My son has tbi and constantly cusses and uses fowl language. This goes on all day and he wakes up at night hollowing and calling people that are not here. He has always been respectful to me until now and he cusses me out all the time now. He argues about everything you say and calls me a lie. He has to have help with most everything and cannot hardly carry on a normal conversation just talks like he is in the past. Is this normal, I have to listen to this all day and half the night I am at my wits end. Any suggestions?

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

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

My son asked if I could let you know that he has probably blacked out some times, and probably does not know what he is saying or what people are saying to him. My son asked me to tell you that he was like that, but that he did not understand what was going on then and that if you can get him to a cabin in the woods or just away from all people and any problems that overwork his brain so that his brain can heal. He asked me to let you know that you can not help him by being around him or any one else either. Just that his only hope would be quiet and privacy.

If he was able to be on his own that might help, he still has problems doing everything on his own. He has problems walking completely on his own,he has incontinence problems I have to help him getting changed and with bathing. He is having to live with me and mostly his brother comes by a couple times a day and that is about all the people. He has never liked being by his self before the accident. He calls people like they are here when they are not,I guess some are his friends, some I know and some I don't. Then he gets mad when they don't answer or if I say they are not here and cusses me out, calls me very vulgar names. He gets upset very easily about everything if I ask him what he said he gets upset, if I don't answer the way he thinks I should he gets mad. He even sometimes cusses the people on the TV. He does not remember where the bathroom is or where the kitchen is. He wakes up about 4 in the morning and will lay there talking and hollowing at me and other people. He just needs more help than I can give and I am trying available sources to get him help. Thanks for the advice.

Trecker,

Welcome to NeuroTalk. If sounds like you have a son who is struggling with PCS. You have found a good place for support. Please feel free to introduce yourself and tell us how we can help you. There are years and decades of experience with PCS here.

My best to you.

Louann,

Sounds like your son qualifies seriously for state services. Please use the leverage you have to get him the care he needs. The responsibilities you are trying to take on are far more than you can handle. It sounds like the same tasks my mother had with my dad, except he was not so abusive during his last few years.

We are here to support you.