Why You Can't Sleep with PCS (Fix Your Recovery Routine)

22 Mar 2026 · 10 min
9:48

In this solo instructional video, David Brimacombe draws on his experience of seven concussions over 20 years to explain why people with post‑concussion syndrome (PCS) struggle to sleep. He argues that the nervous system after a concussion becomes hyper‑vigilant and needs a sense of safety before it can down‑regulate into restorative sleep. Brimacombe proposes recreating the predictable, warm environment of childhood story‑time as a therapeutic sleep routine. He outlines concrete steps: dimming/softening lights (prefer warm incandescent bulbs), adding rhythmic audio (soothing podcasts, audiobooks, or Brain.fm music), establishing a physical cue (warm bath, getting under the covers), removing mental urgency through a “brain dump” of worries, and finishing with light narrative reading. He emphasizes that consistency and predictability are essential; the routine may take days or weeks for the nervous system to recognize safety. The video ends with an invitation for viewers to comment and share their experiences.

Chapters

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