A TBI is a traumatic brain injury. But truth be told, any brain injury large or small can be traumatic.
The degree of the trauma is based on the location in the brain where the injury took place and the degree of damage. Persons with mild damage can have no loss of consciousness and when a MRI (Magnetic Resonance Image) or CAT (computerized axial tomography) scan is taken the damage may not be readily obvious, although the person insists that there are changes. Some of those changes can be severe.
Vocationally and psychologically persons with TBI report feeling disorganized, unable to think clearly or to problem solve as they did before the TBI. Sometimes the TBI injury causes a person to think slower or to have self doubts about their confidence in their decisions. If they have a true TBI their ability to perform those tasks they did on the job or those relationships they had before the TBI can be adversely effected.
Forensically its important to evaluate if the person is attempting to malinger, to deceive others or if their complaints are legitimate. Neurological findings from objective measures like the MRI, CAT or PETSCAN may fall short because the changes occur on a very minor level. Sometimes when the tests show minor changes and the person reports dramatic differences there is suspicion they are not telling the truth. Persons with a reported TBI are a challenge to assess but not impossible to evaluate given enough time and resources.
What are Common Symptoms of Traumatic Brain Injury?
A traumatic brain injury can result in:
- personality changes, including a decreased ability to control emotions
- Changes to the senses, including visual, auditory, taste, smell, and physical sensation
- Vestibular difficulties, including walking, standing, and running.
- Memory Issues
- Other Symptoms
These changes can be temporary or permanent.
Vocationally and psychologically, persons with TBI often report feeling disorganized being unable to think clearly, or having difficulty with problem solving compared to pre- TBI. Sometimes the TBI injury causes a person to think slower or to have self-doubts about their confidence in their decisions. If a person has a true TBI their ability to perform those tasks they did on the job or those relationships they had before the TBI can be adversely effected.
Determining the Degree of Impairment in TBI Cases
Forensically, in a TBI case it’s important to determine if a person is being truthful about their complaints. Neurological findings from objective measures like the MRI, CAT or PETSCAN may fall short because changes from a TBI may occur on a very minor level, which may or may not have a significant impact.
Clinical and Comprehensive Assessments in TBI Cases
Severe TBI injuries can result in devastating physical and emotional injuries, and often impact the person’s vocational potential. As a result, in litigation involving a TBI, it’s important to understand the degree of injury and the likely future impact.
As a forensic psychologist for more than 30 years, Dr. Manges offers attorneys and professionals a clinical and diagnostic background upon which to offer a comprehensive opinion regarding those who may have suffered from a TBI. While TBI injuries are sometimes difficult to evaluate, in most cases, a reasonably correct diagnosis can be made based upon a variety of factors, including medical examinations, self-reporting assessments, and lifestyle information.
THE FIVE BEST BRAIN INJURY BLOGS FOR NOVEMBER
An incredible and insightful blog that gives real life experiences, information and resources. A must for your blog reading.
Kara Swanson’s Brain Injury Blog
Kara tells it like it is. She asks questions and gives the reader a time to reflect and ask more of themselves. Way to go Kara.
Shireen is an author and her blog shows it. A well organized blog it is user friendly and offers interventions, books she has written and excellent advise for persons with a brain injury.
Powerful and revealing. Mark is a head injury survivor. He identifies himself as having come 180 degrees, relearning how to walk, talk, and hold his head upright. After his injury he finished high school with a 3.3 GPA. His blog is filled with detailed definitions and important issues about prognosis. Great job Mark.
Zachary tells it like it is. He is both casual and informed in his writing style. He gives hope but is not simplistic. He gives direction and allows the reader to use him as an example of what others can do for themselves. Thanks Zachary.