My area of expertise is in pediatrics. I can't really comment too much on how the adult patients are managed. I can say, though, as a scientist, that we still have so much to understand with regard to the actual science. That's how I'll answer your question: through the science. As a science, we still don't know what the true physiological recovery time is. That is so important in terms of helping our patients who have a concussion. If we had a better understanding, we could say, with an objective picture, yes, the concussion part of your injury is over; now all that remains is this other process. Or it could be, we have the picture that shows us that, yes, the parts of your brain that got changed with the concussion are still there three months, six months, or one year later. That can then help us say if the treatment has to differ.
At this point, there is no evidence to say that a child's ongoing mental health problems from a concussion, be it anxiety or depression, have to be treated differently from those of a child without a concussion. Currently the medications and the treatments are the same. What's important is the recognition of where the child is at and the recognition that concussion may be associated with an increased risk.