Abstract

The answers to two questions: (1) “Do you feel you are the same person as you were before the cerebral event? And (2) When did the sensed presence begin?” are powerful indicators of cerebral dysfunction during the first two or three years subsequent to significant mechanical impacts to the skull even though traditional neurological screening or examinations are within the normal range. These patients also display protracted difficulties with adaptation and rarely have returned to previous employment. Re-attributing the patient’s interpretations of these disturbing experiences from a neurological perspective facilitates adaptation. These interventions might diminish the subjective exacerbations that frequently result in psychiatric referrals years later.

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