Abstract
Traumatic brain injury (TBI) can result in functional deficits that persist long after
acute injury. The authors present a case study of an individual who experienced some
of the most common debilitating problems that characterize the chronic phase of mild-to-moderate
TBI—difficulties with neurobehavioral functions that manifest via complaints of distractibility,
poor memory, disorganization, poor frustration tolerance, and feeling easily overwhelmed.
They present a rational strategy for management that addresses important domain-general
targets likely to have far-ranging benefits. This integrated, longitudinal, and multifaceted
approach first addresses approachable targets and provides an important foundation
to enhance the success of other, more specific interventions requiring specialty intervention.
The overall approach places an emphasis on accomplishing two major categories of clinical
objectives: optimizing current functioning and enhancing learning and adaptation to
support improvement of functioning in the long-term for individuals living with brain
injury.
Keywords
brain injury - chronic deficits - cognition - emotion - attention - memory - fatigue
- rehabilitation
