When we think about the effects of brain injury, we often focus on physical or cognitive changes like mobility, memory or speech. But some of the most disruptive consequences happen in relationships. Emotional connection can shift. Roles within families can break down. Long-standing relationships can begin to unravel.

For families and partners, the biggest challenges are not always visible. They may notice that their loved one seems distant, flat or emotionally absent. They might misinterpret apathy or disinhibition as rejection or indifference. Over time, these misunderstandings can cause as much distress as the injury itself.

To help professionals understand and respond to these issues, we’ve published a new Reference Guide on Relational Difficulties After Acquired Brain Injury (ABI) to accompany our recent webinar. Drawing on the expertise of Consultant Clinical Neuropsychologist Dr Aonghus Ryan, it brings together psychological theory, clinical experience and practical guidance for anyone involved in serious injury cases.

It’s designed for legal professionals, case managers and clinicians supporting individuals and families after brain injury.

📺 Watch the webinar

📄 Download the reference guide

Reference Guide: Relational Challenges After Brain Injury

What You’ll Learn

The session and reference guide provide practical insight into how brain injury affects human connection, especially between partners and close family members. Dr Ryan draws on his clinical, research and therapeutic experience to explain:

  • How human attachment works and why brain injury can disrupt it
  • Common causes of relational strain, including apathy, behavioural change, role disruption and communication difficulties
  • Why apathy, more than aggression, often causes the most distress for carers
  • How emotional withdrawal can be misread as a lack of care
  • What professionals can do when a client’s relationship seems to be under strain
  • How neuropsychological formulation can help uncover what’s really going on
  • When to involve a specialist neuropsychologist or clinical psychologist

You’ll also find practical questions to ask clients, key signs to look for, and reminders about safeguarding and appropriate support.

For legal teams, clinicians and case managers

Whether you’re working with a claimant, managing rehabilitation or supporting someone through recovery, this guide will help you recognise relational difficulties that may be slowing progress or causing hidden harm.

Understanding what is driving emotional and behavioural change means better support for families, more informed decision-making, and improved outcomes for clients.

Need expert input on a case?

You can appoint Dr Aonghus Ryan or one of our highly experienced Consultant Clinical Neuropsychologists to provide:

✔ Expert witness reports
✔ Psychological formulation
✔ Capacity assessments
✔ Support for families and case-managed clients
✔ Clinical oversight or therapeutic input

📩 Get in touch: [email protected]
📞 0191 4661 406
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