Healing After Traumatic Brain Injury (TBI): How Therapy Supports Mental Health Recovery

A traumatic brain injury (TBI) changes more than just the brain—it changes how you feel, think, relate, and function. While physical recovery is often prioritized, emotional healing is just as vital. As a licensed psychologist and former leader of a brain health program at Massachusetts General Hospital (MGH), I’ve supported hundreds of adults in navigating the psychological and neurological effects of TBI.

Today, I offer telehealth therapy across Massachusetts, Rhode Island, and Vermont, specializing in evidence-based treatment for adults recovering from traumatic brain injury and trauma.

Mental Health Challenges After Traumatic Brain Injury (TBI)

Living with the aftermath of a traumatic brain injury often involves:

• Anxiety, including panic, worry, or fear of reinjury

• Depression, low mood, and emotional disconnection

• Irritability or difficulty managing anger

• PTSD symptoms, such as flashbacks, nightmares, or hypervigilance

• Cognitive challenges, including fatigue, slowed thinking, or memory difficulties

• Changes in identity and confidence, especially when career or independence is affected

• Sleep difficulties

These are not just emotional responses—they’re often neurologically driven and deeply connected to the nature of the injury and trauma.

Evidence-Based Therapies for TBI and Emotional Recovery

Informed by my clinical work at MGH and private practice, I use a tailored blend of evidence-based therapies to support recovery:

Cognitive Behavioral Therapy (CBT)

CBT is a practical, goal-oriented therapy that helps clients challenge distorted thinking and build skills to manage mood, behavior, and cognition. After a TBI, clients often wrestle with thoughts like “I’m damaged” or “I’ll never get better.” CBT helps reframe those beliefs, build coping tools, and improve daily functioning.

Acceptance and Commitment Therapy (ACT)

ACT emphasizes psychological flexibility—learning how to move forward in alignment with your values, even while experiencing difficult thoughts or feelings. ACT is especially helpful when recovery feels uncertain, or when grief over lost abilities is present.

Cognitive Processing Therapy (CPT)

CPT is a structured therapy for post-traumatic stress, particularly when the brain injury resulted from a traumatic event like a car crash or assault. It focuses on identifying and shifting “stuck points”—beliefs like “It was my fault” or “I can’t trust anyone”—that reinforce shame, fear, or guilt.

Prolonged Exposure Therapy (PE)

PE is a powerful approach for clients struggling with avoidance—whether it’s avoiding driving, being in crowds, or thinking about the trauma. Through gradual and supportive exposure, clients reduce fear and regain control over their lives, one step at a time.

Cognitive Rehabilitation Informed Care

Sessions are paced to avoid overwhelm and tailored to your unique cognitive profile, using tools like visual aids, structured planning, and sensory regulation techniques as needed.

You Deserve Therapy That Understands Traumatic Brain Injury (TBI) from the Inside Out

Recovering from a TBI isn’t just about “bouncing back.” It’s about rebuilding, reclaiming, and redefining. Whether your injury happened months or years ago, emotional recovery is possible—with the right kind of support.

I bring together medical insight, trauma expertise, and compassionate care—offering secure online therapy to adults across Massachusetts, Rhode Island, and Vermont.

You're not alone. Healing your brain also means healing your mind—and therapy can help. Reach out today to schedule a free 15-min consultation.