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Customer story · MyVisionFirst

Occupational Therapist Regains Independence and Driving Ability After Severe Traumatic Brain Injury

Rachael Angstadt · Recorded 5/8/2025

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Individual results vary. This is one customer's first-hand account of their own experience, recorded on camera and published unedited. It is not medical advice, and nothing here is intended to diagnose, treat, cure, or prevent any condition. Talk to a qualified healthcare professional before making decisions about your health.

Rachael Angstadt, an occupational therapist, regained her independence through MyVisionFirst after a car accident left her non-functional. Previously unable to look at screens or walk across a room without missing a chair, she can now drive safely, attend salsa dance lessons, and manage daily tasks without the six daily naps previously required for visual recovery.

At a glance

Primary Use Case
Post-concussion visual rehabilitation
Reported Result
Regained ability to drive and dance
Previous Treatment
Prism glasses (ineffective)
I was pretty much non functional at this point where I couldn't look at a computer screen and look down at the keyboard and then look back up at the computer screen without having a raging headache.
Now I can drive to a salsa dance lesson, have that lesson, and then safely drive back home.
Just go get the evaluation because a lot of times this stuff can be remedied and rehabbed through, and then you have a way better quality of life.

The interview

Can you introduce yourself and explain why you sought help?

Hi. My name is Rachel Einstadt. I'm from Alexandria, Virginia. I'm 30 years old and an occupational therapist. I had been in a car accident in the fall of 2022 and ended up with a head and a neck injury and didn't realize how many of my symptoms were related to visual problems.

What was your level of functionality before starting vision therapy?

I was pretty much non functional at this point where I couldn't look at a computer screen and look down at the keyboard and then look back up at the computer screen without having a raging headache. I also didn't trust myself to be able to get up and walk across the room and sit down accurately in the chair without missing the chair. Well, at that point, I had already lost my job, and I was pretty fearful of losing my entire livelihood and my independence.

Had you tried other treatments before coming to MyVisionFirst?

I did end up going to an optometrist. They actually said that I didn't need any form of vision therapy because my eyes worked well enough together and they did recommend prism glasses. I ended up graduating out of them pretty fast because I still wasn't functional.

How did your visual limitations affect your daily life and stamina?

My visual tolerance and stamina was very terrible. My eyes could only function for a short time period before my brain would just shut down and I would have to lay down, close my eyes, blindfold. It would be a stretch for me to be able to prepare a meal, cook a meal, and by that time my eyes were pretty much done and I wouldn't be able to eat and clean up the meal.

What specific sensitivities did you experience regarding motion and light?

I could look at water where before if I looked at water, I was so nauseated. I wanted to throw up then and there, and the whole world booed. Like, I couldn't look out my windows because the leaves on the trees shook, and the shadows with the sunshine irritated me so much that I couldn't look out there.

What improvements have you seen since starting therapy?

Now going through vision therapy, I can tolerate so much more. Now I can drive to a salsa dance lesson, have that lesson, and then safely drive back home. I was taking, like, six naps a day, and that's not functional. You can't make it through life like that.

What advice do you have for others experiencing similar symptoms?

If your eyes feel dry or if they hurt, that's not normal. And so all these things that we might tell ourselves, no. No. No. It's okay. Like, it'll be fine. It'll get better. Like, no. None of that stuff is normal. Just go get the evaluation because a lot of times this stuff can be remedied and rehabbed through, and then you have a way better quality of life.

Frequently asked

Can vision therapy help if standard optometrists say my eyes work fine?

Yes. Rachael Angstadt was initially told by an optometrist that she didn't need vision therapy because her eyes 'worked well enough together,' yet she remained non-functional. It wasn't until she sought specialized care at MyVisionFirst that her specific visual processing issues were addressed.

How do I know if my post-concussion symptoms are vision-related?

Rachael notes that symptoms like not trusting your depth perception, seeing things out of the corner of your eye, or experiencing dry and painful eyes are not normal. She recommends a specialized evaluation if you feel nauseated by motion or cannot look at screens without headaches.

What is the recovery process like for severe visual stamina issues?

Rachael describes a process of rebuilding tolerance; she went from needing six naps a day and being unable to cook a meal to being able to drive to and from dance lessons. She emphasizes that these conditions can be 'remedied and rehabbed through' to improve quality of life.

Full transcript

Speaker 0: And the more research that I did, it was pretty clear that this is where people go to get better. Hi. My name is Rachel Einstadt. I'm from Alexandria, Virginia. I'm 30 years old and an occupational therapist. I had been in a car accident in the fall of twenty twenty two and ended up with a head and a neck injury and didn't realize how many of my symptoms were related to visual problems. Knew things weren't right, but I didn't know how bad they were until I went to vision first and then I had the evaluation. I was pretty much non functional at this point where I couldn't look at a computer screen and look down at the keyboard and then look back up at the computer screen without having a raging headache. I also didn't trust myself to be able to get up and walk across the room and sit down accurately in the chair without missing the chair. Well, at that point, I had already lost my job, and I was pretty fearful of losing my entire livelihood and my independence. I did end up going to an optometrist. They actually said that I didn't need any form of vision therapy because my eyes worked well enough together and they did recommend prism glasses. I ended up graduating out of them pretty fast because I still wasn't functional. I'm still working with my vision first. My visual tolerance and stamina was very terrible. My eyes could only function for a short time period before my brain would just shut down and I would have to lay down, close my eyes, blindfold. It would be a stretch for me to be able to prepare a meal, cook a meal, and by that time my eyes were pretty much done and I wouldn't be able to eat and clean up the meal. But now going through vision therapy, I can tolerate so much more. So like I can look at water where before if I looked at water, I was so nauseated. I wanted to throw up then and there, and the whole world booed. Like, I couldn't look out my windows because the leaves on the trees shook, and the shadows with the sunshine irritated me so much that I couldn't look out there. Now I can drive to a salsa dance lesson, have that lesson, and then safely drive back home. Like, if you're not trusting your depth perception or you're missing something or you see something out of the corner of your eye, That's not normal. And I was taking, like, six naps a day, and that's not functional. You can't make it through life like that. If your eyes feel dry or if they hurt, that's not normal. And so all these things that we might tell ourselves, no. No. No. It's okay. Like, it'll be fine. It'll get better. Like, no. None of that stuff is normal. Just go get the evaluation because a lot of times this stuff can be remedied and rehabbed through, and then you have a way better quality of life.

About MyVisionFirst

MyVisionFirst is a specialist in functional vision care and neuro-optometry, focusing on the connection between the eyes and the brain. Led by Dr. Bryce Appelbaum, the clinic provides award-winning vision therapy and rehabilitation to address complex conditions that standard eye exams often miss. They serve patients of all ages, including those recovering from concussions and strokes, helping them move beyond basic 20/20 eyesight to achieve lasting vision wellness.

Industry
Ophthalmology Services

Topics

  • concussion recovery
  • neuro-optometry
  • occupational therapist
  • vision therapy
  • driving independence
  • brain injury

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