A woman in her 30’s had severe psychosocial problems following a traumatic brain injury. The results of a neuropsychological assessment suggested the possibility of neuro-fatigue underlying her mood disturbances and aggressive behavior. Moreover, the case formulation suggested that her dysfunctional thoughts might have induced her depression and lowered her self-esteem. Based on these hypotheses, cognitive behavioral techniques, including relaxation, meditation, self-monitoring, thought stopping, and cognitive reconstruction, were implemented for the client in an individual therapy program of cognitive rehabilitation. Also, psycho-education was conducted with the client’s mother. The results after fifteen months of therapy indicated that the client’s depression and anxiety decreased, and her self-esteem and executive function improved, This suggests that decreasing the impact of organic factors, and suppressing secondary responses such as depression and lowered self-esteem by using cognitive behavioral techniques, may have had a positive effect on the rehabilitation of this client who had mood disturbances following a traumatic brain injury.
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