Greetings.....

I suffered a concussion 7 months ago, which required a month long stay in a Rehabilitation Hospital----I am currently still attending Out Patient Therapy for neuro-Psych., but my Occupational, Physical and Speech/Cognition Therapies had to be put on "hold" because of lack of progress.
Because of severe/chronic migraine/daily post traumatic head pain, Sensory Modulation and Depression, I simply wasn't able to continue with progress.

My Depression grew from the daily pain, the isolation (due to stimuli causing migraines), loss of work, etc.

I have spiraled from Depression to Major Depression, and yesterday *finally* told my Neuro Psych. I have been hearing the berating voice of my 'bio mother'.
She suspects this is a manifestation of more PTSD symptoms and some Dissociation, but did not mention Depression with Psychotic Features. Maybe because I don't display delusions???

We have been trying for weeks to have Workmans' Comp approve a Psychiatric Evaluation because of my worsening condition.
They *have* approved several different therapies recommended by my neurologist for the migraines (Botox and self administered injections of DHE).

What I would like to know is:: Do the hallucinations usually increase in severity or frequency, or can I continue to manage them with good 'self talk' and reminders that the voices aren't real. ??

With my increased thoughts of 'ending it all', the Dr.s are very concerned; but again, I've been able to remind myself that taking my life would devastate my children (18 and 20), and that I should 'busy myself' with something to distract myself from the feelings of guilt, hoplessness and pain.

Thank you for listening.........