Jul 20, 2026 · 21 min · 12 segments
Have you ever pulled into your driveway and suddenly realized you don't even remember the actual drive home? We've all gone on autopilot during a routine commute, but behind the wheel, your brain is…
Natasha WilchHost
Why are we talking about driving? Realize it's not the most medically urgent thing in your practice, right? But for adults or anyone, I don't know, 17 and older, it makes a difference between independence and dependence.

Between going to work, potentially, and having to give up your job because you can't get there.

Between driving your kids to school every morning and needing to ask your neighbor for help because you don't feel safe to do so.

Between feeling like yourself and feeling you can just jump behind the wheel of your car and drop the windows and sing along, to feeling the anxiety rise the second you pick up your keys to walk out the front door.

And yet, almost nobody has a structured clinical conversation with clients about when it's safe to drive again.

What are the barriers to driving? How do we assess readiness? What is a gradual return to driving actually look like? And instead, I think a lot of the time, patients are left to try to, this is another one of those areas that patients are left to try to figure it out on their own.

I know that when we talked about the study that shared with increased risk of second car accident, this was a big discussion in the concussion nerds community.

We talked about how, you know, we have all these discussions about returning to splay and returning to work and returning to activity, but all of us acknowledge that guiding someone in the conversation of returning to driving was a blind spot in kind of all of our clinical practices and how we discussed that we could step up and do a better job in this discussion.

Why are we talking about driving? Realize it's not the most medically urgent thing in your practice, right? But for adults or anyone, I don't know, 17 and older, it makes a difference between independence and dependence.

Between going to work, potentially, and having to give up your job because you can't get there.

Between driving your kids to school every morning and needing to ask your neighbor for help because you don't feel safe to do so.

Between feeling like yourself and feeling you can just jump behind the wheel of your car and drop the windows and sing along, to feeling the anxiety rise the second you pick up your keys to walk out the front door.

And yet, almost nobody has a structured clinical conversation with clients about when it's safe to drive again.

What are the barriers to driving? How do we assess readiness? What is a gradual return to driving actually look like? And instead, I think a lot of the time, patients are left to try to, this is another one of those areas that patients are left to try to figure it out on their own.

I know that when we talked about the study that shared with increased risk of second car accident, this was a big discussion in the concussion nerds community.

We talked about how, you know, we have all these discussions about returning to splay and returning to work and returning to activity, but all of us acknowledge that guiding someone in the conversation of returning to driving was a blind spot in kind of all of our clinical practices and how we discussed that we could step up and do a better job in this discussion.
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