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How to develop a new relationship path after a TBI

A pair of hands clasped together Air Force Capt. Spencer Crandall and his wife Kristen hold each other’s hands during a marriage retreat in Charlotte, North Carolina in 2012. (Photo by Human Performance Resources by CHAMP at USU.)

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Traumatic Brain Injury

When you or your partner suffer a traumatic brain injury (TBI), changes to your relationship are likely. Both of you might experience a range of emotions as you adapt to new expectations in your relationship, but you can weather the changes. TBIs can occur without warning, and the path to recovery isn’t always clear, which can add strain to your romantic relationship.

Shifting roles and changing emotions

The uninjured partner is likely to shift into a caregiving role after a TBI. This can be fulfilling and frustrating for both of you. It’s likely neither of you expected one would have to intensely depend on the other as sometimes happens after a TBI. However, it’s also an opportunity to show commitment and gratitude toward each other on a regular basis.

Still, these new roles can leave you both feeling isolated at times. That’s why it’s important to garner external support. Caregivers need a break to take care of themselves every so often. Encouragement from other family members and friends can help as you or your loved one recover from a TBI together. You both can’t make it through this process alone, or by only depending on each other. Reap the benefits of getting comfortable asking others for help because it could provide some well-needed relief.

You might feel a sense of loss or grief about your relationship as a couple, which can be similar to the grief felt after the death of a loved one. You also might grieve future plans that now have to be canceled or adjusted. And you might mourn for the couple you once were.

Your view of future goals and dreams probably needs to be modified or abandoned, and that’s hard. These feelings are normal, and talking about them with your partner, other trusted confidants, or a professional therapist can help.

The “new” us

After a TBI, work toward establishing a new understanding of what it means to be a couple in your current circumstances. Strive to answer, “Who are we now?” together. Build new rituals as a team, find novel ways to manage frustrations, and redistribute responsibilities at home.

A TBI survivor might not be able to handle detailed, more tedious jobs such as paying bills or balancing your family budget. Get creative about how you can reassign roles, so you’re both still involved and feel engaged in your partnership.

Learn more

Lastly, educate yourselves about what recovery after a TBI looks like. Understanding the typical changes in behavior, mood, and personality of someone who has experienced a TBI can help. Reach out to the Defense Centers of Excellence Outreach Center with your TBI questions. It’s still possible to build strong family and relationship ties after a TBI—it just might look different than you initially planned.

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Concussion Awareness V1

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According to the Defense Health Agency Traumatic Brain Injury Center of Excellence (TBICoE), 439,609 service members have been diagnosed with a first-time TBI since 2000. The most common form of TBI in the military is mild, and is also known as a concussion.

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Did You Know? Concussions - Mild TBI

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Concussions are the most common form or Traumatic Brain Injury in the Military. Be TBI ready!

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Returning to Duty After Concussion

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What's the best way to recover from a concussion? Returning to duty too soon after a concussion can lead to prolonged symptoms, decreased readiness, poor marksmanship, accidents and falls, and increased risk of more concussions. Progressively increasing activity in a step-wise manner can help you resolve your symptoms and return to duty safely. Ask your primary health care provider about TBICoE's Progressive Return to Activity to help you return to duty as quickly and safely as possible. Visit health.mil/TBICoE.

This TBICoE infographic gives an overview of the risks of returning to duty too soon after a concussion and explains how a progressive increase in activity can help get you back to duty safely. Returning to duty too soon after concussion can lead to prolonged symptoms, poor marksmanship, decreased readiness, accidents and falls, and increased risk of more concussions.

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Brain Injury Awareness Month "Be TBI Ready" Infographic

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March is Brain Injury Awareness Month. Be TBI Ready. A traumatic brain injury—or TBI—is a blow or jolt to the head that disrupts the normal function of the brain. The severity of the TBI is determined at the time of the injury and may be classified as: mild, moderate, severe, or penetrating.

During Brain Injury Awareness Month, TBICoE and the MHS will promote the theme “Be TBI Ready” — recognizing that health care providers and others in the military community need to be aware of the latest educational trainings, research, fact sheets, and other available resources to prevent, diagnose, and treat TBI.

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Sleep After Concussion

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Sleep After Concussion. Service members with TBI report 3 times more sleep problems. TBIs can happen anywhere, only 16.9 percent of TBIs happen while deployed. Visit health.mil/TBIFactSheets to learn more about sleep problems and how to improve them

"Sleep After Concussion" is intended for patients and caregivers of those who have sustained a TBI. The infographic reviews general information of sleep-related concerns and points towards additional educational resources.

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Sleep After mTBI

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Diagnoses of Traumatic Brain Injury Not Clearly Associated with Deployment, Active Component, U.S. Armed Forces, 2001 – 2016

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4/4/2017
Traumatic Brain Injury (TBI) is structural alteration of the brain or physiological disruption of brain function caused by an external force.  TBI, particularly mild TBI or concussion, is the most common traumatic injury in the U.S. military. This analysis provides the estimated rates of incident TBIs among service members before their first-ever deployment as well as separately among service members during deployments/ after deployments. It also mentions factors that may explain why the TBI incidence rates among the previously deployed were higher than those of the never-deployed group. Moreover, it describes the demographic and military traits of service members diagnosed as TBI cases (before/after deployment). Categorization of person time during surveillance period included four categories: Group 1 (Never deployed/TBI before first-ever deployment), Group 2 (Currently deployed or within 30 days of return), Group 3 (previously deployed but not currently deployed nor within 30 days of return) and Censored after Diagnosis of TBI. From 2001-2016, 276,858 active component service members received first-time diagnoses of TBI. The crude overall incidence rate of TBI among deployed service members was 1.5 times that of service members assigned to Group 1 and 1.2 times that of service members in Group 3 during the surveillance period.  Total TBI cases by group were Group 1 42.8%, Group 2 13.2% and Group 3 44.0%. Incidence rates by group (per 100,000 person-years) were Group 1 1,141.3, Group 2 1,690.5, and Group 3 1,451.2. Learn more at www.Health.mil/MSMR and see fact sheets at www.Health.mil/AFHSB

Traumatic Brain Injury (TBI) is structural alteration of the brain or physiological disruption of brain function caused by an external force. TBI, particularly mild TBI or concussion, is the most common traumatic injury in the U.S. military. This analysis provides the estimated rates of incident TBIs among service members before their first-ever deployment as well as separately among service members during deployments/ after deployments. It also mentions factors that may explain why the TBI incidence rates among the previously deployed were higher than those of the never-deployed group. Moreover, it describes the demographic and military traits of service members diagnosed as TBI cases (before/after deployment).

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