29-year-old Caucasian woman with an associates' degree reported a history of physical and emotional abuse. Violent altercations involved door, wall, and fist. Her symptoms included (i) memory problems such as losing childhood memories and memories of friends, difficulty finding words, (ii) communication problems, including issues with speech, expressing herself and understanding directions, (iii) affect regulation problems, such as being easily aggravated and overwhelmed, and difficulty understanding her own feelings, (iv) sensory problems such as issues with vision, taste, and smell, (v) feelings of disconnection including losing interest in hobbies and relationships, and preferring to be alone. Imaging review from the radiologist found considerable TBI encephalomalacia, gliosis, hemosiderin in bilateral orbitofrontal (R>L), and more superiorly left frontal lobe.