Head injuries can cause subtle or pronounced changes in personality. In more severe cases, the injured person may have angry outbursts or make impulsive decisions. The person may be frustrated when reminded of their losses, for instance, the inability to drive. As one woman described after her husband’s brain injury, “It was as if two versions of Alan resided within him. One was rational and easy-going, but the other was frightening and even dangerous at times.”
These changes can lead to distrust due to unpredictability, emotional pain for the caregiver, unresolved conflicts, and considerations of physical safety. Anger management strategies can help address these challenges and repair relationships after a TBI.