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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.
Sometimes making a comment like "after TBI, a lot of people have changes in their sexuality" instead of asking a question that puts a patient on the spot is more effective. From there, you can gauge when and how to address issues of sexual health.
Citizen soldiers have one boot in two worlds ... the civlian and military cultures being very different. Healthcare providers need to educate themselves on the many ways Guard and Reservists, especially after a TBI, may see themselves.
Everyone — patient, doctor, therapist — comes with his or her own cultural, religious, and familial background when it comes to comfort levels when talking about sex and intimacy.
The homecoming for a couple post-deployment can be heady with anticipation, but sometimes going slowly and reestablishing trust and comfort with sex and intimacy can be crucial for finding that closeness again.
Sexual health issues can be common after a TBI. Depression, anxiety, the inability to relate to others, hypersexuality, and side effects from medications, among others, can impact how people sees their sexual self.
People come with different backgrounds, cultures, and comfort levels when it comes to talking about sex and intimacy. Healthcare providers need open the doors to this conversation slowly and sensitively.
Glenn Parkinson, MSW talks about how alcohol and drug use after a TBI can significantly impact a person's sexual function, his or her feelings about sex and intimacy, and the ability to connect and build a relationship.
Glenn Parkinson, MSW says she often hears from people with TBI that there have been so many losses that sex is often the only thing they have left that is pleasurable. It's important to help people find healthy ways to be intimate and sexual.
Sometimes the length and health of an intimate relationship helps people adapt to changes in their sexual health post-TBI. Sometimes having less sexual experience is a factor. What matters most in recovery is the quality of social support.
Glenn Parkinson, MSW talks about how people can't numb out some of the hallmark feelings of PTSD like fear, anger, and vulnerability without also numbing out love, tenderness, and curiosity about another person.
People with brain injury often experience hypersexuality, an increase in sex drive and/or disinhibition. Glenn Parkinson, MSW talks about why it's important to help patients with hypersexuality retrain or redirect their behaviors.
After TBI, many couples find that their relationship with each other changes dramatically. These changes are very personal and can be very emotional for both people in the relationship.
Rosemary's sister once told her, “There’s the truth we tell others, the truth we tell ourselves, and the truth we won’t even tell ourselves” It wasn't until she was in therapy after Hugh's crash that she fully understood her sister's words.
The breaking point came when Sandra Rivera found their 9-year-old son backed against a wall with his arms over his face, shielding himself from her husband’s screaming.
Althought incredibly important, issues of intimacy, sexuality, and even parenting after a brain injury are often overlooked in both research and practice.
The wife of Navy veteran Derek McGinnis, in a supportive and loving way, helped him become independent after his brain and other injuries. She acted like his wife, not his caregiver.