Why a TBI is so dangerous — and how to treat it

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Brain injuries are the signature wounds of the wars in Afghanistan and Iraq, with more than 380,000 service members experiencing them between 2001 and 2017, according to the Department of Defense. Traumatic brain injuries (TBI) can have devastating effects on those who experience them, such as vomiting, seizures, speech disorders, and aggression. Long after initial impact, the resulting injuries can leave sufferers with invisible wounds that are tough to pinpoint or treat.

According to the Military Health System guidelines, a TBI is a traumatically induced structural injury or physiological disruption of brain function, the result of an external force. It’s indicated by an altered mental state, such as disorientation or a decrease in cognitive functions, as well any loss of memory for events immediately before or after the injury, or the loss of or a decreased level of consciousness.

Equally challenging for medical providers is the stigma victims often feel when it comes to seeking help. But researchers say awareness and advances in the DoD’s treatment and prevention strategies have changed for the better the way patients recover.

“There has been an increase of awareness about TBI, and that has made a great difference in early identification and intervention. Even in the past few years, we’ve seen a greater willingness to seek treatment for both TBI and psychological health concerns,” said Dr. Louis French, deputy director of operations and a clinical psychologist at the National Intrepid Center of Excellence (NICoE) located in Bethesda, Maryland.

Opened in 2010, NICoE helps active duty members, reservists,

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