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Traumatic brain injury affects behavioral health September 25, Reprints Kristie Golden The presentation of behavioral health difficulties resulting from a traumatic brain injury TBI are often seen immediately after the injury and may linger for an indefinite period of time.
Psychiatric symptoms and behaviors present challenges to the patient, family and treating clinicians. Psychological trauma resulting from the event that led to the TBI, such as combat associated explosions, motor vehicle accidents and serious falls, can cause post-traumatic stress disorder PTSD which may complicate recovery.
Disorganization of behavior, including pulling out of intravenous lines is also common, making the immediate care of the patients challenging for nursing staff when trying to ensure patient safety and proper care.
Families may express concern and ask questions about potential long-term personality change. Educating families early on about the potential short and long term effects helps to mitigate frustration with the injured person and sets realistic expectations of long-term outcomes.
Eventual stabilization With TBI, the brain can suffer direct and indirect injury, resulting in different types of residual effects. More specific neuropsychiatric changes often reflect the particular location of injury to the brain. It is this information and detail that patients and families seek in an effort to hold onto the hope that a full recovery is possible.
According to Bronson, the severity of the initial cognitive and behavioral disturbances will often fluctuate throughout a given day and may be marked by periods of relative lucidity.
Over the days and weeks following an injury, the initial delirium will generally improve, leaving behind more stable behavioral and cognitive deficits which are themselves expected to show some further improvement over the ensuing weeks to months.
The long-term behavioral effects of brain injury depend on which areas of brain were injured and the extent of recovery. They can develop seizures. Rehabilitation focused on speech, psychological, physical and occupational therapies can improve the extent and speed of recovery.
Medication can help with seizure control, wakefulness, mood, pain and other symptoms. Some functions may recover to normal but with limited capacity.
Stress from fever, illness, fatigue and emotional distress can make seemingly recovered functions worse. Military veterans with a TBI suffered in combat, or an individual with a brain injury as a result of an episode of domestic violence, offer clear examples of how PTSD symptoms can impact recovery due to these added psychological stressors.Our Brains Control Our Thoughts, Feelings, and Behavior Psychologists Study the Brain Using Many Different Methods Putting It All Together: The Nervous System and the Endocrine System.
Identifying Behavior Problems. Head injury survivors may experience a range of neuropsychological problems following a traumatic brain injury.
Depending on the part of the brain affected and the severity of the injury, the result on any one individual can vary greatly. In some cases, neurological damage after a head injury may cause. One of the most common effects of frontal damage can be a dramatic change in social behavior.
A person's personality can undergo significant changes after an injury to the frontal lobes, especially when both lobes are involved. How Responsible are Killers with Brain Damage?
Cases of criminal behavior after brain injury raise profound questions about the neuroscience of free will. Research Links Brain Damage & Violent Crime -- USC Studies Point To Underlying Causes Of Violent Crime In Young Offenders Date: September 13, 1. Brain Regions and the Behavioral Effect of Damage.
Behavioral dyscontrol is often caused by injury to specific brain regions. Moreover, the type of behavior is frequently a function of the brain region injured.