Concussion Clinical Application: Anxiety and Mood
Presented by Mary Ann Roelke

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Learning Objectives
- Apply an evidence-based evaluation framework, including clinical practice guidelines, symptom monitoring tools, and functional assessments, to assess individuals with a primary concussion symptom profile of anxiety/mood
- Examine intervention strategies using a case-study approach to guide treatment progression for individuals experiencing anxiety/mood-related concussion symptoms
- Analyze case-study findings in relation to clinical practice guidelines and expert opinion to enhance clinical decision-making
- Determine priorities for treatment progression and documentation recommendations to support interdisciplinary collaboration and reimbursement
- Plan a structured intervention approach incorporating patient education, symptom management, and graded return-to-activity strategies to facilitate return to meaningful occupations
Meet your instructor

Mary Ann Roelke
Dr. Mary Ann Roelke is a distinguished expert in adult neurologic rehabilitation at UnityPoint Health–Meriter Hospital in Madison, Wisconsin. After earning her postprofessional doctoral degree from Creighton University, she made significant contributions to the field by publishing qualitative research on concussion…
Chapters & learning objectives

1. Concept Review and Evaluation
This chapter reviews key concussion concepts, symptom profiles, and assessment strategies. Participants will explore the Concussion Clinical Profile Screen (CP Screen), Canadian Occupational Performance Measure (COPM), and other tools to identify and prioritize patient needs.

2. Intervention
This chapter introduces evidence-based intervention approaches, including education, activity pacing, sub-symptom threshold training, and anxiety management techniques. Participants will learn how to integrate goal-directed therapy, cognitive behavioral strategies, and graded activity progression to improve patient outcomes.

3. Outcomes and Summary
Through a case study, this chapter demonstrates how structured evaluation and treatment can improve symptom management, emotional well-being, and return to daily activities. It also highlights clinical decision-making, documentation, and long-term rehabilitation planning.