Understanding Traumatic Brain Injury

Understanding Traumatic Brain Injury (TBI): A Guide for Families to Support Loved Ones with mTBI

One of the most common yet often misunderstood injuries faced by those who have served is a mild Traumatic Brain Injury (mTBI). These injuries can have a profound impact on daily life and relationships, and because they are invisible wounds, they’re often overlooked or misunderstood by others.

This guide is designed to help families and loved ones better understand mTBI, recognize the signs, and provide meaningful support.

What Is a Mild Traumatic Brain Injury (mTBI)?

A mild TBI occurs when the brain experiences a jolt or blow, often from blasts, falls, vehicle accidents, or sports-related impacts. While the term “mild” refers to the severity at the time of injury, the long-term effects can be anything but mild.

Common symptoms may include:

  • Memory problems or forgetfulness
  • Difficulty concentrating
  • Mood swings or irritability
  • Headaches
  • Sleep disturbances
  • Sensitivity to light or noise
  • Fatigue
  • Feeling mentally “foggy”

These symptoms may appear right after the injury or emerge days or even weeks later, making it difficult to link them directly to the cause.

The Challenge of the Invisible Wound

Unlike a visible scar or broken bone, mTBI leaves no obvious physical signs. That’s why it’s often called an “invisible wound.” Loved ones may appear physically fine, but struggle silently with symptoms that affect their emotions, memory, and daily routines. This can lead to frustration and confusion—both for the person with the injury and those around them.

Understanding that these symptoms are real and not a sign of weakness or laziness is essential. mTBI affects how the brain functions—and healing takes time.

If You Suspect a TBI, Don’t Wait—Reach Out

If you or your loved one are noticing lingering symptoms after a head injury, don’t wait to seek medical advice. The earlier a TBI is diagnosed, the better the chances for effective treatment and symptom management.

Talk to your primary care provider or reach out to a VA medical center for a comprehensive evaluation. Some Veterans may have had multiple TBIs throughout their service without realizing the cumulative effects.

Tips for Living with a TBI

Whether you’re navigating TBI yourself or supporting someone who is, these strategies can help:

For Veterans:

  • Stick to a routine: Predictability can ease memory and concentration issues.
  • Write things down: Use planners, reminder apps, or sticky notes to keep track of important tasks.
  • Get quality sleep: Fatigue worsens symptoms—develop a calming bedtime routine.
  • Limit screen time and loud environments: These can trigger headaches or overwhelm.
  • Take breaks: Give your brain time to rest when overwhelmed.
  • Be patient with yourself: Healing isn’t linear—some days will be harder than others.

For Families and Loved Ones:

  • Learn about mTBI: The more you understand, the better you can support.
  • Be patient and empathetic: Mood changes or forgetfulness are symptoms, not personal attacks.
  • Encourage rest and recovery: Avoid overstimulating situations when possible.
  • Practice active listening: Validate what your loved one is experiencing without judgment.
  • Join a support group: Connecting with others in similar situations can provide comfort and advice.

You Are Not Alone

Living with or supporting someone with a TBI can be challenging—but you’re not alone. Countless Veterans and their families are navigating this journey every day. With compassion, education, and support, it’s possible to manage symptoms and lead a fulfilling life.

If you or your loved one is struggling, reach out for help. Talk to your doctor. Call the VA. Contact organizations like Operation Red Wings Foundation. There is strength in seeking support—and healing is possible.

Remember: Just because you can’t see the injury doesn’t mean it isn’t real. Together, we can break the silence surrounding TBI and support our Veterans on the path to recovery.

Learn more or support Veterans through healing retreats:  https://orwfoundation.org/

Honor Their Sacrifice

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