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Alan Carson graduated in Medicine from Edinburgh University in 1991 and completed basic Psychiatry training at the Royal Edinburgh Hospital. Following six months as a Wellcome Research Fellow examining the cognitive effects of HIV infection in a Kenyan population, he was Lecturer and Honorary Senior Registrar in Psychiatry at University of Edinburgh.During this time he developed his interest in neuropsychiatry and was trained by Professor Michael Sharpe, Professor David Owens and Professor Charles Warlow. He was subsequently appointed Consultant Neuropsychiatrist to Rehabilitation Medicine at the Astley Ainslie Hospital and to the Department of Clinical Neurosciences at the Western General Hospital.In this talk I will give an overview of neuropsychiatric presentations in context of traumatic brain injury. The talk will have a focus on common clinical issues, how they might be conceptualised, diagnosed and treated.I will try to provide a structured approach to patient assessment in traumatic brain injury. The emphasis will be on formulation and I will be emphasising that questions about who was the patient whose brain was injured are usually every bit as important as the nature of the injury.Hopefully I will convince you that the neuropsychiatry of brain injury is a fascinating and rewarding area of practice.Reference Li LM, Carson A, Dams-O’Connor K. Psychiatric sequelae of traumatic brain injury – future directions in research. Nat Rev Neurol. 2023;19(9):556–571. doi: 10.1038/s41582-023-00853-8. Epub 2023 Aug 17. PMID: 37591931.