Using Cognitive Behavioral Therapy to Support a Caregiver of a Severe Traumatic Brain Injury Survivor: A Case Study from India

Abstract

Background: Caregivers of individuals with moderate to severe traumatic brain injury (TBI) face significant psychological burden due to prolonged caregiving responsibilities. Research indicates high levels of stress, anxiety, and burnout among caregivers, often compounded by limited awareness and support. This issue is particularly relevant in developing countries like India, where family members assume caregiving roles with minimal psychological assistance. There is a growing need for accessible, evidence-based interventions such as Cognitive Behavioral Therapy (CBT) to support caregiver wellbeing.

Case Description: The case involves a 63-year-old mother caring for her son with TBI for seven years. She reported persistent stress, emotional exhaustion, and overwhelming concerns related to caregiving demands and financial strain, despite engaging in self-care practices such as yoga, meditation, and social support.

Intervention & Progress : A culturally integrated CBT intervention was delivered across six weekly sessions, focusing on cognitive restructuring, identification of unhelpful thought patterns, and grounding techniques. The caregiver showed reduced emotional distress, improved emotional regulation, and enhanced coping confidence.

Conclusion: This case underscores the importance of structured psychological support for TBI caregivers in India and highlights CBT as a practical and effective intervention for improving emotional wellbeing.