|Physical||Communication||Cognitive||Behavioural / Emotional|
The parts of the brain that normally inhibit angry feelings and behaviour may be damaged as a result of a traumatic brain injury. This means that the person has a lower threshold and becomes angry more easily and more intensely. Outbursts of anger can come and go quite quickly and can be made worse by stress, fatigue etc. This can be difficult for family and friends to deal with.
If possible avoid known potential triggers for aggressive outbursts. If there is an aggressive outburst remain calm and do not argue with the person. Try to redirect attention elsewhere or remove the person from the situation if possible. If necessary remove yourself from the situation to allow the person to calm down. An aggressive outburst can flare up suddenly and just as quickly resolve itself. Often the person with the brain injury will understand that their behaviour was not appropriate once they have had time to calm down.
Alcohol and drug misuse with consequent intoxication may exacerbate agitation and aggression.
Aggression usually occurs early in the course of recovery and may resolve spontaneously. Use of medications to try to control aggression can have negative impacts on brain rehabilitation and need to be carefully considered and monitored if used.
"Often families don't have the financial capability to access services. We need to rethink how we deliver neuro-rehab services to children and young people"
"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
"Brain development is complex and prolonged. Brain plasticity is influenced by a range of factors. Plasticity provides a base for neuro-rehab therapies and treatment"
"Poor parenting styles affects children's behavior; increases their learning disability; and has a negative impact on emotions; anxiety; anger management post brain injury"
"Intensive and individualized approaches work. A one-size-fits-all approach doesn't. You have to make it relevant to the child."
"Thousands of children and young people living in the UK today without the help and support that can make a huge difference to their lives"
"Positive and coordinated neuro-rehab interventions for children and young people is proven to bring health improvements; improve independence; reduces the need for sheltered living; decreases vulnerability; decreases drop-out rates in schools; decreases youth offending"
"Parent-supported interventions after pediatric ABI bring reductions to the cost to society"
"More play increases brain plasticity and makes for better recovery post brain injury"
"We are medical practitioners. The real experts are the parents. Over the last 35 years they have taught me everything I know"