Training to Reconnect With Emotional Awareness Therapy

Inclusion Criteria: * TBI (injury due to a external physical force) * Complicated mild, moderate, or severe TBI (defined by Glasgow Coma Scale (GCS) in Emergency Department (ED) (≤12), or Post traumatic amnesia (PTA) (≥1 day),Loss of Conscientious (LOC) (≥30 minutes),or positive head CT scan consistent with TBI) * At least 18 years or older * ≥1 year post-injury * Adequate vision, hearing, speech, and comprehension * Reliable mode of transportation * Available for treatment during regular business hours * Have moderate to high screening alexithymia score (TAS-20 ≥52) * If participating in active psychological treatment prior to enrollment, their participation must be ongoing for 4 or more weeks Exclusion Criteria: * Diagnosed with pre-morbid neurological disorder that could affect mood and cognition (e.g., stroke, Alzheimer's disease, Parkinson's disease); does not include controlled seizures * Diagnosed with major psychiatric disorder (e.g., schizophrenia, Borderline Personality Disorder) * Severe Depression and/or perceived risk to self or others * Developmental disability (e.g. autism, developmental delay) * Unstable or anticipated medication changes related to mood or emotion during study participation * Having started psychological treatment less than 4 weeks prior to enrollment * Actively participating in the Traumatic Brain Injury Model System (TBIMS) alexithymia outcome module