Different Behaviors to Expect from Brain Injury (TBI)

Depending on which parts of the brain are affected, people may experience changes in memory, attention, emotions, movement, or sensory processing. Some may struggle with overstimulation or fatigue, while others notice shifts in mood, communication, or problem-solving. Recovery and adjustment take time, and support that’s tailored to each person’s unique challenges and strengths can make a meaningful difference in healing and daily life.

Though there are symptoms that are common for injury in all areas of the brain, below are some of the lesser known symptoms associated with injury in different areas:

Left Hemisphere

  • Language deficits (speech, reading & writing) 

  • Logic deficits

  • Depression

  • Anxiety

  • Insight deficits

  • Slow, cautious behavior

  • Easily distractible 

  • Perseveration (involuntary repetition of a thought, word, or action despite the termination of a stimulus)

Right Hemisphere

  • Spatial-temporal deficits - can manifest as a lost sense of direction, confusion about time and date, or problems with judging distances and navigating familiar environments

  • Poor body scheme (internal map / awareness of body) - can lead to difficulties with motor skills, coordination, and balance, resulting in clumsiness, difficulty with tasks like dressing, and bumping into objects or people

  • Poor Judgement

  • Increased risky-behavior / safety risk

  • Difficulty with abstract reasoning

  • Impulsivity

Bilateral Brain Injury

  • Impaired vision

  • Emotional abnormalities 

  • Confusion

  • Short attention span

  • Difficulty with memory / memory loss

  • Poor executive functioning which can manifest as difficulty  planning, organizing, initiating, inhibiting, and monitoring ones own actions

Brain-Stem Injury

  • Difficulty swallowing and/or slurred speech

  • Unstable vitals

  • Blurred vision

  • Potential for changes in breathing or difficulty breathing

  • Abnormal heart rhythm

Frontal Brain Injury

  • Personality changes

  • Body scheme deficits

  • Poor problem solving

Parietal Brain Injury

  • Attention deficits

  • Numbness or tingling in the limbs

  • Neglect of one side of the body or space (hemineglect) - it can result in a person ignoring half of their plate, shaving or applying makeup to only one side of their face, or failing to see objects on their neglected side, etc. 

  • Weakness or paralysis on one side of the body

  • Headaches

  • Seizures

Temporal Brain 

  • Agnosia - the inability to recognize objects, people, or sounds through a particular sense (ex: can’t recognize a familiar voice or identify a familiar object like a toothbrush or spoon)

  • Prosopagnosia - “face blindness” or an inability to recognize faces

  • Difficulty learning and retaining new information

  • Impaired long-term and factual memory

  • Emotional changes 

  • Difficulty finding the right words to express oneself

  • Difficulty understanding spoken words

Occipital Brain Injury

  • Vision impairment - vision loss, blind spots, color blindness, distorted vision, issues with depth perception, seeing motion occur and seeing more than one object at a time

Cerebellum Brain Injury

  • Dysmetria - overshooting or undershooting an intended target

  • Delayed reaction time

  • Poor balance

  • Tremor

  • Difficulty with fine motor tasks (ex: buttoning buttons, threading a needle)

  • Difficulty tracking objects with eyes

Though many of the symptoms listed above are common with TBI, this list is not exhaustive and each person experiences changes in the body at a different pace. Some symptoms may take months, or even years, to develop and they can worsen over time. Psychotherapy provides a calm and supportive space to process the emotional impact of the injury and the life changes that follow. A trauma-informed approach helps patients feel safe, seen, and in control as they navigate symptoms like anxiety, overwhelm, or grief. If you are interested in scheduling a free 15-minute consultation call, click here.

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