Hi Brad, As I'm sure you are only too aware your TBI may have long lasting implications to your health. Do you happen to know what area(s) of the brain were affected as a result of trauma? It may help if we can tease out the issues however. You mention a 30 year problem but say the past decade has been bad. As Judy suggests, if you can provide more detail we can maybe offer more specific support, although as a forum this has certain limitations. The tone of your message suggests you feel very down and the attempts by medical staff to help over the years may not have achieved as much as you hoped. Sometimes it really can help just to get things off your chest. Jerry