Ho Louann and welcome.

Disinhibition (including the foul language usage you describe) is not uncommon with TBI/PCS survivors. Before answering further it would be helpful to know when and the severity of his injury, and what treatment he is or has received. Sounds like a consult with a neurologist or clinical neuropsychologist familiar with TBI is in order if he has not yet seen one.

How old is your son?
What is his TBI from?

I agree with lightrail. It would be helpful to know his injury and treatment history. There are also some Turrets like symptoms from a TBI.

Some anti-seizure meds may help him. He needs a thorough neurological follow up. His night struggles are an additional indicator of a problem.

How old is he?
What state do you live in?
Some states have services available.

My best to you.

He is 50 years old we live in South Carolina. He only had a little physical therapy, occupational and speech. Speach started because he had a problem swallowing. He was in an auto accident on May 27, 2012 and was thrown out. He spent two and a half months in hospital. I am 71 years old and his only care giver. He did not have insurance and could not get him in a rehab place. I have gotten him on medicaid now but everywhere I turn for help has such a long waiting list. I would love to get him in a place that can help him more than what I can. He is on anti-seizure meds. All they told me was he has multiply contusions on the brain.

Sounds like a pretty tough accident. Do you know what his GCS was upon admittance to the hospital?

All brain injuries are different and they all heal on their own schedule. That said, he is five months in and still having relatively significant issues with the disinhibition and hallucinations. It sounds like he needs more intensive therapy than he is getting, sorry to hear about the wait list. You may know this already but speech therapy is not only about resolving speech or swallowing issues, it helps resolve other cognitive problems also.

Here is a link to the Brain Injury Association of South Carolina, there may be some resources listed there that will be helpful. Best to you both.

http://www.biausa.org/SC/index.htm

Thanks for the link I am working with Long Term Care Service and Hasci, but like I said everyone has a waiting list. LTCS did say they may be able to give me some respite relief. Even a couple hours would help. Friends cannot help because he gets angry and cusses everyone out. Nothing you try to do for him suits him he gets mad when he says something and you don't understand and ask him what, a lot of times when you do answer him he calls you a F-ing lie. He just needs more help than I can give. He talks constantly none stop , you can not do or concentrate on anything. If I go to the kitchen he hollows my name over and over. Hopefully They can get him some help before long. Thanks for letting me vent.

louann,

Here is another link for you to check out.

http://ddsn.sc.gov/consumers/divisions/Pages/HASCI.aspx

Was your son argumentative before his injury? Sometimes, a behavior that pre-existed a brain injury becomes magnified by the injury.

The Dept of Mental Health may have some ideas. It sounds like he needs a lock-down mental health facility. At his and your age, he should not be your burden except you being a visitor and maybe legal guardian. By mental health standards, he is gravely disabled and unable to provide for his won care. That justifies a mental health commitment.

http://www.state.sc.us/dmh/cmhc.htm

Here is another link for Adult Protective Services. It may be more appropriate than Dept of Mental Health

https://dss.sc.gov/content/customers...aps/index.aspx

I know how hard it is to consider having him committed to an institution but you are too old to carry this burden. It will wear down on your health and then he will have nobody. If he can be placed in a care facility, at least you can have an influence on his care and visit him. I have watched my mother and my mother-in-law care for husbands with damaged minds (dementia). It is an exhausting job. It can take a decade or more off your life expectancy.

Has anybody started a Social Security Disability Income application for him? He would likely qualify for expedited approval. There are attorneys who specialize in getting SSDI applications approved. They are in the yellow pages under Attorneys/Social Security or Disability.

My best to you.

He was thrown out of a truck in an accident they said cogitative skill were affected and there are multiply contusion on the brain. Of course there were a lot of other physical injuries, most have healed but his broken shoulder still hurts him a lot. The wreck was on May27, 2012