Teletherapy Promising for TBI Emotional Recovery

A major government-funded initiative is further advancing the understanding of teletherapy for emotional health challenges following traumatic brain injury. In December 2025, the U.S. Department of War announced a $4.3 million multi-site study testing Building Emotional Self-Awareness Teletherapy (BEST), led by the Hackensack Meridian JFK Johnson Rehabilitation Institute (NJ) and designed to help brain injury survivors recognize and regulate emotions.

The DoW’s Congressionally Directed Medical Research Programs is funding this nationwide study through its Traumatic Brain Injury and Psychological Health Research Program with partner institutions, including the Indiana University School of Medicine, the National Intrepid Center of Excellence, and the University of South Florida. The study will enroll 152 civilian and military participants experiencing emotional dysregulation after mild traumatic brain injury.

The federal government’s exploration into telehealth, in relation to brain injury, has long been studied. As early as 2003, the NIH reported that, “A case study is presented in which teletherapy was successfully utilized to improve the functional outcomes, both physical and cognitive, of a patient with a severe TBI.” More recent government-supported research, led by the University of Washington and UC San Diego and published in July 2025 in Frontiers in Neurology found that telehealth interventions significantly improved depression, anxiety, PTSD, and sleep symptoms in service members with concussions.

Preliminary results are encouraging: 83% of BEST participants reported noticeable improvement in functioning. These developments offer hope that accessible remote therapy can transform emotional recovery for millions affected by brain injury.

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