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Dr. Herman Lukow talks about helping people celebrate their small successes like being able to get involved in an activity they like or riding the bus to town.
Dr. Herman Lukow says that a person who was a pessimist before his injury will probably remain so after his injury, but by finding new interests and small jobs, positivity can slip in one step at a time.
Dr. Herman Lukow talks about how support groups and club houses can help people with TBI find common ground as well as a place to learn to socialize successfully again.
Dr. Heechin Chae explains how the brain — in response to the neurochemical changes from an injury — can go into a protective state, a defensive state to protect itself from further injury.
Hospital Executive Amy Mansue talks about how rehab specialists can help kids with TBI and their families deal with the social challenges that can arise soon after the injury, but often more importantly, months or years after the injury.
Posting an inappropriate message on Facebook or inundating friends with texts can be social media pitfalls for any teen, especially those with a brain injury.
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.
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.
"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."
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.
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.
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.
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.
For people with PTSD, the fight or flight response can be an effective way to avoid unwanted feelings. But avoidance is not a long-term strategy for a happy life.
In the military, service members are taught: "Say later, stay alive!" But once home, says Lt. Col. Philip Holcombe, PhD, that feeling of being on high alert is hard to turn off.