Caregiver supporting a veteran

For veterans

Neurorehabilitation after traumatic brain injury

Comprehensive support for the persistent physical, cognitive and emotional effects of mild TBI — delivered in one individual plan.

Individual goals · Coordinated care · Ongoing support

The programme combines clinical assessment, targeted rehabilitation sessions and structured follow-up — each step built around your individual goals and current level of functioning.

1

Assess

2

Rehabilitate

3

Support

~4 weeks

Indicative care course

3 stages

Assessment to follow-up

2 methods

tDCS and neurofeedback*

1 plan

Individual to you

*Additional methods where indicated. Course duration and procedures depend on individual needs and tolerability.

Who the programme is for

Support for symptoms that persist

For veterans aged 18–60 whose symptoms have lasted at least three months after mild TBI, including blast-related injury. Eligibility follows a clinical assessment.

01

Memory and attention

Concentration, remembering information, planning the day and managing mental workload.

02

Pain and physical wellbeing

Headaches, fatigue, dizziness, light or noise sensitivity and difficulties with balance.

03

Sleep and emotions

Sleep difficulties, irritability, anxiety or low mood. PTSD care is coordinated where needed.

Why this matters

The effects of injury may be invisible to others

A person may look healthy while being exhausted by pain, poor sleep or difficulty concentrating. Repeated head injuries, chronic pain and PTSD may add to these challenges.

The plan addresses physical wellbeing, cognitive functioning and mental health together.

How it works

Three stages of coordinated care

01

Assessment and shared goals

Review your injury history and symptoms. Assess memory, attention, sleep, pain and emotional wellbeing. Agree on goals and an individual plan.

02

Individual rehabilitation

Cognitive exercises, work on sleep, psychological support and physical or vestibular rehabilitation. tDCS and neurofeedback where indicated.

03

Review and ongoing support

Repeat assessment, review progress towards your goals and agree on practical recommendations and a follow-up plan.

Your individual plan

Methods and practical support

tDCS

A weak electrical current is delivered through scalp electrodes using a DC-Stimulator Plus. Parameters are selected by the clinical team.

Neurofeedback

Brain activity is recorded and translated into visual or audio feedback to practise self-regulation, using the Thera Prax QEEG system.

Skills for everyday life

Memory and attention exercises, activity management, sleep support and physical activity. Loved ones can be involved with your consent.

tDCS and neurofeedback for persistent symptoms after TBI are still being investigated. Their appropriateness, potential benefits and risks are discussed individually before treatment.

An indicative four-week pathway

A course that adapts to your needs

Week 01

Introduction

Assessment, personal goals and tolerance to activity.

Week 02

Regular sessions

Rehabilitation exercises and psychological support.

Week 03

Review the plan

Interim assessment and adjustment of activity levels.

Week 04

Next steps

Repeat assessment and recommendations for recovery.

The sequence and duration may be adjusted on clinical grounds.

Progress and safety

How we track change

At the start and end of the course the team assesses symptoms, cognitive functioning and everyday wellbeing. We track, with you, whether daily tasks, sleep, social contact and activity tolerance become more manageable.

Participation is voluntary

Before starting, specialists assess indications, contraindications and any current treatment. Wellbeing and any adverse reactions are monitored throughout. Procedures can be adjusted or stopped at any time.

Programme team

Clinical protocol developed by

Dr Lesia Sak

Dr Lesia Sak

Psychiatrist & Psychotherapist, PhD, MD

Associate Professor, Department of Medical Psychology, Psychosomatic Medicine and Psychotherapy, Bogomolets National Medical University. Psychiatrist, National Institute of Traumatology and Orthopaedics of the National Academy of Sciences of Ukraine.

Her clinical and research interests include neuroscience, trauma- and stress-related disorders, PTSD, cognitive sequelae of traumatic brain injury, and multidisciplinary rehabilitation among veterans and trauma-exposed civilian populations. She contributes to the development of rehabilitation programmes incorporating psychotherapeutic interventions, VR-assisted exposure therapy, biofeedback and non-invasive neuromodulation.

Find out about participation

Register your interest

Complete the form below and the programme team will be in touch to discuss next steps and eligibility. All information is treated confidentially.