The Caregiver’s Journey / Chapter Two / Common Cognitive Effects / Decision Making and Problem Solving
Making decisions and solving problems take a lot of thinking. Both can be challenging for people with a TBI. Simple decision making and problem solving are easier than more complicated decision making and problem solving.
What might you see?
- Taking a long time to make a decision
- Making inappropriate and/or potentially harmful decisions
- Difficulty with reasoning
- Responding quickly without first thinking about consequences (this is known as impulsivity)
- Having a difficult time recognizing problems
- Slow to think of alternate solutions to problems
- Tendency to be "concrete" when solving problems or making decisions
- Taking things literally
How can you help?
- Avoid having the service member or veteran make decisions when tired, hungry, or under stress.
- Help the service member or veteran to weigh options and consequences of a decision. List the pros and cons of a decision before making a definitive choice.
- Give the service member or veteran time to make a decision. Be patient and talk them through possible options.
- Limit the number of possible choices to two or three whenever possible. Too many choices are often overwhelming and can increase indecisiveness, as well as stress and frustration.
- Avoid making last-minute decisions on an issue or topic.
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