Depression And Cognitive Difficulties Often Follow Car Accidents Where The Individual Has Suffered A Mild Traumatic Brain Injury
According to a recent study published by the American Journal of Psychiatry, traumatic brain injury (TBI) is a common occurrence with multiple possible psychiatric sequelae including problems with cognition, emotion and depression. I am currently representing a client who was in a car accident and she is extremely fearful of being in a car and experiences flashbacks several times a day concerning the accident, experiences daily panic attacks, nightmares, blurred vision, and finds herself in a depressed state mixed with episodes of severe anxiety and agitation. She describes herself as being irritable and short tempered yet displayed none of the symptomology prior to her accident. This kind woman was referred for neurological and neuropsychological assessment to assess the etiology of her cognitive impairment of concentration and memory, as well as additional visual disturbances. An MRI was performed on her brain which revealed abnormalities in the subcortical white matter, one on the right frontal lobe and the other in the left temporal lobe. Additionally, the client reported problems with word retrieval, organizing her thoughts into words and the loss of train of thought since the accident, as well as difficulty recognizing people’s faces and difficulty recalling information. Objective testing indicated that not only had our client sustained orthopedic and internal injuries but also a closed head injury resulting in cognitive and emotional sequelae stemming from the car accident.