|Physical||Communication||Cognitive||Behavioural / Emotional|
A traumatic brain injury is a life changing and stressful event which may result in adjustment problems also knowns as adjustment disorder. An adjustment disorder may interfere with rehabilitation following a brain injury. Symptoms may include depression, anxiety, trouble sleeping or concentrating, poor decision making etc.
There are effective treatments for adjustment disorder including counselling and cognitive behavioural therapy which is a form of talk therapy. It enables you to replace negative thinking and behaviour with healthier thoughts and behaviour. Joining a support group may also assist. Medication may be used for symptoms like trouble sleeping or anxiety, but talk therapy is the main treatment.
A person with an adjustment disorder should also try to:
"Children and young people have poor social competence post brain injury due to reduced cognition, executive functions, and emotional control. As a result they are twice as likely to have mental health issues in the future"
"When different organisations assess different aspects of a child's neuro-rehabilitation needs, everyone looks at things from a different perspective and highlight needs and conflicting priorities"
"Pediatric neuro-rehabilitation cannot be delivered in isolation. The needs of the child have to be looked at both holistically and within the context of the family unit. Parents need to be empowered to be parents in post-acute pediatric neuro-rehabilitation following brain injury"
"Too often children and young people with ABI are discharged from hospital without specialist brain support that they and their families need to overcome lifelong challenges"
"Different 'experts' involved in pediatric neuro-rehabilitation come from different organisational cultures which causes conflict and has a negative effect on the outcomes for the child."
"NHS clinicians struggle with what intervention to prioritise in paediatric neuro-rehabilitation due to limited clinical time and the complexity of needs. Children, clinicians, parents and schools all have different neuro-rehabilitation priorities"
"We need to harness the power of brain plasticity for treating children and young people with brain injury. Stressful experiences alter brain development of a child, especially at the key ages of 0-3 and at ages 10-16"
"Participation in teen sports and normal activities leads to improved quality of life for children and young people post brain injury and helps to maximise outcomes"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."