ABSTRACT
Neuropsychological rehabilitation is often brief, but somehow expected to dramatically ‘make things better’. The chapter discusses a patient, Tom, who had sustained a severe traumatic brain injury two decades previously. He had many of the classic TBI impairments: poor self-awareness, and some problems with memory and emotion regulation. In therapy, the relationship was difficult, and he made limited therapeutic gain. There were also issues of counter-transference. The termination phase of therapy is described, and lessons learned are discussed.
