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Managing Emotions Following Brain Injury

After a brain injury, you may feel like your emotions are all over the place! One moment, you might feel perfectly fine, and the next, you could be hit with a wave of sadness, anxiety, or even anger. If you or someone you care about has sustained a brain injury, you probably know how unpredictable and intense emotions can become.


These sudden shifts can be confusing and overwhelming. But it's important to know that it’s a common response to the changes happening in your brain. Understanding your emotions can make it easier to cope.


Often survivors can feel all, or some, of these emotions at varying times: 


• Depression / sadness

• Anxiety / stress

• Frustration / irritability

• Anger

• Feelings of loss

• Apathy

• Struggle with empathy


You might also find that your reactions don’t always match the situation, or circumstances you’re in. For example, you could laugh at something sad or lose your filter and say things that would be considered inappropriate. Knowing that these reactions are part of your brain injury can help you and those around you handle them.



The Ripple Effect


The emotional challenges don’t just affect the person with the brain injury; they ripple out to family and friends too. Loved ones might feel confused or helpless when they see sudden changes in your mood. 


Emotions like anger or sadness, which are common after a brain injury, can be difficult for loved ones to handle. The intensity of these emotions might seem disproportionate to the situation, causing confusion or hurt feelings among those closest to the survivor. This can strain relationships, making everyone feel a bit lost. 


If you’re a caregiver or family member, remember that these emotional shifts aren’t intentional. They are a symptom of the injury. A bit of patience and empathy go a long way in making sure the survivor feels supported. 



The Impact on Daily Life


These emotional ups and downs can disrupt daily plans and activities. Whether it’s due to sudden fatigue, mood swings, or feeling overwhelmed, brain injury survivors may find it difficult to follow through on commitments. Not only can this be frustrating for them, but it’s also hard for friends and family, who may struggle to understand why plans change so suddenly.


“There are still times now where I feel like I let people down around me. So, for instance, if I have to back out of doing something, because I've got horrendous fatigue, then I feel like I've let them down because I feel like they miss out. Thankfully, these days, that happens a lot less, but I still feel it gets in the way sometimes.” ~ Mark



Practical Tips for Caregivers


Supporting someone with a brain injury requires patience and understanding. When plans change unexpectedly, it's natural to feel disappointed or frustrated. Try to remember, it’s not personal. Think about what you want to do instead and do something that brings you joy, whether it's reading a book, taking a walk, or enjoying a hobby. Use the time wisely to look after yourself. 


“What I do is I use the time to treat myself. It can be something silly, you know I might just go to the shop and buy myself some new nail varnish or I'll just sit down with the book and have a quiet half an hour with a cup of tea and a biscuit or something.” – Jules


Spending a bit of time focusing on your wellbeing not only helps you re-charge, but also enables you to provide better support. After all, you can’t pour from an empty cup!


Another tip is to be mindful about the way you react. Try to avoid confrontation and negative feedback as this could make people withdraw or trigger negative thoughts to spiral. Instead, focus on the positives, and encourage open communication so that everyone feels safe to express their feelings without fear of judgment.



Moving Forward Together


Open communication is essential on both sides. By sharing your feelings, you help the people around you understand what you're going through. If you're feeling down or sad, letting someone close to you know can make a big difference. It allows your caregiver to support you better and find ways to lift your spirits.


On the flip side, if you're a caregiver, a gentle check-in can open the door to more productive and meaningful conversations. A simple, “I noticed you're feeling a bit down today, are you okay?” could be the opportunity they need to express their feelings, leading to better mutual understanding and support.



Finding Support


Connecting with others who understand what you’re going through can make a huge difference to how you feel. Support groups, both online and offline, are great places to share experiences, get advice, and receive emotional support.


Also, seeking professional help is a crucial step. Therapists and counsellors can provide strategies and tools to help you manage emotional challenges effectively.


Remember to surround yourself with understanding and compassionate people, seek professional help when needed, and make sure to take care of your own emotional health. By doing so, you can manage the emotional challenges of brain injury and continue to navigate the ups and downs in a way that works for you.

We hope you enjoyed these Brain Bites!

If you'd like to read more content like this, take a look at our previous blog posts.


We understand that everyone processes information differently so, if you'd rather listen to the information, you can listen to our podcast - Shining After Brain Injury.