle through anxiety (and depression, PTSD, etc – so many of the things that are still misunderstood and mishandled), and they are some of the most understanding, strong, and kind people we have in our lives. We’re so thankful for them (and to the ones we know but don’t know about, you deserve a shout out too!).

As the person who is there to see all of it every day, it makes me love him SO MUCH and it makes me hurt for him SO MUCH and it makes me SO PROUD of the way he keeps working through therapy, through school, through work, through friendships and relationships, through physical recovery, through all of life. How weird and unsettling and hard it’s been for him to build himself back up into this new person who is relearning strength and vulnerability and safety and peace and love and everything he knew about himself, after a “minor” concussion that from outward appearances hasn’t changed much of anything at all.

Peter has talked openly about some of the struggles he has faced in the last few months, and he’s always honest but completely positive about it. I just want to give him an extra shout out because it is HARD and he’s a CHAMP. And if your person ever suffers long term side effects from a head injury, big or small, obvious or subtle, you have our support and love.

12 Things That Happen When You Get a Concussion

My wife says she’s going to buy me a helmet.

New Year’s Day 2017 I woke up to a CRASH. My mind was blank. It took me a minute to even remember who I was. I thought I was still a kid living in Tennessee. What was this door in front of my face? Oh, right, I live in Minnesota now. I’m in… my bathroom? I’ve never seen it from this angle before.

I slowly sat up and looked around. Everything was foggy and going in slow motion. I looked down and saw blood all over my white hoodie. I realized I had a splitting headache and my nose hurt. I slowly pulled myself to standing and faced the mirror. I looked like a bloody ghost. Face white as a sheet, giant purple bruises on my forehead and a gash in my nose that was bleeding impressively.

I woke up Alyssa with a phone call. “Hey… I think… I might need to go to the hospital…” 5 hours in the ER and I officially had my first concussion.

Recovering the first time was weird. I had regular waves of nausea for a few weeks and I felt weak and fatigued. I would randomly start crying. I felt discouraged all the time. It was about a month and a half before I could get back into running and working out. It seemed then like things were fairly back to normal, but a few months in I started getting these awful headaches and had to go back to the doctor. At about 6 months those subsided. I was back to normal and running harder than I’d ever run and hiking up and down mountains.

Life was GOOD! :)

Until August 16–just a few months ago: My wife and I were 4 miles into our 8 mile hike for day 1 in the Rocky Mountains. Scrambling over some boulders, I planted my foot and launched myself up and heard a loud CRACK run all the way through me. I felt like my neck and shoulders collapsed into each other and holy **** my head! I sat straight down, still seeing stars, world buzzing. I immediately knew I had done more than just bonk my head.

But we were 4 miles from the trailhead. In the mountains. So I sat for a while, stretched and massaged my neck and shoulders, waited for my head to unfuzzy itself. Then we were off again. As we kept walking my head started aching worse and worse and I started getting nauseated and dizzy. I kept half-tripping, very off balance. My epic best friend Alyssa insisted on carrying my backback along with hers (keep in mind, these are day-hike backpacks full of food and gear and clothes for mountain weather and a gallon or two of water). I sat down a few more times and we took it kind of slow, but we made it the rest of the way. Having made it to the end of the day I figured I must be okay. I started feeling extremely dizzy and anxious the next couple days in the mountains, but I attributed it to the elevation (14,000 feet is a lot of feet).

We got home and I went back to work. Then things really started going downhill. The more interactions and problem-solving I had to do at work, the more I just felt “off” somehow. I was totally missing things people would say to me. I was forgetful and often confused. I couldn’t find words I was looking for. Staring at my computer screen for 8 hours was miserable. I constantly felt this intense anxiety that was getting worse and worse.

Finally I went to the doctor who said I’d reconcussed myself and told me to take several days off work, go home and sleep, stop looking at screens, and not do any strenuous activity. Unfortunately, we were moving that week. Shout out to my awesome friends Ethan and Colin for dropping everything to help us! We couldn’t have done it without you! I felt like a wimp when I kept having to sit down till my head stopped spinning. The more I did, the more disoriented and uncoordinated I’d get. My speech would start slowing down and slurring and I couldn’t think clearly. A few days later I started three online classes. That was even rougher.

This second time around, recovery has been a lot harder and weirder. I felt like the concussion drastically changed a lot about my disposition at least temporarily. I have felt very introverted and have had a ton of anxiety. Thank goodness the nausea was way less this time, but the headaches have been way worse. Every couple weeks I have tried again to run or go to the gym, and every time have ended up with shot nerves, foggy brain, and a splitting headache the next day. And this time it didn’t get better–for 4 months! It felt like for every one step forward I took two steps back. Only in the last few weeks have I been able to really get back into running and working out, and screens are just now starting to get less painful for me. The worst part of it this time around has been the intense anxiety.

I am so, so thankful that I’m starting to feel much better now. Finally!

The thing about concussions is that nobody really fully knows how they work. But having personally experienced the confusion and frustration they can bring, I want to share a few things it may help you to know in case you ever bonk your head too hard or love someone else who bonks their head too hard:

1. Concussions affect everyone differently.

First of all–who knows what will happen! Nausea for weeks, fuzzy eye-sight, headaches, confusion, slow word recall–quick recovery, slow recovery–you really don’t know what to expect. It’s hard to understand or plan for your recovery. Take lots of omegas, lay in bed lots, and don’t look at screens. Those are three easy steps to follow. But how your symptoms go from there is anyone’s guess.

(Quick note: From here on out, I make a lot of “concussions do X” statements. Of course, not everyone with a concussion experiences each of these symptoms in the same way.)

2. Your brain hurts.

This one seems obvious, but it can be weird and disconcerting to experience. It doesn’t just feel like a bruise. After both my concussions, when I would spend time thinking hard, strain hard physically, do quick or impact-filled activity (like jogging), or spend time looking at screens–I would get this foreign feeling of intense pressure in my head. The first week or two this would even happen as a result of just walking. Not quite the same as a migraine or tension headache. It would just feel… off. It felt fragile and … pressury. Then I’d get dizzy and lethargic and all I could do was sit down and hold my head. That can last quite a while. The rest of your body can way outpace your concussed brain’s capacity to handle life.

3. Your emotions go haywire.

I don’t think anyone could have prepared me for how big a deal this one actually was. But since experiencing it, I’ve heard the same from others. One friend recently told me her two tough high school boys got concussions playing football, and while recovering would randomly burst into tears… “Mom, I don’t know why I’m crying!!!”

Your feelings just go crazy. Some people get extremely irritable. Some people get very shy. Some people get super anxious. Some people just cry and cry. The first time I got a concussion I would just feel this awful sense of sadness come in random waves for a good month afterward. The second time, more often than not, I had this terrible sense of doom, this feeling of being threatened, and an awful general anxiety that has very slowly subsided over several months.

The feelings are all very real and intense, make no sense at all, and constantly take you by surprise–so frustrating!

4. You get way overstimulated.

Loud noises and music, fast talking, big crowds, lots going on–all this can become way more overwhelming than it used to be. Your brain isn’t ready to handle what it usually does. You can be the biggest life-of-the-party, turn-the-volume-up type person and then after a concussion hardly be able to handle being around people or noises or sights.

5. Your thinking gets foggy.

You just don’t think as well while your brain is recovering from an injury. Following a train of thought becomes exhausting. You get easily confused. You miss a lot of things. I stopped hearing a lot of the things said to me, or if I did hear it I couldn’t process it quickly enough to keep up. You get spacey and forgetful. I showed up an hour early for a meeting that happens at the same time every week, decided after ten minutes it must have been cancelled, and didn’t even realize what had happened until the next week. Talking gets difficult. You can’t remember words. Sometimes it’s nothing you can describe exactly: Just a weird fogginess.

6. “Toughing it out” just makes it worse.

Here’s one of the only sure things the doctor will tell you: Trying to be a hero and pushing through your concussion by continuing to exercise, going right back to work, etc–just makes it worse!

You know when you sprain your ankle and after a few days in a boot, you get exercises to do that will help to start restrengthening it? Your brain doesn’t heal that way. It doesn’t want exercise to heal, and it doesn’t like physical strain. (At least not at first. After a while, there may be some cognitive therapy that can help your brain continue to recover.)

In both of my own experiences, the times I took away from work and took it very easy, doing nothing but resting, I made the quickest improvements. When I tried to push through it (against the doctor’s orders), it was miserable and the fuzziness and exhaustion just got worse. Best case scenario–take a legitimate chunk of recovery time off work, don’t go to the gym, get off your phone, and don’t watch TV. Rest.

7. You lose a lot of life things for (at least) a while.

Here’s one people don’t realize. You can lose a lot of your normal “life” things–things that make you who you are. For example: Running, working out, writing (on my computer screen), watching artistic movies, and spending time with people are all big parts of what makes me me, and all of those got overwhelming and painful. It seems obvious things like running and working out might have to slow down during recovery. But a much broader range of activities are affected than people might assume.

If I break my leg and have to stop running, I can sit and watch Netflix all day, or read more, or maybe start hanging out with people more. With a concussion, you might lose your ability to handle all of those all at once. It’s very sad. You feel like you lose a lot about who you are and unfortunately it can take a long time to get those things back.

8. You can’t SEE a concussion.

You just can’t. So people return to work too quickly and try to live up to their normal routines and social expectations, because saying “I feel fuzzy and anxious and I bumped my head three weeks ago” doesn’t sound legit.

9. You feel lonely, misunderstood, and embarrassed.

You feel awkward trying to explain how you’re doing to people, because–again–people can’t see how you’re actually doing. Especially after you look and sound normal. As the days turn into weeks or even months, and you’re not back to “normal” yet, you start feeling like people’s patience and understanding will run out. You feel silly that you can’t think as clearly as you used to, embarrassed that you feel like your work performance isn’t quite what it usually is. You can start to feel like you’re in it alone and that you can only ask people to cut you so much slack. You can even start feeling guilty–maybe you haven’t been able to go to the gym, and you’ve been doing more anxious-eating with your crazy emotions, or you haven’t been able to keep up with all your relationships. You can start to feel like you’re not good enough.

10. It affects other people in your life.

This is another big one. Your concussion doesn’t just happen to you. Your concussion happens to your significant other who is used to counting on a certain level of strength and companionship in you. Your concussion happens to all your co-workers who suddenly have to pick up a lot more slack and might have to do so for several weeks. Your concussion happens to your friends who might not see you or hear from you as often or might not feel as much warmth from you. They’re all in it with you in a supportive way, but that means they can also be drained and hurt by the experience just like you–especially the closer and more valuable the relationship. I sometimes feel like my wife needs to recover more than I do after supporting a few weeks of Concussion-Me.

11. It’s actually really scary.

It’s terrifying.

You’re not yourself anymore.*

You can’t think clearly.

You wonder if some things will ever get all the way better. And some might not. And now you’re at higher risk if there’s a next time.

You have no idea how tomorrow will go. Your doctor can’t tell you how your recovery will go.

And you just want to feel like you again.

12. After a while all of this gets very overwhelming and exhausting.

Any or all of these symptoms can last a long, long time. Longer than you’d expect. Sometimes it takes a few weeks, sometimes it takes months. Some people will keep the effects of their concussion for the rest of their lives. And dealing long term with this wide array of frustrating effects can get incredibly overwhelming and exhausting. You can become deeply burnt out and just feel like it’s all too much.

So what can you do to help a friend or loved one who has a concussion?

Try to understand them.

Help them feel safe.

Be empathetic and compassionate. This is an awful experience for them.

And GIVE THEM THE CHANCE to recover.

Shoutout to my epic best friend Alyssa who has been incredibly supportive since the first minute, especially with this last one that has taken months to heal.

Here’s an epic picture of her about 15 minutes after my last concussion, cheerfully carrying both our backpacks up the mountain four miles away from the trail head.

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Thanks for standing by my side through all this, Lys.

*I said “You’re not yourself anymore.” I want to say one more thing about this: You’re not yourself, but you also still totally are yourself. You don’t feel like you’re used to feeling, you get confused and you have unpredictable emotions. But deep down, you are the same person you always have been–you’re valuable and loveable you–and that is something you can hold on to, and it’s something your people can hold on to.

(It goes without saying, but I’ll say it anyway: While I hope my personal experience sheds some light on what concussion recovery can be like, I’m no medical professional.)

Edit: If concussions/brain injuries and recovery are on your mind right now, here are two other posts from my time recovering that might help: