Anger Following Brain Injury

Tedd Judd, Ph.D., Hispanic Neuropsychological Society
El Enojo Después de Lesión Cerebral

Kinds of Anger after Brain Injury

Anger is a very common problem after brain injuries. When someone with a brain injury has a problem with anger, there are usually several causes acting in combination. Some people are angry about the injury or problems that may have come with it, such as disabilities and loss of job, friends, money and control over one’s life. Some people were angry people before their injuries and still have that problem. People who have always been angry may need psychotherapy to help them learn to cope, and in some cases medication is required. (In our experience, people unfamiliar with the person or with brain injury are often too quick to assume that personality alone is to blame.) But many people also develop impulsive anger as a direct effect of the damage to the brain. In other words, the parts of the brain that normally inhibit angry feelings and behavior have been damaged and do not do their jobs as well. This means that the person’s anger threshold is lowered so that he or she becomes angry more easily and more intensely. We can tell that this impulsive anger is directly due to the brain injury when:

  • The anger begins with the brain injury or is made much worse by it
  • Angry feelings come and go relatively suddenly
  • Anger episodes may be in response to minor events
  • The person having the angry episodes is surprised and embarrassed or distressed by them
  • The anger is made worse by physiological stress such as fatigue, pain or low blood sugar

This was the problem Joe had. Joe was a quiet man, an accountant; active in his church and an assistant little league coach. He never drank or used street drugs; he was healthy; and he had never been in a fight or in trouble with the law. He was well liked in the community. His wife said that he rarely got angry, and when he did he usually sulked. When his car was hit by a drunk driver and Joe hit his head on the window, all that changed. He had been knocked out for five minutes but after he was checked out at the Emergency Room they sent him home. He went back to work a week later but had trouble concentrating and remembering. Worse, he started yelling at his wife and children, often for little things like laughing loudly at the TV. One day at work, he broke a computer keyboard by hitting it with a stapler; and he sometimes tore up papers he was working on. After each of these episodes, he would be very embarrassed and apologetic. He came for help after loudly cursing at his daughter because she was playing with her program at a Wednesday evening church service.

With Joe, it was clear that he was having impulsive anger resulting from his head injury. When other more familiar causes of anger are also present, such as difficult personality, alcohol abuse, or anger at the injury itself, the impulsive anger resulting directly from the brain injury can get overlooked. It is important to try to identify and treat that part of the anger too.

Dealing with Impulsive Anger Resulting from Brain Injury

When a person with a brain injury first wakes up from a coma, they are usually disoriented and confused and often they are agitated. They do not understand what is going on around them, and they are not truly responsible for their own actions. It is up to the people taking care of then to keep them safe, even if this means restraining them or using medications when absolutely necessary. As they recover, they gradually come to be able to control their actions. Their staff and families can then gradually teach them about the best ways to manage their angry feelings. Because a person with a brain injury's “anger thresholds” or “flashpoints” have been lowered, they need to relearn how to manage the changed reactions. They need emotional rehabilitation in addition to physical and cognitive rehabilitation.

Understanding the Anger

The brain injury survivor is, in some ways, a different person. What makes him or her angry may be different. We need to learn what those things are. Here are some common factors that contribute to anger after brain injury.

Anger Factors

Stimulation factors:

  • High noise or activity level
  • Unexpected events
  • Lack of structure

Personal factors:

  • Frustration
  • Fear or anxiety
  • Embarrassment, shame or guilt
  • Discovery or confrontation of problems
  • Cognitive impairments – especially memory deficits and confabulation (remembering things that did not happen)
  • Communication impairments
  • Rigid thinking

Medical factors:

  • Pain
  • Fatigue
  • Hypoglycemia (low blood sugar)
  • Medications (levels low or high?)
  • Alcohol or drugs

Anger Warning Signs

Speech signs:

  • Loud high voice
  • Cursing
  • Name calling
  • Threats

Behavioral signs:

  • Making fists
  • Increased movement and fidgeting
  • Angry face
  • Moving towards the object of anger
  • Breaking things
  • Throwing things
  • Threatening people
  • Searching for or picking up weapons
  • Hitting, kicking and other forms of violence

Physiological signs:

  • Fast breathing
  • Fast heart
  • Sweating
  • Over-aroused
  • Tense muscles
  • Flushed face
  • Bulging eyes

Mental signs:

  • Fantasies of doing any of the speech or behavioral signs
  • Negative thoughts about others
  • Confusion
  • Feelings of frustration
  • Feelings of fear or anxiety
  • Feelings of embarrassment, shame or guilt
  • Feelings of hurt

Early Strategies

These strategies are for staff and families to use when the person with brain injury is too confused to be responsible for his or her actions. It is important for staff and families to remember during this time that the anger is due to the injury, and they should not take it personally.


  • Make the environment safe
    • Remove potential weapons
    • Keep alcohol and drugs inaccessible
    • Keep vehicles and dangerous tools inaccessible
  • Regulate Level of Stimulation
    • Some need to avoid over stimulation
    • Some need to be kept busy and distracted
  • Provide Appropriate Level of Supervision
    • Provide the least restrictive environment possible
  • Provide Reorientation as Needed
    • Much of the anger in an agitated confused and disoriented person can come from misperceiving and misunderstanding the situation
    • Staff and families should frequently remind the person of where they are, what is happening and why


  • Withdraw
    • Leave the person alone for a short period of time if this can be done safely. As you leave, tell them briefly what you are doing and why. “You are beginning to get upset. We are going to leave you alone for a few minutes so you can calm down.”
  • Distract
    • Change the subject, the focus of activity or the location
    • Use a concrete object as a focus when possible
  • Reorient and Reassure
    • Remind the person of where they are, what is going on and why
    • Try to clear up misunderstandings when this can be done without renewing argument
    • Direct the person in activities that may reduce agitation, such as guided relaxation

Self-Control Strategies

These strategies are to be phased in when the brain injury survivor has recovered enough learning abilities and awareness to begin to cooperate in learning to control anger.

“Back Off, Calm Down, Try Again”

Because the impulsive anger resulting from brain injury often comes and goes suddenly, an effective way to deal with it is for the angry person to back off, calm down and try again. This strategy can be phrased in the individual’s own words or whatever expression is comfortable such as “retreat, relax, return” or “take a break” or “time out”.

Back Off

When warning signs appear, the person should leave the situation and go to a safe place. Others will have to cue him or her to leave. If the person will not leave, the other people present should leave instead, if possible. Practicing backing off when not angry (like a fire drill) will help this go more smoothly when it is really needed.

Calm Down

When the person has backed off to a safe place, he or she should work on claming down. Many techniques can be used to calm down including:

  • deep breathing
  • soft music
  • meditation
  • prayer
  • closed eyes
  • physical exercise

Preparing to Return

Once calm, the person may need to rethink the situation and prepare to return.

Reviewing a list of questions is a possible preparation;

  • Do I need to apologize?
  • Do I need to explain why I left?
  • Do I need to tell anyone my feelings?
  • What can I do to avoid this next time?

Here are some statements to encourage rethinking the situation;

  • “I don’t hate my mother; I’m just angry with her”
  • “Maybe she had a point I should listen to”
  • “He’s not wrong, we just disagree”

Try Again

When the person returns from backing off and calming down he or she may need to

  • apologize,
  • talk through the issue,
  • explain the backing off and feelings
  • resume what he or she was doing.

Once a person has learned to back off, calm down and try again successfully, he or she can work on calming down in the situation without leaving.

Anger Cue Cards

Anger cue cards can be used to remind the brain injury survivor of their warning signs such as Loud Voice, Tense Muscles, Confusion, or Thoughts of Hitting. These cards should be carried by the person with a brain injury and optional copies can be placed where anger incidents often happen or where backing off takes place.

A Back Off card might say:

  • “I’m feeling angry, I need to back off”
  • Leave the room
  • Breathe deeply
  • Relax muscles.

Angry Reactions to Brain Injury

Anger at the cause of injury: The victim of an injury may be angry at the cause of the injury such as a drunk driver, an assailant, a corporation or a government. Such people often need help finding effective and satisfying channels for their anger. Often, they can talk this out with a trusted friend or family member.

Grief Reaction

It is part of human nature to grieve when we lose something, not just when someone dies, but also when we suffer an injury or illness. We try to find reasons for our losses. One part of a grief reaction is anger at what we think caused it. This anger can also get displaced onto any handy target. People can work through these reactions by talking out their feelings. This is such a human experience that it usually does not require a psychologist, just a trusted and understanding person. However, poor memory or judgment or emotional or personality problems can complicate grief reactions and psychotherapy may be needed.


When frustration contributes to angry reactions, the person needs to be trying easier things. Specific preparation can also be given before difficult tasks. For example, “Now it’s time to go shopping. I know this is sometimes frustrating for you. How will you know if you are starting to get frustrated, and what will you do about it?”

Normal, Legitimate Anger

People with brain injury still have legitimate reasons to get angry. If their legitimate anger is discounted, ignored or “treated”, they may get angrier. If they have expressed their anger inappropriately, their angry actions should be dealt with separately from their legitimate complaint. They should not get their way just because they made a fuss, but the complaint should not be ignored.

Brain injury survivors often have impaired judgment which can contribute to anger problems. Cognitive rehabilitation for judgment can help. People with these difficulties need to check their judgments with caregivers or people they trust. Alcohol and drugs can contribute to anger problems. The clearest solution is abstinence but abuse programs or counseling may be needed. Not taking prescribed medications can also contribute to anger problems. The doctor should be told if the medications have not been taken as directed and if there have been any problems.


Anger is a common problem following brain injury. It has many causes, and there are many solutions to be tried. The rehabilitation team, the family and friends and the brain injury survivor can all work together to understand and manage the problem to help the person with brain injury to work towards recovering self control.

Posted on BrainLine June 4, 2013. Reviewed July 25, 2018.

Source: Hispanic Neuropsychological Society. Used with permission.

Comments (94)

Please remember, we are not able to give medical or legal advice. If you have medical concerns, please consult your doctor. All posted comments are the views and opinions of the poster only.

THANK GOD for this page! ... It's SO HELPFULL to know you're not alone! I was smacked on the Head by a Bus whilst Cycling a few years ago. There is NO HELP in London for Mental Health. I got used to the Depression, the Anxiety, the Panic Attacks, and wonders of Epileptic Seizures. But I couldn't build a system to deal with the Temper (which didn't appear for Years) It's made me lose my Wife & Twins, and my lifelong Career in Retail, and I do not have a clue how to stop it? eg: I walked into Church this afternoon, I looked for a Bench to sit down. A Lady came walking towards me and asked me nicely to 'wash & disinfect' my hands at the table nearby because of COVID19 ... I raised my voice "I came here to speak to The Big Guy! not play with my fingers!" ... I stormed out. I didn't get to say my Prayers, and I've been beating myself up about it, for 11 hours so far!!! GIMME A MAGIC PILL PLEASE? or I'll have to hope I get COVID19!

I myself suffering from a traumatic brain injury (sis) trying to cope everyday life is so hard i break down everday i get angry and frustrated i lost my family the grieving hurts so much i often think of taking my live because im not the person i used to be i find rehabilitation so difficult learning to walk and talk properly understanding simply things that people take for granted but I'm trying my best
Steve nz

My adult son fell at work, hit his head and had a seizure. When he woke up in the hospital, he was like a different person, and i couldnt even sit with him in the hospital for more than 20 minutes at a time because he was so angry and mean. They had put him on the anti-seizure medicine keppra, which causes anger issues, because it was quick-acting, but the following two weeks were a nightmare. He stayed with us, and i kept calling the hospital begging them to change his medication as he was getting more and more violent. He even argued with me that there was nothing wrong with him- that i was the one with a problem. I finally got him to a neurologist who changed his medication- but that one was just as bad- only this time he couldn't stop crying. After 2 1/2 weeks of all this, he finally just stopped taking them. Within 2 days, i had my son back and he said he couldn't believe how normal he felt again- it was unbelievable. So check the side effects of any med youre on- especially anti-seizures. It can be dangerous to stop, though, without a doctor's ok- so be sure to check into it first. Youre all in my prayers-

Hi I seen your comment and it sounds just like my daughter, she is 16 and was a passenger in a car crash around 10 weeks ago . She sustained a severe TBI wich she has miraculously recovered from very quickly but still has cognitive issues, I’ve noticed her get very angry and frustrated and not at all like my daughter was , she too is on keppra anti seizure medication and now I’m thinking is this the cause of it . I’m glad you’re son seems better that must be a relief for you , I’m really struggling to accept how my daughter is when before the accident she was so happy and healthy and ready to start the new chapter in life and start college. I just want her to get better. Thanks for sharing..rachel

I wanted to say what it feels like for the injured. I get told I am not the same person but I am unsure who I was. I get angry easy even though I am (I think) a very loving person. I just cannot control it and when I see faces and realize how 'off' I am it is deep into the event.

I cherish my wife and kids. Frustration is hard for me. If I don't act out I cry, and that takes me into a fight or flight, then rage. I have been a bit better lately, but it is just below the surface. It is that I see people as attacking me even when many are just being curt or direct.

When I am upset I don't want touched. I have come to injure myself more, maybe trying to compensate. So, I cannot recreate how I used to to reset. Unfortunately, my retraction that helps a lot also makes me a shadow of the great guy who many loved in the past. Those who did not care for me, I see, as enemies and in truth they now have the upper-hand and this infuriates me. They do try to knock an old chip of my shoulder for some reason. I get excluded. I don't get asked for advice or participation. This when I do have something to offer and when 'community' would help me.

Ativan helps, so does weed which I have to get illegally in my state. So, in their absence I use alcohol. But I need it so much that is also a problem.

I am not physical with my family but what scares me most is that if they would give up on me. If that happens, my purpose would cease. They are all I have. Sure they try to help, but I am starting to think I am too much for them. I am a man and I never think of women with my issues. Then that added set of factors. Plus, I come off as pretty good so I never get the benefit of the doubt.

It is bad all the way around.

Lastly, I never cared for bullish police. But I have seen that if I just lose it dealing with one, and just being overly upset, they have little capacity or training to deal with just a 'pissed off guy'. The key is to let me be. I change back pretty quick, but I would suggest these things (I know the first two come with risks): make Ativan, somehow, more attainable; make weed legal and recreationally bc I don't think any state's medical program covers TMI; develop programs for family members; and very strong training for cops bc I expect one to kill me one day if I lose it.

While my frequency of acting up is less, it is bc I steer clear of every trigger and nearly everything outside of total bliss and fun is a trigger. Anyway, I just want to learn of a magic button to push bc I don't have enough left in me to work through all these strategies. Shame. I will say that equally one of the worst is when I hold it together only to not determine I am appreciated for doing so. It is hard on us too, even if I am always so pathetically sorry and that also makes matter worse inside me.

Is it wrong of me to say - families - try not to give up on us?

Hello Dom. I live with my partner, who has brain trauma as well. He also gets into angry fits, but I know it is not him. It is like living with two people, and it can be scary sometimes. I know he will never hurt me because he is a sweet and generous man, kind and gentle-natured. But when he flips a switch it is awful. I don't plan on giving up on him. I am trying to learn more about brain trauma. Thank you for your beautiful story. It gives me a little bit of hope and understanding. I hope your family sticks by you.

Oh Dom, I completely understand. I came to this page because I am trying to understand myself. I don’t remember what I was like; I am only told that I’m not the same. I don’t understand why am feeling upset just below the surface all the time. And I too am worried that my family will just give up on me.

Dom, I want to say I hear you. I feel like my husband wrote this. We are going through the same thing at our house. If you are still seeing these posts I want you to know that you are not alone. It sounds like your family is still with you and trying to help. It is hard, there are days that I don't think I can handle the constant battles and confusion around what has triggered my once mild mannered spouse into becoming the angry aggressive person he is now. I hate that it just falls into the laps of the families to try and figure out a path forward but that is what it is. If your wife is like me she is also feeling overwhelmed and confused about what is right for everyone. I hope you are doing better and I send you and your family peace in the future. We are now 9 months post injury and while my husband is still struggling we have seen areas where we can try to come back together after explosive episodes. so trust that your family cares and is there for you.

This sounds all too familiar.
Husband is just over a year post injury and the aggressive anger issues are becoming very hard to deal/cope with. We are a Family of 4 and the kids often wear the brunt of the anger. Usually over very very minor things.
If only there were more support networks out there for the Families.

Thinking of you all.

I had went on a camping trip and at some point I for an unknown reason passed out and fell I barely remember even hitting my head when I fell from passing out. My girlfriend said when she got to me my eyes were rolled back in my head. I woke up angry and confused. We later that day after making the trip back home went to the emergency room and got checked out. They brushed the entire situation off saying it’s all cause of my smoking cigarettes and sent me home. I had continually gotten more and more angry and easier frustrated. My girlfriend came home today and talked to me about a conversation of this nature from a nurse she works with about her husband after hitting his head on some scaffolding at work. So I began researching some the things that we talked about and sure enough I came across your comment and your comment pretty much seems to be my exact experience. Up to and including the weed helping a lot and also the anger towards police.

My husband received a traumatic brain injury in a car accident 5 yrs & 9 mths ago. He was in the back seat of a co-workers car. In the drivers seat was a young co-worker that was 20 yrs old. In the front passenger seat was their boss, a young woman who was only 25 yrs old. She was married & had three children. The two people in the front of the car died & my husband was the only survivor in the car after they had pulled out in front of a semi-truck & were t-boned by it. My husband was in a coma for a month & has come a long way since. He suffers from short term memory problems as well as severe anger at times. He was someone who was very quick to anger before his accident & now he's got some serious anger issues. He has anger over his life situation, how things changed so much for him. He is on full disability & doesn't work. We have to live with my parents & long story short, we are very thankful but it can be very hard at times. My husband (Justin), has his anger set off by other things as well like annoying or loud noises. The noises range anywhere from dogs barking, whistling, loud sudden noises, to peoples voices. The anger is worse when he's in a bad mood. He wakes up every day very angry. I still find it natural to be happy to wake up next to him & tell him good morning, but I have to stop myself because it's best not to talk to him at first to avoid getting hurt by mean things being said to me. We have a son that's now 15 & their relationship was never the same after the accident. My husband gets very irritated pretty much every time our son is around. He's a very good & quiet kid, I just think that Justins head goes into I've got to make sure this kid is behaving & doing right mode & he just gets automatic anxiety which makes his noticeably ill. Over the years things have gotten a lot better. Justin will take himself away from people a lot of times so that he doesn't blow up, but not always. He has had some pretty scary times where he just went off the deep end & it was nearly impossible to calm him. He refuses to take a regular medication anymore to help keep him calm. The only thing that was ever strong enough anyways was Xanax & doctors just don't prescribe that these days. It stinks too because it's the only thing that can calm him down when he gets scary bad. I had to call an ambulance once, because he wouldn't calm down for over two days. He was running around our neighborhood house screaming horrific obscenities about me in front of children & everyone. He was taken to a psychiatric hospital. He was there a week & all they did was super over medicate him to the point of him urinating on himself while asleep. That's way too much meds if you ask me ya know! We've been through a lot of tough situations with his anger. I have been so scared for his life at times. He's had counseling, but that just doesn't do anything. His brain is injured, so there's not really much anyone can do. I just have turned to God & he has gotten us through all of this, day by day. When you see the impossible, just know & remember that God can do the impossible. I have not given up on my husband nor will I ever. It sure has been really hard, but I am very blessed to have God on my side. He is Awesome!

My daughter has same issue, after brain surgery she used to get aggressive on small things. But I only thanks to God because I know one day He will settle my this problem also and make my daughter normal person. So just faith on Him and wait for His reply.

I have a son 25 that has a TBI and your story touch me in away for I feel the same It's God that keeps us.. I'm not giving up on my son either... Prayers for you

Thanks “Val”for sharing your personal story about your husband. And, Thanks to all you others too for sharing your personal stories. I’ve been married 43yrs. I’ve read a lot of these post that you wives have been sharing. My husband hasn’t been officially diagnosed with TBI. However, his anger has gotten so much worse, seriously worse over there’s years, that I’ve just started doing research to possibly see if I can figure out why!!! There have been several times, I feared for my life too, as many have stated. I’ve kept a diary for many years, only occasionally now, if something needs to be recorded. Plus..., now, I guess I’m numb. Many many nights of loss sleep. I’ve even had depression and taken meds, which my Dr. weaned me off of, because, I don’t like taking meds. Anyhoo..., Numerous head shots and concussions from soccer he played 36yrs. ago, starting at about age 30, and he played up until he was 50yrs old and prayer brought me to this website. So that’s a lot of concussions. I’ve as well as our 2 daughters, endured years and years and years of his anger. Then to add to all this past & present anger I’ve been dealing with, this past year he had a really bad head injury & concussion from a telephone poll falling on him. It’s totally wearing me down now, to the point of leaving and this saddens me! As I started to reflect back, I began to really pray about his anger, frustration, cussing, name calling, anxiety..., (mostly towards me) ohhhh..., all the verbal, emotional, mental, spiritual (thankfully not physical) etc...!, Through prayer as I mentioned, I came across this websit with wonderful stories, but, your story, the very last few sentences has been the most encouraging for me. God can do the impossible, if we believe. I believe! HE has gotten me through this many years of anger! I hope I don’t cave in and walk away unless God speaks and tells me enough is enough, walk away, (not divorce) you’ve done a good job, now let me do MY (God) job! Hugs & Prayers to you. Thks again for sharing:)

My husband recently had his 4th wreck in one yr. This last accident he was knocked out by asphalt and burned on top of the head a little bit.
We've been together 4 yrs 2 married and he's been argumentative and angry ever since the wreck. He was not so much before. He has been back to work. He takes Blood pressure pills, cholesterol pills, antidepressants, and pain medication for his back. He did agree on counseling. And we're going to start soon. He has angry outbursts at times and curses and calls me names. I have reprimanded him and told him I don't support his nasty behavior and he better get help. I just want to know if it will get better with counseling. I don't want another nasty marriage.

I was involved in an accident where I was hit while sitting still. I had a concussion and now I have headaches that feel like getting hit in the head with a bat. I go from 0 to 100 instantly. I try to distance myself when I feel annoyed. My heart rate increases and I want to lash out physically.

Today I walked 8 1/2 miles because I wanted to explode. The walk calmed me but I still found my heart rate up and thoughts of rage.

Before hitting my head I was rational. This is scary and causing me to seclude myself just to avoid going off.

I needed this. Its 2:00 am but maybe I should get to walking. Thanks for some kind of help.

Will I or a TBI anger person suffer from this for life , even though they have been taking medication and doing therapy early on , when accident happened ? I have headache's and still see a nuerologist at Uof M hopeing for help there . Thank you for sharing .

I am 7 years post tbi i was knocked down while out walking hit and run the driver fled the scene he was caught the next day but was and never will be prosecuted he holds a job in the courts so i was compensated with money ive read all comments carefully and have all of them and more anger is the hardest one i have each day,some one said to me that if i am angry,sad,fearfull,its because i am blaming myself for some one elses mistake.

I don’t know how or why it happens to me but i will get very mad and violent for no reason at all out of no where and i can’t stop myself no matter what i do to prevent or stop what is happening one min i will be laughing in everything is ok and then i just start punching people n things close to me and I’m unable to stop myself it’s like I’m sitting in the backseat just watching it all happen and I’m powerless to stop it i need help but nothing works I’ve been to therapy and anger management but that just makes it worse or does nothing to help any advise please I’m willing to try anything

I got hit in the head with a John Deere bucket about three years ago and since then this is exactly how my life is ....!!!!!

My partner has been through neuropathy where he couldn’t walk for 3 years. Then he went through stage 4 cancer of the mouth. Now he has fluid on the brain. They can’t do any stints or camera in the brain to help. The last 3 weeks he gets mad and moves out for a night. Does someone know if this is probably because of the fluid. How can I help him and is it good to get in a group to talk about it

My 43 year old son was already disabled from a work injury when he fell and hit his head in 2008. His behavior slowly progressed to all the symptoms shown in this article. The hardest part, aside from his injury, is getting people to realize he is not in control of his anger and impulses. They think he should just straighten up and behave. Not going to happen. The older he gets, the worse it gets.

Is there a free health clinic in town? If not, there is on-line help but not sure if insurance covers it as it is with therapists but at $75 an hour

My husband of 52 is very similar. I knew of his brain injury when we married but as he gets older, the anger gets worse. It is very hard on me and my family. *frustrated*

My son suffered a car accident 3 yrs. Ago. I know there are groups out there for tbi. But at times i feel so alone in the daily struggles of taking care of him. He can become so controling and angry for little things that the rest of my family members want me to get rid of him
At times i feel that might be a solution. It so heart wrentching to see a child who had so much possibility decline. He doesnt want to try to read write or learn. H

If you wish to be apart of the peer mentoring program where there is a one on one telephone support for caregivers and survivors of brain Injury, contact to be connected to the coordinator in your area.

Dealing with the same thing with my 21 yrs old son, who suffered a brain bleed. He is getting real crazy and making threats, when we are the only ones helping him.

I think the best thing to do is to get involved with a brain injury program. This will help the person and families to see they are not alone. God bless all of you. I forgot that, before anything, prayer.

Wow, this is truly one of the most difficult things anyone can face. Prayer is certainly the first go to for help. But thank you so much for this information. Tears, tears, thank you.

How can you get interest back in caring about yourself?

Hi Nancy, my names is Andres. I was surgically intervened because of a brain tumor.  know you are passing through a difficult scenario, but don't lose your hope. Even if you feel like no one loves you and everyone is attacking you, that's not true.

you could be alive if it was not for all the people that were around you when your injury or surgery happened, so you are not alone, and you never were more loved by everyone around you.

all that things that you feel are not real, don't let your brain problems take control of your life, you and only you have to power to change that feeling, there is no magic method or some medical technique to solve your problem, you must endure the things you feel and take them away. Sometimes you will not be able to defeat by yourself, but if you keep trying, every day of your life, someday, you will wake up and say "I'm the most lucky person in this planet, even after all I had to pass, I'm still here, strong and healthy, happy to be alive in this beautiful world." That day, you will have won the most difficult battle that any human being can win, the battle against yourself.

Keep going, and never fall back, don't let this situation take over your life, and remember: if you fall seven times, stand up 8.

I just wanted to extend my encouragement to all those suffering with this, and those who are affected by the anger of their loved one. My fiance was in a car accident and hit his head on the steering wheel, suffering from a big hematoma and most likely a concussion. He is a black man and the accident only happened because CHP ignored him when he was asking for direction at the Mexican Border, he presumed that their stares in response to his hand gestures to make a uturn meant it was okay to, and they watched him with eye contact as he slowly got on to the wrong side of the freeway. This is what racism does. Unfortunately someone died in the accident, and he's now facing vehicular manslaughter charges along with suffering from the brain injury. His behavior was presumed to be that of a drunk driver by the cops and hospital staff, hey treated him as such before receiving toxicology. They interrogated him, drugged him, and tortured him with improper catheter insertion before finding out that he had nothing in his system, and then threw him in jail with a bleeding penis in isolation for 14 days with no medical attention, no scans, and an allergic reaction to the antipsychotic he was overdosed on. We have both suffered a great deal from this, we lost our vehicle and insurance won't pay for a new one until 90 days after the trial is over. He cannot work and has all the symptoms including psychological, metabolic, cardiac and sleep. I didn't know the symptoms were TBI related for an entire year, I assumed it was from the antipsychotic and the effects never wore off. He hasn't been the same since, and I miss the man I fell in love with. I'm glad he's alive on days when he is almost normal, but constantly walking on eggshells to avoid triggering his anger. I cannot express myself, I am not a part of a relationship and instead I am just trying to help him survive through this jury trial, and getting him the proper medical help. I feel as if I have lost him, and I grieve every day. He only has a public defender and his trial is at the end of January, we finally got a diagnosis, but now have to fight in court to prevent eviction because he spent the entire month of December in and out of the hospital. We have lost nearly all loved ones, because nobody understood. We are self employed and operate a business together, I am doing everything myself. Any encouragement, advice, or legal help is much appreciated. I'm praying for us all.

My mother has a brain injury and is unrecognizable: angry, alcoholic, suicidal, depressed. Your heart breaks for them and sometimes you feel like you hate them and want to leave them - it's so hard!! I empathize with you and I was horrified to read about your husband's (and consequently your) experience and having to also deal with all the institutional discrimination. Unfortunately, I don't have advice or legal contacts - just wanted to reach out.
Disgusting what racism can do and how many people deny it's overt and subtle violence!!
I wish you both strength and love and hooefully you connect with some kind of ABI program to develop strategies and get support. ♡

In 2010 I was punched in the head (right frontal lobe) several times with in a matter of seconds; lost consciousness, have a slight crack in my skull and MRI’s that show restricted blood flow. I get horrible Migraine headaches that no RX can help. Over the course of the last 6 months any little thing can make me angry in milliseconds. Hard to describe and lasting impacts when it happens. I hold a full time job and a part time job. I’m either awake for days or go to sleep as soon as I get home. How do I deal with this and where can I go for treatment?

RE: migraines - you could ask for a neurology referral from your primary doctor to address migraines

RE: anger management - See a therapist!!!! There are CBT (Cognitive Behavioral Therapy)  or DBT (Dialectical Behavior Therapy) techniques you can learn from a therapist who is trained in these techniques, I've seen success when  CBT or DBT is applied & followed by patients. You could web search both these techniques online to read more about them..

I can totally Relate to this, my husband suffered a sever TBI going on 4 years ago he was working at a timber yard mill when one day he was hit in the forehead and was sent back and fell and injured the right side of his head, his anger in the last year has been uncontrollable scary and its getting worse, lately he has been carring weapons around in public with him, he got into a disagreement while we where up town , he then used his weapon to defend himself as the other person was as angry as my husband and who also had a weapon, as a result of this he has been placed in prison for this incident , we have 5 children together all aged between 14 - 19 years of age, and we are shattered and are very concerned for his safety in prison, one knock to his head and it could be a very bad outcome, we love him support him care for him , living with a person with a head injury TBI is like we are starting a new life with many many challenges but we will continue to love and help him find ways to cope.

I can empathise with you 100%, Teresa. At least you are supportive of your husband. My son has landed in a similar situation after a serious motor cycle accident just over three years ago. Since his accident he has been injured on the same spot twice on the right side of the head due to violent acts by other people. He has never had a brain scan since those incidents and I have also noticed the terrible anger issues in him. On top of that he suffers from PTSD due to a 9-year career in the local police force, then a 7-year stint on deployment in war zones abroad. The guy has had destructive surgery on his right ear because his cochlea got smashed when he fell sideways on to the road during the bike accident. Now he is totally deaf in his right ear. His reasoning power must have been affected because his actions have landed him in trouble too. So, yes, please rely on God. My heart and thoughts are with you and your family. I FEEL YOUR PAIN!!

My husband fell from a 4 story roof. Among other injuries he also has a tbi. He used to be so sweet and kind to me, but not so much anymore. I need to help him but he is such an angry person now,nothing lime the man I married. I don't know what else to do but divorce ...even though I still live the man I married with all my heart, he is no longer that person and I never know when his anger will surface.

I found this information very helpful as numerous behavioral techniques were presented in a concise and orderly fashion.

My husband's tbi was 16 years ago. He wrecked his atv his head made direct contact with a wooden post and then the atv landed on top of him. He went into shock and had major blood loss from his open head wounds. He suffered 14 skull fractures. His moods have been an issue the last few years. He is now angry ALL the time. He thinks I don't "listen" to him. Every little thing irritates him. As his wife I do NOTHING right I drive wrong, talk wrong, make all the wrong choices. Almost every morning I wake up to him yelling at me about something so stupid. Once his fit is over I'm supposed to be "normal" and my feelings aren't supposed to be hurt. He goes to work and functions yet I am left in tears trying to safely drive myself to work. He will text me and say he is sorry but I honestly don't think he totally understands how his mood ruins my life. I don't know how I alone can go on like this I can't even be a person because I am always worrying about his next blow up. I don't enjoy anything anymore and nobody understands. Sometimes he will ask me why I am "depressed" and he struggles to understand why I lack the drive and motivation I once had.

Same here, I totally get what you have posted. Sounds like my husband to a “t”! Been in this same dilemma for more than 16yrs due to sports concussions “soccer” and now a bad head accident with a concussion a year ago. Just realizing today that he is experiencing TBI. It’s awful and the anger is scary and horrible and getting very bad. I’m ready to leave. I’m getting scared for my life now that physical abuse is next. The verbal, mental, emotional and spiritual abuse over the years has been bad enough and that’s waaay worse. I’m Gonna try mentioning to him to go get checked out and on meds. Hope he agrees.

First , I am sad for you. I am your sorta like husband. However I am 6 years out a from an accident and a wife. But I have constant head pain, I see dr.s , on pills and been thru therapy , willing to do whatever , but this anger is the Hulk. It was not me and is now me , I hate it. I explode and then just want to give up now ,since it's getting worse not better .

I feel you , Reading your story was you where telling my life with my husband, my husbands work accident happend 4 years ago Skull fracture open head wound also ,I have not taken any time out for myself Im still in survival mode caring for his every needs, his anger is getting worse to the point he is uncontrolible , its happens nearly daily, aww I understand your lack of motivation and drive you once had, wish you luck .

I have a traumatic brain injury from a car accident I remember nothing about, I had brain surgery and I have a nickel size hole in my brain. No one likes me, I'm always mad even at work, I work at Denny's and I don't know the menu because of my short term memory loss! I got fired for knocking the cooks teeth out because I was mad over pancakes! I need help but no one will help me

Just over 17 years ago in 2001 I was struck on the head repeatedly for quite sometime. I only remember going home after that and I am covered in blood. I do get angry easily and I have memory lose. I want help because I yell and get angry at my 4 year old for no reason and my anger is causing my marriage to collapse. I need help before its too late.

A Traumatic Brain Injury is a legitimate disability. Not sure what state you are in, but you should be able to receive assistance with employment services. Google that for your state. In my state, it is the state's Department of Rehabilitative Services. They refer people for job training and other services. Sounds like this would be helpful for you.
Best of luck to you...

Can you get interest in life back?

Two years ago I was assaulted and had a very serious concussion. It was not my first I was forced to give up my college football career because I had a frequent amount in less than a year. Lookin back I believe I had a few minor concussions before college. I am now 25 I left college football at 19. In between the last 6 years I feel like I hadn't been there. As if I was watching myself live my life without control. I have huge lapses in memory and often forget people I have met multiple times (very frustrating as people see this as rude or uninterested). I have never been knocked unconscious though for the past two years I have been in an altered state of consciousness. I have had to work through all of this I have two jobs and work about 60-70 hours a week. This consumes all of my energy and the rest of my time is spent in limbo between rest in an exhausted state. I am exhasted with rage, hyper sexuality, memory loss, loss of purpose, vision problems. Because of this exhaustion I am unable to act on my wishes or even simple thoughts like I am thirsty I should get a glass of water or it's a nice day i should go outside instead I am internalizing my struggles constantly. I feel that I the person I was is dead I feel I will never be again. I had a friend who also suffered from these symptoms after having his skull split open. He has since killed himself. The only person who truly understood me and could relate to me took his own life while drunk. Alcohol will kill you if you have any brain issues stay away from it. Nobody can see that I carry this all they see is a lazy person who doesn't care about anything. I feel like I am held hostage by my history and I have no say in my future. This is post concussion syndrome.

I have had three concussions in two years, and attacked my boyfriend this week. My anger has never been this bad. I am facing two charges. My heart breaks.