Dr. Kenneth Manges is a Forensic Psychologist and vocational expert who offers consultation and comprehensive evaluations. His analyses have been recognized for their clarity and scientific rigor. He offers reasonably certain opinions about the psychological impact of physical injury or emotional trauma as they affect earning capacity and the impact of loss on future work and quality of life. Well regarded in the litigation arena, he is a trusted and respected authority and offers evaluations that have been consistently upheld in both state and federal courts. Call Dr. Manges at 513-784-1333 or send him an email at firstname.lastname@example.org.
A TBI is a traumatic brain injury. But truth be told, any brain injury large or small can be traumatic.
The degree of the trauma is based on the location in the brain where the injury took place and the degree of damage. Persons with mild damage can have no loss of consciousness and when an MRI (Magnetic Resonance Image) or CAT (computerized axial tomography) scan is taken the damage may not be readily obvious, although the person insists that there are changes. Some of those changes can be severe.
Vocationally and psychologically, persons with TBI report feeling disorganized, unable to think clearly or to problem solve as they did before the TBI. Sometimes the TBI injury causes a person to think slower or to have self-doubts about their confidence in their decisions. If they have a true TBI their ability to perform those tasks they did on the job or those relationships they had before the TBI can be adversely affected.
Sometimes when the tests show minor changes and the person reports dramatic differences there is suspicion they are not telling the truth. Persons with a reported TBI are a challenge to assess but not impossible to evaluate given enough time and resources.
What are Common Symptoms of Traumatic Brain Injury?
A traumatic brain injury can result in:
- Personality changes, including a decreased ability to control emotions
- Changes to the senses, including visual, auditory, taste, smell, and physical sensation
- Vestibular difficulties, including walking, standing, and running.
- Memory Issues
- Other Symptoms
These changes can be temporary or permanent.
Vocationally and psychologically, persons with TBI often report feeling disorganized being unable to think clearly or having difficulty with problem-solving compared to pre- TBI. Sometimes the TBI injury causes a person to think slower or to have self-doubts about their confidence in their decisions. If a person has a true TBI their ability to perform those tasks they did on the job or those relationships they had before the TBI can be adversely affected.
Forensically, in a TBI case, it’s important to determine if a person is being truthful about their complaints. Neurological findings from objective measures like the MRI, CAT or PETSCAN may fall short because changes from a TBI may occur on a minor level, which may or may not have a significant impact.
Clinical and Comprehensive Assessments in TBI Cases
Severe TBI injuries can result in devastating physical and emotional injuries, and often impact the person’s vocational potential. As a result, in litigation involving a TBI, it’s important to understand the degree of injury and the likely future impact.
As a forensic psychologist for more than 40 years, Dr. Manges offers attorneys and professionals a clinical and diagnostic background upon which to offer a comprehensive opinion regarding those who may have suffered from a TBI. While TBI injuries are sometimes difficult to evaluate, in most cases, a correct diagnosis can be made based upon a variety of factors, including medical examinations, self-reporting assessments, and lifestyle information. Contact Dr. Manges to discuss your TBI case at email@example.com or using the contact form on this page.