The Overlooked Link Between Brain Injury and Psychological Struggles
For many veterans, the invisible injuries sustained during military service can be just as debilitating as physical wounds. Among the most serious of these is traumatic brain injury (TBI), a condition that often leads to long-term mental health challenges. Although the signs of a TBI may not always be immediately visible, the effects can gradually impact every part of a veteran’s life, from cognitive function and mood to relationships and job performance.
The brain controls everything from how we process emotions to how we make decisions. When it suffers a blow or is exposed to shockwaves from explosions, as often happens in combat zones, the resulting injury can interfere with these critical functions. Over time, veterans with a history of TBI may develop serious mental health conditions, some of which might not appear until months or even years after the initial injury.
Understanding this connection is crucial not only for receiving proper medical care but also for pursuing the full VA disability benefits a veteran may be owed. Mental health symptoms tied to a service-connected TBI are often compensable, either as part of the original injury or as a secondary condition.
How TBIs Occur in Military Service
Traumatic brain injuries happen when a force causes the brain to move inside the skull, damaging tissue or disrupting normal function. In civilian life, TBIs often result from car accidents or falls. In military service, however, the causes can be much more violent. Common sources include:
- Improvised explosive devices (IEDs)
- Mortar blasts and grenades
- Falls during combat operations or training exercises
- Vehicle rollovers or aircraft crashes
- Close-quarters combat resulting in blunt-force trauma
Even “mild” TBIs, often labeled as concussions, can lead to lasting changes in the brain. Repeated exposure to blast waves or multiple concussive events can compound the damage, making symptoms more intense over time. In fact, many veterans who experienced TBIs during deployment continue to deal with psychological symptoms long after they leave service.
Mental Health Disorders Commonly Linked to TBI
A traumatic brain injury can trigger or worsen several types of mental health conditions. In some cases, the damage to specific parts of the brain, like the frontal lobe or temporal lobe, can lead directly to emotional instability or cognitive difficulties. In other cases, the emotional stress of dealing with a brain injury can contribute to the onset of psychiatric conditions.
The most frequently diagnosed mental health conditions connected to TBI include:
- Depression: Many veterans with TBI struggle with feelings of sadness, hopelessness, or lack of motivation. These symptoms are often tied to brain chemistry changes and a reduced ability to manage stress.
- Anxiety: Chronic anxiety, panic attacks, and intrusive thoughts may stem from neurological damage or as a reaction to dealing with post-injury challenges.
- Post-traumatic stress disorder (PTSD): TBI and PTSD often occur together, especially in combat veterans. These overlapping conditions can make diagnosis and treatment more complex.
- Irritability and mood swings: Damage to emotional regulation centers in the brain can result in sudden anger, frustration, or aggressive behavior.
- Cognitive dysfunction: Memory loss, poor concentration, and decision-making difficulties may accompany psychological distress, amplifying a veteran’s mental burden.
In some cases, veterans may experience changes in personality or impulse control, which can strain relationships and lead to isolation. Left untreated, these symptoms can worsen and contribute to job loss, substance abuse, or homelessness.

Diagnosing and Treating TBI-Related Mental Health Conditions
Getting an accurate diagnosis is the first step in securing effective care and disability compensation. Because TBI symptoms often mimic those of mental health disorders, some veterans are misdiagnosed or dismissed. That’s why it’s important to work with providers who understand both neurological injuries and psychological trauma.
A full evaluation may involve:
- Neuropsychological testing to assess memory, concentration, and problem-solving
- Brain imaging studies (like MRIs or CT scans)
- Medical and service history review
- Psychiatric assessments to diagnose PTSD, anxiety, or depression
Treatment plans often combine medication, counseling, cognitive therapy, and sometimes physical or occupational therapy. While no treatment can fully reverse a brain injury, ongoing care can help veterans manage symptoms, restore function, and improve quality of life.
Filing a VA Disability Claim for TBI and Mental Health Symptoms
The VA allows veterans to receive compensation for both physical and mental symptoms of a service-connected traumatic brain injury. This includes:
- Primary TBI symptoms: Headaches, dizziness, vision changes, or balance issues
- Secondary mental health conditions: Depression, anxiety, PTSD, or other psychiatric diagnoses linked to the TBI
When these symptoms are properly documented, the VA may award a separate disability rating for each. That means veterans can receive a rating for their TBI and a second rating for depression or PTSD, increasing their combined disability percentage and their monthly compensation.
Unfortunately, many veterans face challenges getting their claims approved. The VA may undervalue the severity of mental health symptoms, overlook the TBI’s role in causing them, or deny the claim entirely due to insufficient evidence. That’s why it’s essential to include strong supporting documentation, such as:
- Medical records clearly showing a link between the TBI and psychiatric symptoms
- Statements from family members or friends describing changes in mood or behavior
- Service records confirming the incident that caused the TBI
- Reports from neuropsychologists or mental health specialists
Our VA disability lawyers in Metairie are well-versed in handling complex cases involving both physical and mental health conditions. We work with veterans to strengthen their claims, gather necessary evidence, and ensure their full range of symptoms is recognized.
Contact Saphie Law Today for Legal Representation
Living with a traumatic brain injury and mental health challenges can feel overwhelming, but you don’t have to go through it without support. If your symptoms are affecting your relationships, your job, or your daily life, the VA owes you the resources to manage and recover.
Contact us today to speak with an experienced VA disability attorney who understands the connection between brain injury and mental health. We’ll help you prepare a strong claim, push back against unfair denials, and fight for the compensation you’ve earned through your service. You served your country; it’s time your country takes care of you.