The Cost of What We Missed: Karen & Doug Zegel on Patrick Risha, CTE, Mental Health & Family Loss | Dr. Philgood Ep. 6
What happens when the warning signs are there… but nobody fully understands what they mean?
This episode of Dr. Philgood features Karen and Doug Zegel of the Patrick Risha CTE Awareness Foundation in one of the most personal and emotional conversations released on the show so far.
This episode is not built around headlines or statistics. It’s built around Patrick Risha — who he was, what the people closest to him witnessed, and the devastating reality families can face when traumatic brain injury, behavioral changes, mental health struggles, and possible CTE go unrecognized for too long.
Karen and Doug share Patrick’s story with honesty, courage, and compassion while opening up about the emotional toll brain injury can have on individuals and the families trying desperately to help them.
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In this episode, we cover:
Personality & Behavioral Changes
• Emotional and behavioral shifts after repeated trauma
• The invisible decline families often recognize first
• How brain injury can affect identity, relationships, and impulse control
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Mental Health, Misdiagnosis & Confusion
• The struggle to find answers and proper support
• Medication and mental health treatment challenges
• Why symptoms connected to brain injury are often misunderstood
This conversation highlights the difficult space between what loved ones experience and what the medical system sometimes fails to recognize soon enough.
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Loss, Grief & Advocacy
• The grief and unanswered questions families carry
• How the Patrick Risha CTE Awareness Foundation was born
• Why education, awareness, and early intervention matter now more than ever
Karen and Doug share how tragedy became purpose through advocacy and helping other families navigate brain injury awareness and prevention.
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Lived Experience & Human Impact
David also connects parts of this conversation to his own lived experience as a traumatic brain injury survivor, helping bridge the gap between clinical discussion and real human impact.
This is a conversation about:
• Brain health
• Families
• Trauma
• Mental health
• The silent suffering many people carry every day
And why these conversations can no longer be ignored.
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This episode is emotional, honest, and deeply important for anyone affected by concussion history, trauma, emotional dysregulation, addiction, depression, or unexplained behavioral changes after head injury.
🎧 Listen now and share this episode with someone who needs it.
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🎧 About Dr. Philgood
Dr. Philgood is a trauma-informed podcast focused on traumatic brain injury (TBI), CTE, mental health, and real recovery—through lived experience, science, advocacy, and faith.
We explore how brain injury affects behavior, emotions, identity, relationships, and long-term health—and what it actually takes to support healing and awareness.
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🤝 Sponsored by Patrick Risha CTE Awareness Foundation
Dedicated to preventing CTE through education, early intervention, awareness, and support for families navigating brain injury and neurological decline.
👉 StopCTE.org
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⚠️ Content Note
This episode includes discussion of traumatic brain injury, CTE, suicide, grief, mental health struggles, addiction, and family trauma.