Our Psychologists have availability for face-to-face and online appointments for adults, adolescents and children
Acquired brain injury (ABI) includes a range of conditions like traumatic brain injury (TBI), stroke, brain infection, and cerebral tumour. An ABI in childhood can cause enduring issues affecting everyday life, including impairments with cognition (like memory and attention), behaviour and interacting socially. Some children can also have problems with fatigue, motivation, and sleep. These ABI related difficulties can interact with the way a child manages their emotions including anxiety.
Management of anxiety after an ABI recognises the unique needs of these children and includes adaptation of traditional strategies for anxiety such as Cognitive-Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to address the impairments relating to the ABI.
If you notice any of these signs in your child, seeking support is essential. Consulting a Psychologist or Paediatrician can provide insights and further help.
Excessive worry: Persistent concerns about safety, school, or social situations.
Avoidance: Steering clear of activities, places, or people that trigger anxiety.
Physical symptoms: Complaints like headaches, stomach aches, or general unwellness.
Sleep problems: Difficulty falling or staying asleep, or frequent nightmares.
Irritability or restlessness: Quick to anger or feeling on edge.
Difficulty concentrating: Struggling to focus or feeling overwhelmed.
Behavioural changes: Clinginess, social withdrawal, or acting out.
TBI is the leading cause of ABI in childhood in Australia, often due to motor vehicle accidents, falls, or sports injuries
Mental health conditions like anxiety and depression, are common after brain injury, with studies suggesting up to 44% of individuals with TBI experience co-occurring psychiatric disorders
Research shows that children with TBI and ABI have higher anxiety rates compared to those without brain injury. This may be due to the exacerbation of pre-existing conditions or the development of new anxiety-related disorders post-injury
Children with ABI face a prolonged recovery, particularly after severe injuries, which increases the likelihood of developing mental health issues, including anxiety
Anxiety is a frequent challenge for children with TBI or ABI. While it might not be noticeable at first, as kids recover and become more aware of their limitations, feelings of worry, self-doubt, and social anxiety can emerge. These feelings often stem from struggles with daily activities, changes in self-esteem, and challenges in reconnecting with peers. Physical symptoms like headaches or stomach aches can sometimes mask the emotional impact, making it harder to spot anxiety initially.
One of the most effective treatments for anxiety in children with ABI is Cognitive Behavioural Therapy (CBT). This approach helps children identify the sources of their anxiety and teaches them practical tools to manage it. CBT helps children challenge negative thoughts (like feeling “different” or “less capable”) and replace them with positive and realistic perspectives. It also equips them with coping strategies, such as breathing exercises, role-playing, or social skills training, to better handle anxiety-inducing situations.
The unique aspect of CBT for children with brain injury is its focus on involving parents in the treatment process. Parents can inadvertently reinforce their child’s anxiety by focusing too much on physical symptoms or avoiding anxiety-triggering situations. CBT teaches parents how to respond in ways that foster resilience and independence. This teamwork makes the treatment even more effective.
Studies show that CBT can lead to significant improvements in emotional well-being, social integration, and behaviour for children with TBI/ABI. It builds confidence to navigate the world more independently while addressing the root causes of their anxiety.
If your child is struggling with anxiety following an ABI, working with a psychologist who specialises in support for kids with brain injury is a great way to help them rebuild their confidence and regain a sense of normality.
Consistency and predictability can significantly reduce anxiety. Create a calm space where your child can relax, and maintain a regular routine to help them feel in control.
Physical exercise is a great way to release tension and boost mood. Even gentle activities like walking or swimming can make a big difference in overall brain health.