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Sometimes people with mild TBI experience disinhibition — a difficulty filtering what they say. Practicing strategies in the clinic first helps patients and therapists see what works and what doesn't.
Occupational therapist Kristen Maisano talks about therapy dogs, which are used in the clinic, and how they can help service members with mild TBI and PTDS in ways that humans cannot.
Hypervigilance is a crucial skill to have while in combat, but once in the civilian world, it is hard to turn off. Occupational therapist Kristen Maisano talks about how to create step-by-step goals to do just that.
OT Kristen Maisano talks about helping patients with TBI attain their goals; sometimes there are ways to retrain the brain, other times the use of compensatory strategies is necessary.
Occupational therapist Kristen Maisano talks about the most common symptoms of mild TBI and PTSD, like emotional regulation and sleep issues, and what strategies can help.
Civilian healthcare providers may need to reach out to specialists in the community to ensure that their patients are getting all of their TBI-related issues addressed.
Kristen Maisano, OTD talks about how service dogs can help service members and veterans in many ways — from feeling safe when sleeping to gaining confidence in public places.
Occupational therapist Kristen Maisano, OTD talks about meeting patients were they are right now and creating step-by-step goals that take on challenges but in a methodical and careful way to effectively retrain the brain.
Occupational therapist Kristen Maisano, OTD talks about how addressing sexual health as an activity of dailing living, just like eating, dressing, and bathing, normalizes it and helps patients with TBI and their caregivers connect again.
"With any kind of trauma — physical or psychological — there comes a sense of betrayal, and with that grief. Regaining a sense of personal control is critical."
Symptoms of TBI and PTSD can overlap, says Lt. Col. Jeffrey Yarvis, PhD, but sometimes treating the psychological ones first makes treating the neurological ones from there more effective.
When a parent is injured or seems different because of a brain injury or post-traumatic stress, sometimes children act out — using actions instead of words to show their confusion and distress.
Lt. Col Jeffrey Yarvis, PhD talks about Eye Movement Desensitization and Reprocessing therapy, which has been established by extensive scientific and clinical research as an effective treatment for PTSD.
"Doctors ask patients how their pain ranks on a scale of one to 10. I would like to see a similarly institutionalized scale used when talking about suicidality," says Lt. Col Jeffrey Yarvis, PhD.
Despite the pre-conceived ideas people may have about hypnotherapy, it is actually more about awareness and control than the lack thereof ... and can help people with TBI and PTSD.
Lt. Col Jeffrey Yarvis, PhD discusses strategies to help families recognize what triggers anger from TBI and/or PTSD and what strategies to use to minimize it.
Lt. Col Jeffrey Yarvis, PhD talks about how exposure therapy can be incredibly effective for service members with TBI and PTSD because it helps undo, or lessen, the effects of response-generated traumas.
Wtih any topic that is uncomfortable for people to experience or talk about — like sexual issues post-TBI — simply addressing it, normalizing it, then moving on is the best strategy.