A: Brain injury cases are complicated for several reasons. First, the person who is suffering from a brain injury often has little insight to the full impact the injury is having on his or her life. This is because the organ that is injured, the brain, is the very organ we rely upon to assess ourselves and how we are doing generally.
Additionally, the brain injured person may actually believe that they are doing quite well and even believe that they are having no problems with things such as memory and concentration when at the same time others are reporting dramatic problems. This is fairly common.
One of the more common injuries to the brain occurs in the region of the frontal lobes. This area of the brain is particularly vulnerable to injury because of the "terrain" features of the skull surrounding the area. Injury to this area of the brain can result in marked personality changes. Inability to control temper and emotion, inability to plan and inability to motivate oneself to action are common.
All of these problems can exist even in the face of CT scans and MRIs that find no structural damage within the brain. Assessing and verifying these problems can be done but it is painstaking and requires considerable effort. It is easy for the brain injured client to become frustrated and impatient. This is often part of the condition.

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