With a moderate concussion, the loss of consciousness can last a few hours and be followed by a few days or weeks of confusion. The physical, emotional, and or behavioral impairments may last for months or be permanent. With a severe concussion, you almost always have prolonged unconsciousness or coma that may last for days, weeks, or months. Because the brain controls all that we do in life, an injury can leave an individual with impairments on all levels. On a cognitive level, you may experience difficulties with attention, memory, reasoning, and problem-solving. Physically you may have a lack of coordination in your arms or legs, fatigue, or sleep issues. Emotionally you may be vulnerable to depression, anxiety, and or anger. Your behavior may be altered becoming more impulsive or having difficulty staying on task. Proper management of the injury is the first step in avoiding long-term complications. Prevent serious damage by taking a preventive stance in concussion management, if you return to work or school too soon without proper attention to the injury you are increasing the likelihood of the damage being severe. Neurofeedback is the first step in an effective treatment strategy. Survivors of Traumatic Brain Injury (TMI) sustained in accidents or through serving in a war and exposure to concussive explosives, can also be helped with this modality.