The Invisible Injury Series:
The Counselor's Role in Identifying and Treating Mild Traumatic Brain Injury/Concussion
5 Part Certificate Series
Mild traumatic brain injury and post concussion syndrome often go undiagnosed due to unsought medical care, inconclusive screening or scans, and poor societal education regarding causes and effects of mild TBI. It is likely that a counselor could be the first professional sought by a client suffering from the effects of mild TBI, making recognition and referral to other disciplines invaluable. It is imperative that mental health counselors work together with other related professionals, such as speech-language pathologists, in the treatment of individuals with TBI as the cognitive deficits associated can affect performance, communication, emotional regulation, relationships, and occupation. By approaching treatment of mild TBI as a team, addressing cognitive deficits and related psychosocial and emotional impact, this will facilitate their ability to achieve ultimate outcomes and mitigate barriers to treatment by either discipline.
Overall Learning Objectives:
1. Identify symptoms and assess for mild TBI.
2. Learn strategies for working with clients with mild TBI.
3. Learn appropriate content and methods of providing educational counseling to families and others (e.g. communication partner competencies).
4. Learn appropriate interprofessional referrals and how to participate in continuum of care.
5. Identify appropriate steps and recommendations for return to school for adolescents with mild TBI.
6. Participants will receive practice in identification of mild TBI and appropriate recommendations through presented case studies.
About the Presenters:

Brian Smith is a Licensed Clinical Professional Counselor at Coalesce Mental Health in Boise, Idaho. Brian attended graduate school at Idaho State University and earned a Masters of Counseling in May of 2014. He completed an internship at the Boise Vet Center, where he gained experience in working with couples, veterans with PTSD, and comorbid instances of mild traumatic brain injury (TBI) and TBI. Brian currently works with adolescents and adults in individual, couples, and family settings, with a clinical focus including anxiety and depression, trauma, and relationship distress within a systemic framework. Brian maintains a caseload including clients with mild TBI and routinely participated in interprofessional collaboration with SLP providers for these clients.
Brian has served as President of the Idaho Mental Health Counselors Association, and Idaho Counseling Association. Since 2014, he has presented in academic settings, and at state and national conferences for both counselors and speech language pathologists on collaboration of care for clients with mild TBI in both the civilian and veteran community.

Shauna Smith, MS, CCC-SLP is a speech-language pathologist with a private practice - Element Communication & Rehabilitation offering telehealth services in Idaho and Oregon. She is the former Clinical Professor and Clinic Director at Idaho State University in the Department of Communication Sciences and Disorders. Prior to becoming a faculty member at ISU, Shauna was the primary SLP of an outpatient brain injury team for several years. She also provides supervision to graduate students in clinic working with adults with neurological disorders, and teaches the Medical Based Issues graduate course, preparing students to work in the medical setting. One of her primary areas of interest is the functional treatment of individuals with TBI, and she has presented at the state and national level on inter-professional collaboration when working with this population. Since 2005, Shauna has practiced in a variety of settings, including outpatient brain injury team, acute care, and outpatient and private practice clinics. She also spent 14 years training graduate clinicians in the university clinical setting working with the populations that are the focus of her own practice today. Shauna has a private practice, Element Communication & Rehabilitation offering telehealth services to adolescents and adults in Idaho and Oregon. Shauna has presented nationally, regionally, and locally as an expert on the topic of concussion/mild TBI and other rehabilitation related topics, with a functional, patient-centered focus. Shauna currently serves as the Executive Director of the Idaho Counseling Association.
Sessions and Objectives:
Session 1: Hidden in Plain Sight: The Reality of Mild TBI/Concussion and Why Counselors Often Miss It (1.5 CEs)
Date: April 17, 2026
Time: 12:30-2:00PM
Learn criteria for mTBI/concussion (and distinction from TBI) and how it can be misdiagnosed or undiagnosed.
Learn potential cognitive deficits and typical recovery.
Learn crossover and positive feedback loop of symptoms between cognitive and emotional issues.
Learn “red flags” among presenting issues, behaviors, and lifestyle.
Session 2: What’s Really Going On? Untangling Mild TBI/Concussion from Mental Health and Building the Right Team (1.5 CEs - Meets Idaho Boundaries Requirement)
Date: May 1, 2026
Time: 12:30-2:00PM
Learn specific assessment and intake questions and techniques to screen for mTBI.
Identify professional boundaries in performing the typical referral process and techniques to help client engage with interprofessional team.
Learn what an SLP does and how to collaborate for mutual reinforcement of treatment goals.
Session 3: From Awareness to Action: Ethical Considerations and Strategies for Working with Clients with Mild TBI/Concussion (1.5 CEs - Meets Idaho Ethics Requirement)
Date: May 15, 2026
Time: 12:30-2:00PM
Learn how to effectively engage with interprofessional team.
Learn ethical considerations involved in maintaining scope of practice.
Learn specific techniques and strategies to support clients with mTBI through recovery process.
Session 4: Real Life, Real Challenges: Supporting Adults with Mild TBI/Concussion Across Environments (1.5 CEs)
Date: May 29, 2026
Time 12:30-2:00PM
Learn how to foster effective communication partner awareness, understanding, and support.
Learn how to help client navigate work or college accommodations and support client in these efforts.
Learn SLP interventions specific to adults and how to support them.
Learn counseling interventions specific to adults.
Session 5: When No One Sees It: Helping Adolescents with Mild TBI/Concussion Navigate Real Life (1.5 CEs - Meets Idaho Suicide Awareness and Prevention Requirement
Date: June 12. 2026
Time: 12:30-2:00PM
Learn how to foster effective awareness, understanding, and support with parents/family.
Learn how to interface with school faculty (e.g. school nurse, school counselor, teachers, coaches) in order to support client.
Identify components of suicide assessment with the mild TBI adolescent population.
Learn SLP interventions specific to adolescents and how to support them.
Learn counseling interventions specific to adolescents.
Learn how to support client and involved parent if separated parent is resistant to diagnosis, treatment, or following recommendations/accommodations.