Psychotherapy For Families After Brain Injury

This book presents hands-on tools for addressing the multiple ways that brain injury can affect psychological functioning and well-being. The author is a leader in the field who translates her extensive clinical experience into clear-cut yet flexible guidelines that therapists can adapt for different challenges and settings. With a focus on facilitating awareness, coping, competence, adjustment, and community reintegration, the book features helpful case examples and reproducible handouts and forms. It shows how to weave together individual psychotherapy, cognitive retraining, group and family work, psychoeducation, and life skills training, and how to build and maintain a collaborative therapeutic relationship.

Whether caused by illness, accident, or incident, brain injury requires multi-tiered resources for the patient and considerable external care and support. When recovery is sidelined by depression, anger, grief, or turmoil, family members and the support network have critical roles to play and need their own guidance and compassionate therapeutic interventions. Psychotherapy for Families after Brain Injury offers theoretical frameworks and eclectic techniques for working effectively with adult patients and their families at the initial, active and post-treatment phases of rehabilitation. This practical reference clarifies roles and relationships of the support network in interfacing with the loved one and addresses the understandably devastating and sometimes derailing emotions and psychosocial adversities. The content promotes psychoeducation and guided exercises, delineates “helpful hints” and coping tools and proffers multimedia resources to overcome hurdles. Constructs of awareness, acceptance and realism for all parties are woven throughout, along with ideas to enhance the support network’s commitment, adjustment, positivity, hope and longevity. Case excerpts, instructive quotes from caregivers and nuggets of clinical advice assist in analyzing these and other topics in salient detail: The impact of brain injury on different family members. Treatment themes in early family sessions. Family therapy for moderate to severe brain injury, concussion and postconcussion syndrome. Family therapy after organic brain injury: stroke, anoxia, tumor, seizure disorders. Family group treatment during active rehabilitation. End-of-life and existential considerations and positive aspects of care giving. Aftercare group therapy for long-term needs. The hands-on approach demonstrated in Psychotherapy for Families after Brain Injury will enhance the demanding work of a range of professionals, including neuropsychologists, clinical psychologists, rehabilitation psychologists, family therapists, marriage and family counselors, psychiatrists, behavioral/mental health counselors, clinical social workers, rehabilitation specialists such as speech-language pathologists, physical and occupational therapists, and graduate students in the helping professions.

Conceived and written by two of the countrys leading authorities on the relationship of head injury and family matters, this book opens the frequently locked doors to accessible information. The format is a combination of original material, personal statements by survivors and their families, and structured experiences. The revision will retain its central theme of family-oriented treatment with a rehabilitative perspective.

This book is one of very few books on the topic of family adaptation and relationships after brain injury. It is an important topic because of the unique impact that such a trauma can have on families. Whether professionals are working in the community doing home visits, or working in rehabilitation and care settings where family members visit, the issues are important not just to help family members cope in adverse conditions but also to improve outcomes for the people with brain-injuries. This book will be of value to all health and social care practitioners working in the field of brain injury and chronic illness (e.g. physicians, clinical psychologists, neuro-psychologists, social workers, speech therapists, occupational therapists, physiotherapists, dieticians, nurses).

It deals not only with traditional aspects of therapy with these challenging patients, but also with special problems that may arise, including aggression and impulsivity, alcohol and drug abuse, chronic pain, sex and relationships, and vocational and forensic issues.

Combining scientific expertise with psychotherapeutic acumen, this book is highly accessible and packed with clinical tools. Part I provides essential information on how acquired brain injury affects emotional functioning. Part II describes practical, specially tailored ways to treat anxiety, depression, and anger related to brain damage, and to help patients regain a sense of meaning and value in their lives. The book shows how standard psychotherapeutic interventions can be adapted for the brain-injured population, as well as which approaches may be contraindicated. It presents a biopsychosocial framework for assessment and treatment that integrates emotional support, cognitive-behavioral techniques, and acceptance- and mindfulness-based strategies.

The permanent effects of traumatic brain injury (TBI) are not limited to the person who suffers the injury. People who care for the individual, particularly family members, suffer in various ways. Family members are often confused as to the behavioral and neuropsychological changes that they see in a brain-injured rela tive. They can become frustrated and angry when the individual does not return to premorbid levels of functioning. They can become tired and worn down from repeated problems in trying to manage the individual's difficulties while having only fragmented information regarding them. Drs. Smith and Godfrey have provided a useful service for family members by summarizing important neuropsychological changes associated with TBI and providing practical guidelines for coping with these problems. While the neuropsychological problems they describe are not completely understood, the authors provide a useful description of many of the neuro behavioral problems seen following TBI in young adults. They attempt to provide guidelines for family members that have practical utility in understanding and managing these patients. Theirs is a cognitive-behavioral approach that can have utility for this group of individuals. I applaud their efforts to provide something systematic and practical for family members.

Children, young people and families living with an acquired brain injury (ABI), whether through accident, illness, injury or abuse, are rarely offered psychological therapy, and yet the benefits of such interventions can be profound. This important new book, providing a selection of practice examples and insights from frontline practitioners, will be essential reading for any paediatric therapist or clinician. Beginning with a "life story" of the brain where emphasis is placed on how brain development is fundamentally related to its environment, the book offers key background knowledge before showcasing the core topics of assessment, psychological formulation and intervention. It features a range of therapeutic models, includes direct and indirect work, group work and family therapy, with settings varying from inpatient neurorehabilitation to community work and the transition to education. The long-term needs of those in the criminal justice system are also addressed. The closing chapters focus on the debate around effective outcome measurement and outline a vision for better services. Elevating the voices of our children, young people and families living with ABI, this pioneering book will provide practitioners with the confidence to work collaboratively across a range of children and young people with disorders of consciousness or communication to those with behaviour that challenges others to manage. It offers new ways to understand both children’s pasts and their futures, and will be essential reading for anyone in the field.