(The immediate impact of traumatic brain injury (TBI) in early childhood they adjust better, they are less mindful of their injury, takes longer for the effects to be seen, parents realize that eventual their child will not be the same and their friends are more accepting of their disability. The adolescent years, friends may not comprehend or could not handle the adjustments, not recovering what they knew beforehand, behavioral difficulties and feelings of hopelessness. TBI will change adolescent’s sense of physical attractiveness, lacking self-confidence, social awareness, and cognitive abilities (poor attention and concentration). They will have difficulty with academics they knew before, it will seem to be more resilient because of the injury and intellectual problems may be less noticeable than in children.)