One of the biggest problems in concussion management is the under-reporting of concussion injuries and minimizing symptoms, says neuropsychologist Elizabeth M. Pieroth, Psy.D, Associate Director of the Sports Concussion Program of NorthShore Medical Group in Chicago. Encouraging reporting by teammates, creating an environment in which athletes feel safe in self-reporting, and emphasizing to players that, as much as they want to stay in the game because they don't want to let their teammates down, they are letting their teammates down if they don't play well because of a concussion.