Sexuality is an important factor that contributes to the sense of identity each of us develops as a social and emotional being. Expression of sexuality is greatly influenced by self-esteem and self-perception, or, by the way we view ourselves in relation to our environment and other individuals. Changes in appearance, thinking skills, and/or physical changes related to brain injury alter an individual's self-perception and result in accompanying changes in the expression of sexual thoughts and impulses. He/she is often insecure about the ability to express and experience affection and concerned about attractiveness and sexual effectiveness. Sexuality is therefore a valid rehabilitation issue for the individual with TBI that requires support and understanding from the family and counseling.

• Early Stages of Neurological Recovery
• Later Stages of Neurological Recovery