• What is CTE?

    • Chronic Traumatic Encephalopathy is a progressive neurodegenerative disease.
    • Caused by repetitive head impacts over time (not single incidents).
    • Cannot be definitively diagnosed while living, but symptoms can be recognized.
    • Symptoms typically appear 8-10 years after head impact exposure.

    CTE Risk Factors:

    • Contact sports (rugby, boxing, football, hockey)
    • Military service with blast exposure
    • History of domestic violence
    • Multiple concussions or subconcussive impacts
    • Any pattern of repetitive head trauma

    CTE Treatment:

    CTE needs treatment for brain injury, not for a 'mental health condition' or a 'psychiatric condition'.

    Please see the section 'CTE Treatment' for information about treatment.

    CTE Education:

    Consider a curriculum of medical education and training which doesn't include:

    • a strict adherence to the first principles of medicine — "First, do no harm" (primum non nocere), reflected in the Medical Council of New Zealand's foundational standard: "Make the care of patients your first concern" (Good Medical Practice, November 2021)
    • foundational knowledge of brain injury
    • recognising brain injury
    • discerning brain injury from 'mental health conditions' and 'psychiatric conditions'

    What would be the possible consequences?

  • The devastating consequences of misdiagnosis

    Put yourself in the shoes of someone who has had repeated head knocks through sport and knows their difficulties are due to those injuries. They seek help, but doctors dismiss their head trauma history and instead diagnose them with a "mental health" condition like 'bipolar disorder'.

    This happens far too often. People with probable CTE face a medical system that doesn't understand brain injury symptoms and defaults to psychiatric diagnoses instead.

    "The worst thing about probable CTE to me is not the disease, it's not being believed." - Ange Murtha

    If this sounds like your experience, you're not alone. There are medical differences between CTE and psychiatric conditions, and you deserve proper evaluation, and [roper treatment.

  • The Pono and Tika pattern

    In our conversations about brain injury and CTE, Ange and I have noticed a common pattern, which is that people with brain injuries often experience two things at once:

    1. enhanced moral clarity- i.e. seeing the truth and wondering why others can't see it too, which leads to intense frustration, and

    2. impaired and inhibited communication, which also leads to intense frustration.

    It seems to us that this combination of experiences leads to anger and grief (which is not the same as 'depression'). These issues are neurological, not psychological or 'psychiatric'.

    Does this match your experience? If so, we'd love to hear from you.

    Section image