Counselling for Traumatic Brain Injury (TBI): Addressing Gaps in Care

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Issue Date
2025-06
Authors
Szeto, Linda
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Abstract
Although counselling for people with brain injuries is an emerging field, this group continues to receive limited support. An estimated 50 million people globally are affected by TBI, many of whom experience co-occurring psychological conditions such as persistent anxiety, depressive symptoms, trauma-induced psychological distress and a higher likelihood of suicidal ideation or behavior. These challenges can greatly reduce people's overall well-being. This capstone seeks to bridge the gap between current counselling strategies and emerging modalities, including eye movement and desensitization and mindfulness. A comprehensive review of current counselling strategies for the TBI population was conducted, and an analysis of emerging research demonstrated significant statistical outcomes. Findings from this capstone suggest that integrating less common modalities and adaptations for individuals' unique cognitive and emotional needs results in better outcomes. Implications for this capstone highlight the need to expand counselling practices to offer holistic and integrative care.
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Keywords
traumatic brain injury , integrative mental health care , eye movement desensitization and reprocessing , mindfulness , counselling , psychological comorbidities , EMDR
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