The Caregiver's Journey

Visual Spatial Problems

Visual spatial abilities begin in the brain. They include blind spots and/or changes in the brain’s ability to understand what the eyes see.

The ability to perceive where you are in space and in relation to other items in the environment may also be affected by TBI. This is called spatial awareness.

Injury to the right side of the brain in particular can lead to difficulties in these areas.

What you might see:

  • Tendency to ignore things on one side of the body
  • Bumping into things on the affected side
  • Difficulty finding his or her way around, especially in new places
  • Difficulty recognizing shapes and telling the difference between shapes
  • Turning head towards the unaffected side
  • When reading, cutting words in half or beginning to read in the middle of the sentence or page
  • Mistaking the location of a chair when sitting down 
  • Misjudging distance; for example, missing the cup when pouring 
  • Standing too close or too far from others in social situations 
  • Confusion between right and left 
  • Reports of impaired vision

How you can help:

  • Ask for a neuro-ophthalmologist to identify your service member/veteran’s specific visual and/or visual spatial problems.
  • Stand on and place objects on the affected side. Encourage your service member/veteran to look to that side (this is called visual cueing).
  • Remind your service member/veteran to frequently look around the environment, especially toward the affected side (this is called visual scanning).
  • Use visual cues (e.g., a dark line) on one side of a page to encourage visual scanning of the entire page.
  • Arrange your house to make tasks easier. For example, have items to accomplish a task organized in one place.
  • Show your service member/veteran around new places several times. Avoid sending him or her to new places alone.
  • Limit clutter in the house. Try not to move items around.
  • Remind your service member/veteran to use handrails when available.
  • Provide gentle reminders that he or she is standing too close or far away during social encounters.
  • Seek professional advice about whether or not it is safe for your service member/veteran to drive.