Karen Ledger (KL): When brain injury occurs, it's like a bomb going off in the family. Life will never be the same again for any of the members of that family. People will be shocked, bewildered and overwhelmed, and they then have to go through a complicated process of adjustment, and people reach that adjustment at different stages. The person with the brain injury will generally have a neuropsychologist assigned to support them. Most will pay attention to people's feelings and emotions, but the rest of the family may not have any psychological support. This situation doesn't get better of itself without professional input, it can get worse and people’s mental health can and often does spiral down. Louise Jenkins (LJ): It’s a particular challenge if you've got someone with little or no insight. They often won't recognise the need for or be willing to engage with neuropsychological treatment until much further down the line, by which stage, the family may have entered a more advanced stage of crisis and their whole family unit may be at risk of breakdown. There are complex emotions involved in the adjustment process following trauma which include shock, guilt and loss.