Adjustment Disorder and Traumatic Brain Injury
A traumatic brain injury (TBI) is an injury to your brain that can change the way you think, act, and feel. Falls, fights, sports, and car accidents are common causes of a TBI.
Having a TBI and getting better after a TBI are life-changing and stressful events. Some people develop a group of symptoms called adjustment disorder after a trauma like a TBI.
Diagnosing adjustment disorder along with a TBI is important. Adjustment disorder may make it harder for you to get involved in your TBI recovery program. It may also put you at a higher risk for drug and alcohol problems. If it is not treated, adjustment disorder may even lead to thoughts of suicide.
Symptoms of adjustment disorder
Adjustment disorder symptoms usually start within three months of a traumatic event. The traumatic event could have caused your TBI. It could also be a divorce, death of a loved one, worries about money, or other major changes taking place in your life. Symptoms of adjustment disorder can be bad enough to affect your everyday life at home or at work. They may include:
Being very tense and nervous
Making poor decisions
What to do for adjustment disorder
Many symptoms of adjustment disorder are similar to TBI symptoms. It is important to let your healthcare provider know about all your symptoms. They are aware of the dangers of adjustment disorder. They can connect you with a mental health professional who can help you.
Treatment for adjustment disorder is very effective. It may include a type of counseling called cognitive behavioral therapy (CBT). CBT is a form of talk therapy. It teaches you to replace negative thinking and behaviors with healthier thoughts and behaviors. You may benefit from individual sessions or group therapy.
Family therapy sessions and self-help support groups may also help. Joining a support group is a good way to share your feelings. You can also get support from others with similar problems. Medicines may be used for symptoms like trouble sleeping or anxiety, but talk therapy is the main treatment.
Adjusting to recovery
Having a TBI changes your life in many ways. Stick with your treatment and rehabilitation. Here are some steps you can take to make your adjustment easier:
Take good care of yourself. Get regular exercise and eat a healthy diet. Get regular hours of sleep.
Have an active social life. Let your friends and family become part of your recovery. Take advantage of their help and emotional support.
Find ways to reduce your stress. Ideas include deep breathing, recreation, massage, meditation, music, and spending quality time with loved ones.
Be patient with your recovery. Everybody’s brain recovers at its own pace. Give yourself more time to do the things you need to do.
Don’t treat your symptoms with alcohol or drugs. These substances make symptoms worse. And they will slow down the healing process.
Adjusting to life after TBI is hard, but it does get better. Remember that you are not alone. Work with your healthcare team and get support from friends and family. Be sure to let your healthcare provider know about any symptoms of adjustment disorder. Treatment is available and it works.
March 21, 2017
Adjustment disorders: the state of the art. Casey P. World Psychiatry. 2001;10(1):11-18.
Dozier, Tennille, RN, BSN, RDMS,Shelat, Amit, MD