Concussions, while commonly associated with physical symptoms, can also have serious impacts on mental health, especially in adolescents. Michelle Hague, an expert in adolescent mental health and an executive at Preferred Behavioral Health Group, sheds light on the emotional challenges that often follow concussions. She provides key insights into recognizing these mental health effects and how parents can support their children during the recovery process.

The Mental Health Effects of Concussions

According to Hague, concussions disrupt the brain’s normal functioning, leading to emotional disturbances that often go unnoticed. While physical symptoms like headaches, dizziness, and fatigue are widely recognized, the emotional and psychological effects, such as post-concussion depression, are less understood but just as important.

“Teens are particularly susceptible to long-term post-concussion depression,” says Hague. “Research shows that up to 50% of children aged 10 to 14 may meet the criteria for depression six months after an injury, even if their cognitive function has improved. This highlights the need for continued vigilance. The interplay of concussion symptoms and the social and developmental challenges of adolescence can create a perfect storm for emotional struggles.” 

Signs to Look Out For

Hague emphasizes that the emotional effects of a concussion may be subtle but impactful. Parents and caregivers should watch for these key signs:

Increased isolation: Teens may withdraw from family and friends, preferring to spend more time alone.

Changes in appetite and sleep: A noticeable shift in eating or sleeping patterns—whether it’s eating too much or too little or having trouble sleeping—can be signs of depression.

Irritability or mood swings: Hague notes that boys, in particular, may mask their emotions with irritability, which could easily be dismissed as typical teenage behavior. However, it’s important to look deeper to uncover underlying feelings of sadness or frustration.

Loss of interest in activities: A sudden disinterest in previously enjoyed hobbies or activities can signal that something is wrong emotionally.

How Parents Can Help

Hague highlights the importance of validating the emotions teens experience after a concussion. “Educating both yourself and your child about the emotional effects of concussions can help reduce the stigma and encourage open communication,” she explains.

Here are several key steps Hague recommends for parents:

Keep the conversation open: Encourage teens to talk about their feelings, whether with you or another trusted adult. Though these conversations can be difficult, particularly if your teen seems resistant, it’s important to keep trying. “Even if they act indifferent, they’re often listening,” Hague says.

Involve other trusted adults: Hague suggests informing teachers, coaches, and other trusted adults about the risks of post-concussion depression. “They can help monitor your child’s behavior and provide valuable feedback if they notice changes.”

Monitor screen time: Excessive screen time can contribute to feelings of isolation and overstimulation. Limiting screen time can help improve emotional balance.

Seek professional help: Therapy can offer crucial support for teens navigating the emotional challenges of concussion recovery. A trained professional can help them process their feelings and develop coping strategies.

Conclusion

Michelle Hague’s expertise underscores the importance of recognizing and addressing the mental health challenges that concussions can bring. For parents, understanding these risks and taking proactive steps can make a significant difference in their child’s recovery. “Concussions aren’t just physical injuries,” Hague concludes. “Supporting your child’s mental health is equally essential to their overall recovery and well-being.”