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Usable technology? Challenges in designing a memory aid with current electronic devices.
Inglis, E. Szymkowiak, A., Gregor, P., Newell, A. F., Hine, N., WILSON, B. A., EVANS, J., & Shah, P
Neuropsychological Rehabilitation, 14, 77-87
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Survivors of acquired and traumatic brain injuries may often experience anxiety states. Psychological reactions to neurological trauma may be caused by a complex interaction of a host of factors. We explore how anxiety states may be understood in terms of a biopsychosocial formulation of such factors. We also review the current evidence for the presence of specific anxiety disorders after brain injury. We then describe how Cognitive Behaviour Therapy (CBT), a treatment of choice for many anxiety disorders, may be integrated with Cognitive Rehabilitation (CR), for the management of anxiety disorders in brain injury. We illustrate how CBT and Cognitive Rehabilitation may be delivered with a case of a survivor of Traumatic Brain Injury (TBI) who had developed Obsessive Compulsive Disorder and Health Anxiety. We show how CBT+CR allows a biopsychosocial formulation to be developed of the survivors concerns for guiding a goal based intervention. The survivor made significant gains from intervention in terms of goals achieved and changes on clinical measures. We argue that large scale research is needed for developing an evidence base for managing emotional disorders in brain injury.