The progressive brain disease can be caused by repeated trauma to the head and has caused serious health problems for athletes who participate in contact sports, such as football.

“CTE is linked to repetitive brain trauma and has a distinct pathology that can only be diagnosed at autopsy,” says Dr. Ross Zafonte, a principal investigator of the Football Players Health Study at Harvard University and executive vice dean at the University of Missouri.

CTE cannot be diagnosed until the patient has died and their brain examined. But doctors said there are symptoms such as changes in cognition, mood and behavior. The American Brain Foundation said they can include difficulty thinking, short- and/or long-term memory loss, depression, anxiety, paranoia, headaches and suicidal thoughts or behavior.