Stress and Anxiety Following Traumatic Brain Injury

Feb. 12, 2015; 1-2:30 p.m. (ET)


Human behavior is a result of the constant interaction between the organism and its environment is a belief of the early 20th century psychologist Clark Hull (Freeman, Moore, & Freeman, 2009). Current research notes when injury or stress occurs, behavior reinforces the optimal biological conditions of survival.

This is just as true today when a service member survives both the stress of injury from a brain insult and the effects of the concussion/TBI when either stress or TBI may be repetitive in highly paced or frequent deployment environments. When TBI occurs on a battlefield, both a TBI and a stress/fear response occur. 

If a threat or anxiety becomes overwhelming, the service member may revert to protective modes, including exacerbation of posttraumatic stress disorder, family conflict, alcohol or substance abuse, or other maladaptive reactions. Discussion will include a variety of evidence-based assessment and treatment strategies related to stress and anxiety following TBI.

At the conclusion of this webinar, participants will be able to:

  • Describe the complex interaction between the effects of stress and anxiety during the recovery course of TBI
  • Examine and select strategies for treating co-morbid symptoms with the core symptoms of TBI
  • Discuss the integration of evidence-based practices into the assessment of stress and anxiety following TBI


C. Alan Hopewell, Ph.D., ABPP
Assistant Professor, Department of Psychiatry and Behavioral Health University of North Texas Health Science Center Ft. Worth, Texas


Sherray L. Holland, PA-C
TBI Clinical Educator, Division of Education Contract support to Defense and Veterans Brain Injury Center Silver Spring, Md.

Reference: Freeman, S., Moore, B., & Freeman, A. (2009). Living and surviving in harm’s way: A psychological treatment handbook for pre- and post-deployment of military personnel. New York: Taylor and Francis Group, LLL.

Continuing Education

Continuing education credit is available from Duke Medicine. You must register on or before Feb. 12, 2015, at 3 p.m. (EST) to qualify for the receipt of continuing education credit.

To qualify for receipt of continuing education credit for applicable webinars, eligible participants must create a profile in the Duke Medicine Learning Management System and register for the event on, or before, the event registration deadline. Complete responses to all pre-registration questions are required to be eligible to receive credit for attending this event. For guidance on creating a user account and event registration in the Duke Medicine Learning Management System site, please visit

DCoE’s awarding of continuing education credit is limited in scope to health care providers who actively provide psychological health and traumatic brain injury care to U.S. active-duty service members, reservists, National Guardsmen, military veterans and/or their families. For additional details, please visit

Additionally since September 2014 for Psychology: This activity complies with all of the continuing education criteria identified through the American Psychological Association (APA) Continuing Education Requirements.

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