chapter  25
14 Pages

Cognitive Behavioural Therapy for People with Brain Injury

ByTamara Ownsworth, Fergus Gracey

Psychological distress and mood disorders are commonly experienced by people with acquired brain injury (ABI). Cognitive behavioural therapy (CBT) is an influential and evolving psychotherapeutic field that is also well established for managing psychological distress for people with ABI. This chapter focuses on CBT interventions used in brain injury rehabilitation, including 'third wave' cognitive and behavioural therapies. The evidence base for the efficacy of CBT in people with ABI is appraised and future research directions are outlined. The complex aetiology of psychological disorders after ABI makes it challenging for clinicians to determine the optimal approach to management. Biopsychosocial perspectives typically guide case formulation for adjustment to brain injury. Within this context a number of largely self-contained therapeutic approaches have emerged that, together with contemporary CBT, have become known as 'third wave' cognitive behavioural therapies. One of the most established of these is Acceptance and Commitment Therapy (ACT).