This article reports on four women with traumatic brain injury (TBI). It describes what happened to the women during their initial trauma and what life was like for them following their injuries. TBI can have devastating lifelong consequences because the brain is the body's central functioning unit. Damage from a TBI tends to be comprehensive, extending beyond physical injuries and changing the way a person behaves and feels. It can even bring about a total change in personality and often leads to psychosocial problems. Family and friends of the person with TBI may have difficulty understanding and coping with these changes. The authors suggest nursing interventions to help both the patient and others deal with TBI.