Background: College health practitioners are often the primary contact for students with concussion. The aim of this case report is to describe concussion management of a convoluted journey to recovery for a student over the course of an academic year. Case presentation: The case starts with an initial presenting event which is further complicated by repeated head traumas, co-morbid mental health conditions, and inconsistency with follow-up. Interprofessional collaboration and inclusion of the Zurich protocol eventually lead to resolution of symptoms. Conclusion: The emphasis on a multidisciplinary approach to the medical and academic progress is described. Identifying information was changed to protect the student.