Traumatic Brain Injury (TBI) Therapists in Easton, MD

Photo of Amanda Russell - Peace of Mind Mental Health Services, LLC., LCSW-C, LCPC, CRNP, MD, Clinical Social Work/Therapist
Peace of Mind Mental Health Services, LLC.
Clinical Social Work/Therapist, LCSW-C, LCPC, CRNP, MD
Verified Verified
Easton, MD 21601
Our group practices offer a variety of services tailored to your individual need. We offered individual, group, family counseling as well as psychiatric evaluations and ongoing medication management. We believe the best course of treatment is the combination of medication management and psychotherapy when medication is needed for your treatment.
Our group practices offer a variety of services tailored to your individual need. We offered individual, group, family counseling as well as psychiatric evaluations and ongoing medication management. We believe the best course of treatment is the combination of medication management and psychotherapy when medication is needed for your treatment.
(667) 201-5684 View (667) 201-5684
Photo of Coleen Lynn- Simpson, LCSW-C, Clinical Social Work/Therapist
Coleen Lynn- Simpson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
4 Endorsed
Easton, MD 21601
Waitlist for new clients
Our experience enables us to offer effective outpatient, individualized, client-focused care. We treat a number of mental health disorders, and provide a neutral ground to individuals and families while also offering a unique treatment modality of Animal Assisted Therapy. Please visit creativecounseling.net for more info!
Our experience enables us to offer effective outpatient, individualized, client-focused care. We treat a number of mental health disorders, and provide a neutral ground to individuals and families while also offering a unique treatment modality of Animal Assisted Therapy. Please visit creativecounseling.net for more info!
(667) 200-1202 View (667) 200-1202
Photo of Kathleen Traversari, LCSW-C, Clinical Social Work/Therapist
Kathleen Traversari
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Easton, MD 21601
Ready to stop feeling frustrated with your life, your thoughts, and the people closest to you? Disappointed with therapists that haven't helped in the past? I hear you! Therapy with me is a different experience. I am a solution focused therapist with a specialty in empowering people who have experienced trauma in their lives. By trauma I mean: difficult parents, challenging relationships, and all the forms of losses that never seem to stop comming. Whatever it is... I've got you! I am a trauma certified therapist and I help my clients live the life they want to live, not the life the didn't get a choice to live.
Ready to stop feeling frustrated with your life, your thoughts, and the people closest to you? Disappointed with therapists that haven't helped in the past? I hear you! Therapy with me is a different experience. I am a solution focused therapist with a specialty in empowering people who have experienced trauma in their lives. By trauma I mean: difficult parents, challenging relationships, and all the forms of losses that never seem to stop comming. Whatever it is... I've got you! I am a trauma certified therapist and I help my clients live the life they want to live, not the life the didn't get a choice to live.
(443) 290-5392 View (443) 290-5392
Photo of Brian Kok, PhD, Psychologist
Brian Kok
Psychologist, PhD
Verified Verified
Easton, MD 21601
Asking for help can be hard, and sometimes it feels overwhelming to think about making a change. Whether you’ve tried before or this is the first time you’ve considered it, therapy can bring up a lot of feelings—and that’s okay. I work with my clients from a caring and non-judgmental perspective, helping you identify your goals and developing a treatment plan so you can reach them. I believe in transparency and collaboration in all aspects of treatment, and work with you to foster insight and develop new skills to empower you and help you live your best life.
Asking for help can be hard, and sometimes it feels overwhelming to think about making a change. Whether you’ve tried before or this is the first time you’ve considered it, therapy can bring up a lot of feelings—and that’s okay. I work with my clients from a caring and non-judgmental perspective, helping you identify your goals and developing a treatment plan so you can reach them. I believe in transparency and collaboration in all aspects of treatment, and work with you to foster insight and develop new skills to empower you and help you live your best life.
(240) 820-3794 View (240) 820-3794
Photo of Marlene Barcenas, LGPC, Counselor
Marlene Barcenas
Counselor, LGPC
Verified Verified
1 Endorsed
Easton, MD 21601  (Online Only)
Immediate telehealth openings! Are you feeling overwhelmed by life's challenges and looking to make meaningful changes but are unsure where to start? Hi, my name is Marlene Barcenas, and I am dedicated to helping individuals navigate life's challenges with compassion, empathy, and evidence-based practices. Over the last decade, I have worked eight years as a school counselor and two years as an in-home crisis counselor. I specialize in working with children, teens, young adults and adults with anxiety, depression, ADHD, grief, difficulties regulating emotions, and trauma.
Immediate telehealth openings! Are you feeling overwhelmed by life's challenges and looking to make meaningful changes but are unsure where to start? Hi, my name is Marlene Barcenas, and I am dedicated to helping individuals navigate life's challenges with compassion, empathy, and evidence-based practices. Over the last decade, I have worked eight years as a school counselor and two years as an in-home crisis counselor. I specialize in working with children, teens, young adults and adults with anxiety, depression, ADHD, grief, difficulties regulating emotions, and trauma.
(443) 348-9543 View (443) 348-9543
Photo of Elpida Hope Nissirios - Eastern Shore Neuropsychology, PsyD, Psychologist
Eastern Shore Neuropsychology
Psychologist, PsyD
Verified Verified
Easton, MD 21601
As a Pediatric Neuropsychologist, Dr. Nissirios specializes in assessing children with a variety of complex medical and neurodevelopmental concerns that impact learning, behavior, and social-emotional functioning. Our evaluations provide a comprehensive view of each child’s strengths and weaknesses, while also helping families understand their child’s unique potential.
As a Pediatric Neuropsychologist, Dr. Nissirios specializes in assessing children with a variety of complex medical and neurodevelopmental concerns that impact learning, behavior, and social-emotional functioning. Our evaluations provide a comprehensive view of each child’s strengths and weaknesses, while also helping families understand their child’s unique potential.
(667) 200-1290 View (667) 200-1290
Photo of Vicky And Jaimi (Office Managers) - Chesapeake Bay Psychological Services LLC
Chesapeake Bay Psychological Services LLC
Verified Verified
Easton, MD 21601
We have been providing outpatient mental healthcare, including therapy and counseling, to children, adults, and families since 2006. Our team includes licensed psychologists, professional counselors, and clinical social workers. Our mission is to provide excellent mental healthcare to our community, while keeping our services affordable by accepting most insurance. It is our belief that every client and every family deserves to be treated equitably, with genuine care and respect. Visit our website to learn more or to schedule an appointment. We will do our best to help.
We have been providing outpatient mental healthcare, including therapy and counseling, to children, adults, and families since 2006. Our team includes licensed psychologists, professional counselors, and clinical social workers. Our mission is to provide excellent mental healthcare to our community, while keeping our services affordable by accepting most insurance. It is our belief that every client and every family deserves to be treated equitably, with genuine care and respect. Visit our website to learn more or to schedule an appointment. We will do our best to help.
(410) 609-9782 View (410) 609-9782
Photo of Michelle Priddy, LCPC, LATC
Michelle Priddy
Licensed Clinical Professional Counselor, LCPC, LATC
Verified Verified
Easton, MD 21606
Have you experienced trauma that has left you feeling overwhelmed, anxious, or depressed? Do you struggle to cope with daily life and feel like your past experiences are holding you back? As a trauma-informed therapist, I understand the unique needs of people impacted by trauma and am able to use evidence-based techniques to help you heal and recover. With a safe, non-judgmental, and empowering therapeutic environment, you can process your experiences, develop coping skills, and work towards a brighter future. Don't let trauma define your life - schedule an appointment and let's begin trauma-informed therapy today.
Have you experienced trauma that has left you feeling overwhelmed, anxious, or depressed? Do you struggle to cope with daily life and feel like your past experiences are holding you back? As a trauma-informed therapist, I understand the unique needs of people impacted by trauma and am able to use evidence-based techniques to help you heal and recover. With a safe, non-judgmental, and empowering therapeutic environment, you can process your experiences, develop coping skills, and work towards a brighter future. Don't let trauma define your life - schedule an appointment and let's begin trauma-informed therapy today.
(410) 449-7502 View (410) 449-7502

Online Therapists

Photo of Barbara Schwartz, PhD, Psychologist
Barbara Schwartz
Psychologist, PhD
Verified Verified
1 Endorsed
Bethesda, MD 20814
I work with adults to help them manage anxiety, depression, stress, and cognitive challenges. I enjoy working collaboratively with people to help them strengthen their cognitive skills and promote positive changes in their lives. I am a psychologist leading the Maryland branch of the Centers for Cognitive Wellness (CCW). Founded by Sherrie All, PhD in 2012, CCW has been helping people with cognitive issues such as Concussion & Moderate TBI, ADHD, Mild Cognitive Impairment/Early Dementia, and other types of neurological conditions navigate life challenges, build resilience, and implement cognitive rehabilitation interventions.
I work with adults to help them manage anxiety, depression, stress, and cognitive challenges. I enjoy working collaboratively with people to help them strengthen their cognitive skills and promote positive changes in their lives. I am a psychologist leading the Maryland branch of the Centers for Cognitive Wellness (CCW). Founded by Sherrie All, PhD in 2012, CCW has been helping people with cognitive issues such as Concussion & Moderate TBI, ADHD, Mild Cognitive Impairment/Early Dementia, and other types of neurological conditions navigate life challenges, build resilience, and implement cognitive rehabilitation interventions.
(240) 589-7319 View (240) 589-7319
Photo of Cecilia (Si) Han, PhD, ABPP-CN, Psychologist
Cecilia (Si Si) Han
Psychologist, PhD, ABPP-CN
Verified Verified
Ellicott City, MD 21043
As a board-certified clinical neuropsychologist, I specialize in: Providing neuropsychological assessment and cognitive rehabilitation to individuals with acquired brain injuries such as stroke, TBI, and concussions; Assessment and diagnosis of ADHD in adults 18+ for work/school accommodations; Capacity evaluations for guardianship, advanced directives, and financial/medical POA.
As a board-certified clinical neuropsychologist, I specialize in: Providing neuropsychological assessment and cognitive rehabilitation to individuals with acquired brain injuries such as stroke, TBI, and concussions; Assessment and diagnosis of ADHD in adults 18+ for work/school accommodations; Capacity evaluations for guardianship, advanced directives, and financial/medical POA.
(410) 995-9475 View (410) 995-9475
Photo of David O Black, PhD, Psychologist
David O Black
Psychologist, PhD
Verified Verified
Chevy Chase, MD 20815
As a pediatric neuropsychologist I provide comprehensive neuropsychological evaluations to children, adolescents, and young adults. I specialize in evaluation of of autism, social, and self regulatory problems as well as learning disabilities, attention disorders, and medical conditions such as epilepsy, traumatic brain injuries, and genetic disorders. I also provide ongoing individual and family consultation and support, including assisting families navigate the transition to adulthood. I also assist with implementation of treatment plans and school placement decisions, attends school meetings (including IEP and due process hearings), and conduct forensic evaluation and expert testimony in cases that involve autism spectrum disorders.
As a pediatric neuropsychologist I provide comprehensive neuropsychological evaluations to children, adolescents, and young adults. I specialize in evaluation of of autism, social, and self regulatory problems as well as learning disabilities, attention disorders, and medical conditions such as epilepsy, traumatic brain injuries, and genetic disorders. I also provide ongoing individual and family consultation and support, including assisting families navigate the transition to adulthood. I also assist with implementation of treatment plans and school placement decisions, attends school meetings (including IEP and due process hearings), and conduct forensic evaluation and expert testimony in cases that involve autism spectrum disorders.
(202) 760-2591 View (202) 760-2591
Photo of Lanz Karfgin, PhD, Psychologist
Lanz Karfgin
Psychologist, PhD
Verified Verified
Annapolis, MD 21403
Similar work in Neuro-rehabilitation enables me to assist TBI, stroke and neurological-disorder patients meet the psychological demands that continue post-inpatient rehabilitation.
If something doesn't feel quite right in your life, in how you're handling important relationships, how you're coping with feelings, or how you're progressing with goals; if you feel there are parts of yourself you don't fully understand, and you ready for this to change, then we'll be a good match. I believe psychotherapy requires working together to build understanding and accomplish change. For this, a strong patient-therapist relationship is essential; I am active, involved, responsive, open and communicative. Patients feel they know me, and they experience me as committed to knowing them.
Similar work in Neuro-rehabilitation enables me to assist TBI, stroke and neurological-disorder patients meet the psychological demands that continue post-inpatient rehabilitation.
If something doesn't feel quite right in your life, in how you're handling important relationships, how you're coping with feelings, or how you're progressing with goals; if you feel there are parts of yourself you don't fully understand, and you ready for this to change, then we'll be a good match. I believe psychotherapy requires working together to build understanding and accomplish change. For this, a strong patient-therapist relationship is essential; I am active, involved, responsive, open and communicative. Patients feel they know me, and they experience me as committed to knowing them.
(410) 346-5527 View (410) 346-5527
Photo of Jesse Lee Robertson, LCSW-C, Clinical Social Work/Therapist
Jesse Lee Robertson
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21218  (Online Only)
I specialized in geriatric and neurological (often TBI) psychotherapy at Hopkins and have had extensive work with folks with disabilities and complex medical issues.
I have had experience with a very wide range of folks that I've liked to work with and have found all of that work valuable and fulfilling. I think I am hoping to work with folks who are curious and open about themselves or at least would like to be. Therapy can be hard work at times and without that curiousness it can be hard to sit with those tough times. I think all folks coming into therapy are hoping to get better which I think is the earliest sign of hope in this process.
I specialized in geriatric and neurological (often TBI) psychotherapy at Hopkins and have had extensive work with folks with disabilities and complex medical issues.
I have had experience with a very wide range of folks that I've liked to work with and have found all of that work valuable and fulfilling. I think I am hoping to work with folks who are curious and open about themselves or at least would like to be. Therapy can be hard work at times and without that curiousness it can be hard to sit with those tough times. I think all folks coming into therapy are hoping to get better which I think is the earliest sign of hope in this process.
(410) 862-2708 View (410) 862-2708
Photo of Ihsan S Rogers - Resiliency Work, LLC, MSW, LCSW-C, CST, Clinical Social Work/Therapist
Resiliency Work, LLC
Clinical Social Work/Therapist, MSW, LCSW-C, CST
Verified Verified
Frederick, MD 21702
Primary areas of work include trauma, depression, anxiety, medical issues, traumatic brain injury, and sexual health and intimacy.
I am a licensed clinical social worker who has a passion for helping individuals explore, gain insight and become the best versions of themselves. I have over 20 years of experience in the field of mental health working with a diverse population. I am an innovative professional with outstanding therapeutic and interpersonal skills. I have a talent for motivating, teaching, supporting and effectively collaborating with individuals to meet their treatment goals. My practice centers on creating a supportive atmosphere rooted in mutual respect and open communication, allowing healing to occur.
Primary areas of work include trauma, depression, anxiety, medical issues, traumatic brain injury, and sexual health and intimacy.
I am a licensed clinical social worker who has a passion for helping individuals explore, gain insight and become the best versions of themselves. I have over 20 years of experience in the field of mental health working with a diverse population. I am an innovative professional with outstanding therapeutic and interpersonal skills. I have a talent for motivating, teaching, supporting and effectively collaborating with individuals to meet their treatment goals. My practice centers on creating a supportive atmosphere rooted in mutual respect and open communication, allowing healing to occur.
(301) 281-4730 View (301) 281-4730
Photo of Richard A Lanham Jr, PhD, Psychologist
Richard A Lanham Jr
Psychologist, PhD
Verified Verified
Silver Spring, MD 20906  (Online Only)
Areas of interest include, but are not limited to, the assessment and treatment of AD/HD, ASD and other Neurodevelopmental issues, TBI, mood disorders, anxiety and stress related issues, and learning and social/interpersonal difficulties.
Dr. Lanham treats children, adolescents and adults across the Lifespan. He served for 13 years as an Assistant Professor in the Dept. of Psychiatry & Behavioral Sciences at the Johns Hopkins School of Medicine, where he taught Neuropsychological Evaluation to neuropsychology fellows and medical residents. Prior to that, he served 7 years as the Clinical and Research Neuropsychologist at the Minneapolis VA Medical Center site for the Defense & Veterans Head Injury Program (DVHIP). Dr. Lanham utilizes an eclectic approach towards treatment, tailoring interventions to meet the specific needs of his patients and their families.
Areas of interest include, but are not limited to, the assessment and treatment of AD/HD, ASD and other Neurodevelopmental issues, TBI, mood disorders, anxiety and stress related issues, and learning and social/interpersonal difficulties.
Dr. Lanham treats children, adolescents and adults across the Lifespan. He served for 13 years as an Assistant Professor in the Dept. of Psychiatry & Behavioral Sciences at the Johns Hopkins School of Medicine, where he taught Neuropsychological Evaluation to neuropsychology fellows and medical residents. Prior to that, he served 7 years as the Clinical and Research Neuropsychologist at the Minneapolis VA Medical Center site for the Defense & Veterans Head Injury Program (DVHIP). Dr. Lanham utilizes an eclectic approach towards treatment, tailoring interventions to meet the specific needs of his patients and their families.
(240) 540-5160 x1 View (240) 540-5160 x1
Photo of Kevin Narby, LCPC
Kevin Narby
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Lutherville Timonium, MD 21093
I specialize in working with college students, young professionals, neurodivergent adults, ASD and people who have suffered TBI.
Asking for help when you are struggling is incredibly hard. Maybe you have tried therapy in the past and it was not a good fit. I strive with each of my clients to meet them where they are emotionally and work with them to achieve their goals. I work with adults struggling with depression, anxiety, ADHD, trauma, relationship stressors, and life transitions. My approach fosters a supportive, collaborative relationship that brings about real change. At the same time, I try to bring humor and laughter into the therapy space, often through nerdy pop culture references.
I specialize in working with college students, young professionals, neurodivergent adults, ASD and people who have suffered TBI.
Asking for help when you are struggling is incredibly hard. Maybe you have tried therapy in the past and it was not a good fit. I strive with each of my clients to meet them where they are emotionally and work with them to achieve their goals. I work with adults struggling with depression, anxiety, ADHD, trauma, relationship stressors, and life transitions. My approach fosters a supportive, collaborative relationship that brings about real change. At the same time, I try to bring humor and laughter into the therapy space, often through nerdy pop culture references.
(410) 324-6157 View (410) 324-6157
Photo of Jenelle Anthony, PsyD, MS, Psychologist
Jenelle Anthony
Psychologist, PsyD, MS
Verified Verified
1 Endorsed
Towson, MD 21204
Dr. Anthony specializes in treating PTSD and trauma-related issues, stressors of military-to-civilian and veterans’ transitions, life transitions and aging, workplace stress, chronic mental illness, brain illness and injury, mood disorders, women’s and minority mental health concerns, and those experiencing significant emotional and interpersonal challenges. She has experience providing CBT for depression and anxiety, dialectical behavior therapy skills, social skills training, schema therapy, trauma-focused therapy, CBT and prolonged exposure (PE) for PTSD, and interpersonal psychotherapy.
Dr. Anthony specializes in treating PTSD and trauma-related issues, stressors of military-to-civilian and veterans’ transitions, life transitions and aging, workplace stress, chronic mental illness, brain illness and injury, mood disorders, women’s and minority mental health concerns, and those experiencing significant emotional and interpersonal challenges. She has experience providing CBT for depression and anxiety, dialectical behavior therapy skills, social skills training, schema therapy, trauma-focused therapy, CBT and prolonged exposure (PE) for PTSD, and interpersonal psychotherapy.
(443) 241-6470 View (443) 241-6470
Photo of Jennifer Bugg Wright, PsyD, Psychologist
Jennifer Bugg Wright
Psychologist, PsyD
Verified Verified
Gaithersburg, MD 20878
Let's focus on your strengths to create the life you want to be living! No matter what ails you: anxiety, depression, grief, trauma... even simpler things, such as relationships, work stress, or finding a more meaningful life... I can provide education, emotional skills, coping strategies, and a compassionate ear. As a CBT and ACT therapist, I use therapy and skill building, looking at the interplay between our beliefs and ideas, our experiences and environment, and our values and choices in life. I also address biopsychological concerns such as sleep, neuropsychological functioning, breathing, and fight or flight responses.
Let's focus on your strengths to create the life you want to be living! No matter what ails you: anxiety, depression, grief, trauma... even simpler things, such as relationships, work stress, or finding a more meaningful life... I can provide education, emotional skills, coping strategies, and a compassionate ear. As a CBT and ACT therapist, I use therapy and skill building, looking at the interplay between our beliefs and ideas, our experiences and environment, and our values and choices in life. I also address biopsychological concerns such as sleep, neuropsychological functioning, breathing, and fight or flight responses.
(720) 575-3268 View (720) 575-3268
Photo of Erin Jones, MSW, LCSW-C, Clinical Social Work/Therapist
Erin Jones
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Ellicott City, MD 21042
Waitlist for new clients
Flow is seen as easy movement through life, but flow is found within our challenges too. Discomfort can be a catalyst to neuroplasticity & growth. Traumatic stress from past & present can overwhelm our natural rhythms & balance. Connecting to body and intuitive experience leads us along the path of healing. I help clients navigate their routes to wellness & authentic embodiment with a well exercised sense of humor, grace for self/others & common sense tools. I work to co-create & hold space for clients to understand & release trauma, from ancestral to individual, grounded in systems perspectives for de-pathologizing mental health.
Flow is seen as easy movement through life, but flow is found within our challenges too. Discomfort can be a catalyst to neuroplasticity & growth. Traumatic stress from past & present can overwhelm our natural rhythms & balance. Connecting to body and intuitive experience leads us along the path of healing. I help clients navigate their routes to wellness & authentic embodiment with a well exercised sense of humor, grace for self/others & common sense tools. I work to co-create & hold space for clients to understand & release trauma, from ancestral to individual, grounded in systems perspectives for de-pathologizing mental health.
(240) 312-3365 View (240) 312-3365
Photo of Dana Hubbard - Vitality Health & Wellness Center, LLC, DHA, LCSW-C, LICSW, Clinical Social Work/Therapist
Vitality Health & Wellness Center, LLC
Clinical Social Work/Therapist, DHA, LCSW-C, LICSW
Verified Verified
2 Endorsed
Largo, MD 20774
Now accepting clients! Is life hitting you from every direction? Do you feel like you need a listening ear to vent? Renew your mind, body, soul, and wear your crown with pride! It is with great care and dedication that I have created the Vitality Health and Wellness Center (VHWC) to do just that. Not only do we specialize in the mind, but we also focus on other areas in life that affect us as well. We can assist with life coaching, trauma services, financial counseling, readjustment issues, veteran assistance, peer support, and career planning.
Now accepting clients! Is life hitting you from every direction? Do you feel like you need a listening ear to vent? Renew your mind, body, soul, and wear your crown with pride! It is with great care and dedication that I have created the Vitality Health and Wellness Center (VHWC) to do just that. Not only do we specialize in the mind, but we also focus on other areas in life that affect us as well. We can assist with life coaching, trauma services, financial counseling, readjustment issues, veteran assistance, peer support, and career planning.
(301) 750-1685 View (301) 750-1685
Traumatic Brain Injury (TBI) Therapists

When should someone seek treatment for a traumatic brain injury?

People should seek a diagnosis and treatment after a head injury, especially if they were unconscious, and an early diagnosis can lead to a better recovery. Signs of a concussion include headaches, nausea or vomiting, exhaustion, dizziness, vision problems, sensitivity to light and sound, problems with attention and memory, brain fog, unusual irritability or sadness, and unusual sleep patterns.

What’s the most common treatment for a traumatic brain injury?

Treatment for a traumatic brain injury will be different depending on the severity of the problem. For mild injuries, treatment may involve rest and over-the-counter pain or headache medication. For moderate or severe injuries, treatment may involve stabilization, medication, and rehabilitative therapies such as physical therapy, occupational therapy, speech therapy, cognitive therapy, and counseling.

How long does it take to recover from traumatic brain injury?

The recovery time for a traumatic brain injury depends on the individual and the severity and nature of the injury; the length of time spent unconscious is often an indicator of severity. Recovery time for mild injuries may be a week or two while recovery time for more severe injuries may be six months to two years. Research suggests that the vast majority of recovery occurs in the first two years after an injury; recovery after that time frame is less certain.

What if a traumatic brain injury is left untreated?

If a traumatic brain injury is left untreated, it can lead to long-term physical and mental health problems. Physical problems may include dizziness, headaches, vision, healing, or speech loss, and an elevated risk of dementia. Psychological problems may include impairments of memory, judgment, and decision-making, depression, aggression, poor impulse control, and personality changes.