The Role of Occupational Therapists in Identity and Emotional Adjustment after Acquired Brain Injury

The Role of Occupational Therapists in Identity and Emotional Adjustment after Acquired Brain Injury

An acquired brain injury (ABI) can be a life-changing experience, often leaving individuals to navigate significant physical, cognitive, and emotional challenges. Recovery is not simply about regaining lost function—it is also about redefining identity and adjusting to a new sense of self.

In this complex rehabilitation journey, occupational therapists (OTs) play a crucial role. They support individuals in regaining independence, rebuilding confidence, and adapting to daily life in meaningful ways. This article explores how occupational therapists help address identity and emotional adjustment post-injury, contributing to long-term recovery and quality of life.

Understanding the Impact of Acquired Brain Injury

ABI may result from trauma, stroke, infection, or lack of oxygen. Regardless of the cause, individuals often face a combination of physical limitations, cognitive difficulties, and emotional upheaval. Changes in memory, attention, and executive function are common, alongside issues with motor control, fatigue, and mood regulation.

These challenges affect not only the individual but also their family and wider support network. Recognising the breadth of this impact is the first step towards effective and holistic neurorehabilitation.

The Multifaceted Role of Occupational Therapists

Occupational therapists are uniquely positioned to address the broad effects of brain injury. Their work encompasses:

• Cognitive rehabilitation – helping patients strengthen attention, memory, and problem-solving skills.
• Motor skill development – supporting improvements in coordination, strength, and mobility for daily tasks.
• Emotional regulation – introducing strategies to cope with frustration, anxiety, or low mood.
• Functional independence – enabling individuals to re-engage with daily routines and self-care activities.

Through a patient-centred approach, OTs empower individuals to set meaningful goals and achieve them through guided, personalised support.

Supporting Identity and Emotional Adjustment

A significant yet often overlooked consequence of acquired brain injury is the disruption to a person’s sense of identity. Occupational therapists help individuals reconnect with their values, roles, and purpose through meaningful activity. They also provide emotional support by addressing grief related to changes in ability, promoting resilience through therapeutic strategies, and fostering self-efficacy to rebuild confidence. This guidance is vital in helping individuals adapt and move forward post-injury.

Collaborative and Holistic Care

Occupational therapy is rarely delivered in isolation. OTs work within multidisciplinary teams, collaborating with neuropsychologists, physiotherapists, speech therapists, and families to provide holistic and integrated care. Family involvement is encouraged, as it strengthens the individual’s support system and ensures consistency in the recovery process. Occupational therapists are strong advocates for their patients, ensuring their voices are heard in care planning. They guide individuals through complex healthcare systems, promote autonomy, and support informed decision-making. This advocacy is vital in restoring agency, dignity, and control during a time of uncertainty.

At The London Neurocognitive Clinic, we understand that recovery after an acquired brain injury is not just about physical healing—it’s about rebuilding identity, emotional resilience, and everyday independence. Our expert team of occupational therapists, neuropsychologists and other allied health professionals work together to deliver personalised, evidence-based rehabilitation plans that honour each patient’s goals, values, and lived experiences.