How employers can support employees with TBI - Traumatic Brain Injury

In late November 2015, I (Annemiek, owner of Greenjobs.nl) had an accident that caused severe head trauma, resulting in an acute subdural hematoma—essentially, a brain bleed. Combined with a skull fracture and hearing damage, it was a serious injury. As a result, I developed TBI, Traumatic Brain Injury. Since then, fatigue, memory problems, and sensory overload have become my daily challenges. It was a significant shift, but with the right adjustments and support, I’m still able to contribute to the workforce and run my business. In this blog, I’ll share what TBI is and how employers and colleagues can support people living with it.

Have you heard of TBI - Traumatic Brain Injury?

TBI stands for Traumatic Brain Injury. This refers to brain damage that occurs after a traumatic event such as an accident. Unlike congenital brain injuries, you're not born with TBI, but it develops later in life—like it did for me.

While TBI may not be visible, its effects are often profound, both in personal and professional life. In this blog, I’ll share my personal experience with TBI and offer insights into how employers can accommodate employees with TBI. With Diversity Day approaching, it’s an ideal time to reflect on this topic. Diversity isn’t just about gender or race; it also encompasses many (often invisible) differences between people. I hope this blog helps raise awareness and conveys the message that everyone deserves to belong and be heard.

My personal experience with TBI

For me, the biggest challenges after my brain injury have been fatigue, memory loss, and sensory overload. Busy spaces, loud noises, or chaotic environments quickly overwhelm me. This means I need more breaks, have to manage my energy carefully, and often need to step away from stimuli. I now plan my time much more thoughtfully; where I used to be a poor planner, I now organize meetings and appointments meticulously because I know they can drain my energy.

Let’s Play Equal, the Most Unfair Game in the World

Having TBI inspired me to participate as a business owner in Let’s Play Equal, the most unfair game in the world—a board game that sparks conversations about diversity and inclusion. Now that I’ve experienced firsthand what it’s like to be perceived as "different," I fully embraced the opportunity to get involved in the production of this game. The game includes characters facing mental challenges, showcasing 20 diverse characters from all walks of life. Take a look at the Let’s Play Equal website and get inspired by the game!

Common challenges faced by people with traumatic brain injury - TBI

While every person with TBI experiences different symptoms, there are some common challenges that many face:

- Fatigue

Fatigue after a brain injury is often chronic. Workdays can feel exhausting, even if the tasks aren’t physically demanding. I’ve become a meticulous planner, factoring in periods of rest. For example, if I spend a weekend away with friends, I make sure the following days and evenings are free of commitments to allow time to recover.

- Concentration problems

Staying focused for long periods is difficult. Multitasking can also be a big challenge, or on the flip side, you may experience hyperfocus and a racing mind filled with 100 ideas in a minute.

- Memory Issues and memory loss

Short-term memory is often impaired, leading to forgotten appointments or important tasks. Sometimes it’s embarrassing how little I remember from meetings or conversations, and I often find myself repeating things unknowingly. It’s all part of the new situation and dealing with TBI on a daily basis.

- Sensory Sensitivity

Many people with TBI are easily overwhelmed by busy environments, loud noises, or bright lights. This can lead to headaches, fatigue, or even panic attacks.

How employers can support employees with TBI

Employers play a crucial role in supporting employees with TBI by making accommodations and offering flexibility:

- Flexible work hours

Fatigue can be unpredictable, so offering flexible hours allows employees to manage their energy better. If possible, remote work or adjustable work hours could be a great solution.

Scheduled breaks

Regular breaks throughout the day can prevent burnout and help employees maintain their energy levels.

A quiet work environment

Employees with TBI can be easily overstimulated in noisy or hectic environments. A quiet workspace, noise-cancelling headphones, or access to a private room can make a huge difference.

Memory aids

Since memory may not function as well, tools like digital calendars, task lists, and reminder apps can help employees stay organized.

Task adjustments if needed

Work with employees to identify tasks that match their concentration levels. Tasks that require minimal distractions and are clearly defined can be more manageable.

Understanding and communication

The most important aspect is an open and empathetic attitude. Regular check-ins to assess how things are going can allow for adjustments. TBI is invisible, but the challenges are real. People with TBI are still valuable team members—just remember to treat them as individuals first and foremost.

Resources for Learning More About TBI

For people living with TBI and their loved ones, it’s essential to receive the right information and support. Organizations like the Hersenstichting (Brain Foundation) offer valuable resources on traumatic brain injuries, their impact, and how to manage them in everyday life. Their website also provides advice for employers, caregivers, and family members. The dynamics within relationships can change significantly when someone in your circle is affected by TBI. Understanding the challenges they face can foster more empathy and support.

I hope this blog offers some insight into how employers can make a difference for employees with TBI, like myself. With the right accommodations and understanding, those of us with TBI can continue to thrive in the workplace.

This blog is written by Annemiek Nusmeijer.

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