Pyschosis

Physical Communication Cognitive Behavioural / Emotional

Psychosis is a relatively rare result of a traumatic or acquired brain injury. The psychosis may present as delusions, paranoia, delusions of persecution, auditory hallucinations or visual hallucinations.

Hallucinations are a misperception of stimuli that may or may not exist and manifest as seeing objects or lights and possibly hearing voices or other sounds. Delusions are a misperception of the state or circumstances surrounding an individual. Delusions differ from hallucinations in that delusions are not related to the senses.

The most telling symptom of psychosis is called “lack of insight.” People suffering from the symptoms of psychosis are not aware that they are behaving in an unusual manner. No matter how outrageous the hallucinations or delusions may be, the person does not see them as unrealistic in any way. Not everyone with psychosis has the lack of insight. Also, the level and length of the lack of insight can vary in each individual.

Psychosis may present some time after the head injury. It may be debatable as to whether the head injury resulted in the psychosis, or whether there was a predisposition to psychosis prior to and independent of any injury.

Psychosis is an illness which also occurs in people who do not have a brain injury and can be treated by anti-psychotic medication. There is a range of variability in the course of the disorder and its treatment. The symptoms may be resolved relatively quickly or be more chronic. Chronic conditions following brain injury may possibly be associated with a schizoid personality before the brain injury occurred.

If symptoms do not resolve, anti-psychotic medication may be used. Anticonvulsant, antidepressant or other drugs may also be needed in some cases. The type of anti-psychotic or other medication selected will need to take into account possible side effects for the brain injured person. For example, medication with a sedating effect may interfere with and slow cognitive rehabilitation.


"Rehabilitation interventions can lead to positive outcomes for children and their families if delivered in the familiar home environment and applied to everyday situations"
Cerebra; United Kingdom
"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"
Recolo; United Kingdom
"More play increases brain plasticity and makes for better recovery post brain injury"
Professor Bryan Kolb; Canada
"We would like to see earlier identification and support for children with brain injuries to help them succeed in school."
Dalton Leong; Chief Executive of the Children's Trust
I was very impressed with the results you have had with the young people you have worked with.
"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"
The Children's Trust; United Kingdom
"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"
Eric Hermans; Netherlands
"With support parents cope better so the child has a better recovery"
Andrea Palacio-Navarro; Spain
"There are problems with getting people into neuro-rehab. Those most in need are often those most excluded due to a lack of socio-economic resources."
Vicki Anderson; Australia
"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"
Andrew Ross; former Chief Executive of the Children's Trust

OUR MISSION: To work to remove inequalities for children & young people affected by acquired brain injury; and provide effective support to their families that makes a real difference.

Council for Disabled Children Community Funded Charity Excellence Lottery Funded Youth Foundation BBC CiN