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Healing the Traumatized Brain: Coping after Concussion and Other Brain Injuries By Sandeep Vaishnavi and Vani Rao. Johns Hopkins University Press. 2023. £20.50 (pb). 352 pp. ISBN 9781421446622

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Healing the Traumatized Brain: Coping after Concussion and Other Brain Injuries By Sandeep Vaishnavi and Vani Rao. Johns Hopkins University Press. 2023. £20.50 (pb). 352 pp. ISBN 9781421446622

Published online by Cambridge University Press:  29 April 2025

Zeba Basheer*
Affiliation:
South London and Maudsley NHS Foundation Trust, London, UK. Email: zeba.basheer@doctors.org.uk
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Abstract

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Type
Book Review
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

In contrast to the unfathomable mysteries of the mind that underpin psychiatric illnesses of unclear origin, some illnesses have a more readily understandable cause, as is the case with traumatic brain injuries. This book aims to explore the subsequent long-term problems of such injuries in detail, while also considering pathways to recovery, rehabilitation and the available treatments. Brain injuries affect individuals differently, but the impact is not just felt by patients but also by their families and friends. Complete recovery may not be attainable.

The book is written by experts in the field of brain sciences in the USA. Following an introduction to brain structure, function and neural plasticity, the authors consider: emotional problems, such as depression, mania, anxiety and post-traumatic stress disorder; behavioural disorders, such as aggression, impulsivity and apathy; and cognitive changes, such as impairment of attention, memory and executive functioning. They offer advice on practical coping strategies, with almost every chapter beginning with real-life case presentations. The authors examine the healing potential of neuroplasticity and different psychotherapy models, as well as alternative therapies, such as digital therapeutic/rehabilitation games. Despite the focus being on traumatic brain injury, the book also looks at the impact of strokes and tumours. I found the last chapter particularly interesting, as it speculates about treatments in the future.

The book could have incorporated more images in the chapters about brain structure and neurobiological mechanisms. In addition, the authors refer to philosophical questions, such as the nature of free will, without giving a thorough exposition of the subject. Some readers might find the book slightly reductionist with its emphasis on the role of the circuits of the brain in understanding human behaviour. However, the conclusion is hopeful in its highlighting of practical responses to traumatic brain injury, and, despite its medical focus, it offers much to patients and their carers.

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