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Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). |
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#1 | ||
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Hi all, or whomever has read my posts and been kind enough to respond. My husband has very low working memory and recall memory. He also possibly has ADD..maybe even Aspergers. But, here's the tricky part, the therapists say he has "really good adaptive skills." My question: would this cause him to repeatedly make "life" plans and then down the road change his mind? For example, say he wants children, work on adoption for a couple years and then without any regret or remorse or emotion change his mind? This is exactly what he has done---repeatedly. I don't trust his choices or decisions any more. Probably a wise decision don't you think?
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#2 | |||
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I’m guessing what the therapist means by “adaptive skills” is how he manages to work around his cognitive and memory deficits to get by in the workplace, and other things he does to cope with day to day life. So while he may have developed these adaptive skills over a long period of time they still deal with the day to day.
Executive function on the other hand is largely involved with long term goal setting and planning on how to achieve these goals. Executive functions are also involved with inhibiting inappropriate behavior, which seems to me includes the lack of remorse or recognition of an emotional response (his or yours) to the change of plans around having children. Poor executive function is associated with ADD as well as a number of other psychiatric disorders. So yes, it sounds to me that his choices and decisions are likely driven by these short term adaptive responses, and you are prudent not to trust them, at least not for "life" plans.
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What Happened: On November 29, 2010, I was walking across the street and was hit by a light rail commuter train. Result was a severe traumatic brain injury and multiple fractures (skull, pelvis, ribs). Total hospital stay was two months, one in ICU followed by an additional month in neuro-rehab. Upon hospital discharge, neurological testing revealed deficits in short term memory, executive functioning, and spatial recognition. Today: Neuropsychological examination five months post-accident indicated a return to normal cognitive functioning, and I returned to work approximately 6 months after the accident. I am grateful to be alive and am looking forward to enjoying the rest of my life. Last edited by Lightrail11; 08-09-2013 at 01:52 PM. |
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"Thanks for this!" says: | MiaVita2012 (08-15-2013) |
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#3 | ||
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Well put Lightrail.
Takinxanax, I thought you had plans in hand to move forward for yourself? Please continue that course.... for your sake. He has decided his course. You need to move on, for whats best for you. I know its a hard decision to let go, but it is sometimes the only decision. Best wishes .......... ![]()
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. Current: Changes of more insomnia, new reviews with findings of more Depression, tremors, vertigo, tinnitus, loss of focus, fatigue; SSDI - accepted on Depression, Cognitive Deficits; Seizures ruled out, mTBI changes including cognitive slowing/lapses. Medication update: Topamax 200mg twice daily it seems to minimize daily headaches to a 1-2/10 quality(I still know they are there); and acute headaches erupt without warnings. |
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#4 | ||
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Junior Member
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I am still moving forward. I'm seeing a lawyer on Monday Aug. 20 to discuss how I can get my hands on some of our money. Haven't quite figured out where I'm going. I have mentally detached a lot. Last night he forgot to lock the door again!! He didn't even latch it. I reminded him that someone could come in, rape me, slit my throat and rob us. I don't think it registered...he was full of excuses.
I don't have any family...just second tier relatives. So I am quite alone. I'm still going to a therapist and a group. Thanks for the nudge. There is no way I can stay married to him. We own 1 1/2 acres and one of the lots is empty. I am thinking if I can get my half I may build a small house on the vacant lot! He is going overboard trying to be nice, but he still doesn't have the emotional piece. Saturday is his 50th birthday. I got him a gift certificate (regretfully) but nobody else really cares. Thanks for your response LR. |
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#5 | |||
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Having followed you posts since April, this seems the best outcome for you. You have been admirable in the length and depth of your compassion for him, but as you have related he has chosen not to pursue therapy options that have potential to improve both his functioning and your relationship.
My guess is one of the reasons you feel alone is that you are in fact, at home, emotionally alone. Hopefully the therapist and groups that you are in can help alleviate this. It’s possible to be alone and not lonely, whereas now it sounds as if you are not physically alone yet lonely. Consider if you do go forward, if building a house on the lot next door gives you enough space. Wishing you happiness as this works itself through.
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What Happened: On November 29, 2010, I was walking across the street and was hit by a light rail commuter train. Result was a severe traumatic brain injury and multiple fractures (skull, pelvis, ribs). Total hospital stay was two months, one in ICU followed by an additional month in neuro-rehab. Upon hospital discharge, neurological testing revealed deficits in short term memory, executive functioning, and spatial recognition. Today: Neuropsychological examination five months post-accident indicated a return to normal cognitive functioning, and I returned to work approximately 6 months after the accident. I am grateful to be alive and am looking forward to enjoying the rest of my life. |
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#6 | ||
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Junior Member
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I am so grateful for your guys' feedback and encouragement. I am taking good care of myself-sleep, exercise, fun stuff! I've recently gotten a new job that is steady income, that I really love too. I'm over feeling sorry for him. I've gone to a lot of support groups. Every day I move a little closer to leaving. I've also changed up some of my support systems-mom is out! Bad advice and an emotional vampire.
John hasn't done anything more. When I bring up issues he deflects and sidetracks. I'm not sure if he understands any of this, but that is his problem. I found a wonderful therapist in Mpls. names Susan Gustafson. She works with TBI and mentally disabled patients. She is very casual and non-threatening, but also very encouraging. When we talk she keeps the focus off his disabilities and on me. She read his neuropsych report and thinks he has Asperger's. She has pointed out that I need to be financially ready and I am not quite yet. It might be a long winter! We live in the woods on a highway and cannot really walk anywhere. This is what is difficult now and I would like some advice. John is very focused on me. He doesn't have many other friends-he has some organized activities that he attends-which is good! When we are home I feel like the walls are closing in on me. He literally follows me around and joins in whatever I'm doing. He spaces out and steps right over messes and things that need to be done. Asks me questions constantly!! There is no conversation-that is just to converse. He is boring. I try to put space and distance but he's there and I feel so stressed in his company. I've tried to set some boundaries but they are crossed. I know the answer is to get out but it might take a little while longer. |
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