Certainly the primary symptom that remains for me...
http://goo.gl/KaVKyFSleep difficulty is a primary symptom of both PTSD and TBI and has been found to affect the severity of both conditions. TBI patients can suffer from permanent sleep problems regardless of the severity of their initial injury. Approximately 40 to 65 percent of individuals have insomnia after mild TBI, while patients with sleep difficulties are at a higher risk of developing PTSD. Despite recent attention, sleep has been understudied in the veteran population.
The review found that poor sleep often persists in veterans after resolution of their PTSD and mild TBI symptoms, but few treatments and rehabilitation protocols target sleep specifically. "In these veterans, sleep disturbances continue to adversely impact daily functioning and quality of life. "PTSD, TBI, and sleep problems significantly affect functional status and quality of life in veterans returning from combat," explains lead author Yelena Bogdanova, PhD, assistant professor of psychiatry at BUSM add VA title.