The Army and the VA have problems diagnosing traumatic brain injury (TBI). Both have put an emphasis on imaging to show physical damage despite the fact that according to many brain injury experts that in 75% of cases of TBI no obvious physical damage is apparent. Also, this is not limited to just mild cases as very severe symptoms may be present. Furthermore, while some improve over time others do not or even get worse. Often TBI is misdiagnosed or the true severity is underestimated. To make matters worse, these people are often not capable of navigating the maze of paperwork to get the help they need. They are often ignored or patronized by those who are supposed to help because they don't believe they are really hurt. Unfortunately, severe TBI without imaging evidence is all too real and common.

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