How is tbi treated psychologically




















Table 2. Types of psychological interventions and their main outcome measures. References M. Pervez, R. Kitagawa, and T. Maas, N. Stocchetti, and R. Galgano, G. Toshkezi, X. Qiu, T. Russell, L. Chin, and L. Dang, W. Chen, W. He, and G. Prince and M. Levine and S. Felteau, S. Marshall et al. View at: Google Scholar K. Podell, K. Gifford, D.

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Clement, and H. Schoenberg, W. Ruwe, K. Dawson, N. McDonald, B. Houston, and P. Kurowski, S. Wade, J. Dexheimer, J. Dyas, N. Zhang, and L. Belanger, F. Barwick, M. Silva, T. Kretzmer, K. Kip, and R. Wade, G. Bedell, J. King et al. Korkeila, K. Kauppi et al. Cikajlo, U. Cizman Staba, S. Vrhovac, F. Larkin, and M. Waldron, L. Casserly, and C. What works for whom? Block and S.

Gallagher, H. McLeod, and T. Creasey, J. Benger, I. Wright, and M. View at: Google Scholar M. Cole, J. Muir, J. This may be confusing for family members who may think they accidentally did something that upset the injured person. In some cases the brain injury can cause sudden episodes of crying or laughing.

These emotional expressions or outbursts may not have any relationship to the way the persons feels in other words, they may cry without feeling sad or laugh without feeling happy.

In some cases the emotional expression may not match the situation such as laughing at a sad story. Usually the person cannot control these expressions of emotion.

What can be done about it? Fortunately, this situation often improves in the first few months after injury, and people often return to a more normal emotional balance and expression. If you are having problems controlling your emotions, it is important to talk to a physician or psychologist to find out the cause and get help with treatment.

Counseling for the family can be reassuring and allow them to cope better on a daily basis. Several medications may help improve or stabilize mood. You should consult a physician familiar with the emotional problems caused by brain injury. What family members and others can do: Remain calm if an emotional outburst occurs, and avoid reacting emotionally yourself.

Take the person to a quiet area to help him or her calm down and regain control. Acknowledge feelings and give the person a chance to talk about feelings. Provide feedback gently and supportively after the person gains control. Gently redirect attention to a different topic or activity. Anxiety Anxiety is a feeling of fear or nervousness that is out of proportion to the situation.

What causes anxiety after TBI? Difficulty reasoning and concentrating can make it hard for the person with TBI to solve problems. This can make the person feel overwhelmed, especially if he or she is being asked to make decisions. Anxiety often happens when there are too many demands on the injured person, such as returning to employment too soon after injury. Time pressure can also heighten anxiety. Situations that require a lot of attention and information-processing can make people with TBI anxious.

Examples of such situations might be crowded environments, heavy traffic or noisy children. What can be done about anxiety? Try to reduce the environmental demands and unnecessary stresses that may be causing anxiety.

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Common behavior changes include frustration, impulsivity, less effective social skills, and impaired self-awareness. Frequently experienced emotional difficulties include depression, anxiety, and mood swings. Therapy usually begins in the hospital and continues at an inpatient rehabilitation unit, a residential treatment facility or through outpatient services.

The type and duration of rehabilitation is different for everyone, depending on the severity of the brain injury and what part of the brain was injured. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. A number of strategies can help a person with traumatic brain injury cope with complications that affect everyday activities, communication and interpersonal relationships.

Depending on the severity of injury, a family caregiver or friend may need to help implement the following approaches:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.

Diagnosis Traumatic brain injuries may be emergencies. Glasgow Coma Scale This point test helps a doctor or other emergency medical personnel assess the initial severity of a brain injury by checking a person's ability to follow directions and move their eyes and limbs. More Information Brain rehabilitation.

Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Traumatic brain injury: Hope through research. National Institute of Neurological Disorders and Stroke. Accessed Dec. Traumatic brain injury TBI. American Speech-Language-Hearing Association. Goldman L, et al. Traumatic brain injury and spinal cord injury.

In: Goldman-Cecil Medicine.



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