CBIS Spotlight: Michelle Weinberg

Michelle Weinberg is an occupational therapist at Memorial Regional Hospital South in Hollywood, Fla., where she is distinguished as a Clinical Ladder III therapist. With 20 years of experience, she specializes in neurorehabilitation, with a passion for helping individuals recovering from traumatic brain injuries and stroke.

Why have you chosen a career in brain injury? Why are you passionate about brain injury?

My passion for brain injury rehabilitation began early in my journey to becoming an occupational therapist. When I first explored different practice areas in college, I was initially drawn to the complexity and resilience involved in neurological recovery. The defining moment occurred while shadowing at a community hospital under the supervision of a physical therapist. During one session, I observed a patient who had survived a severe stroke. After completing physical therapy, the patient transitioned to an occupational therapy session, a field I was unfamiliar with at the time. Intrigued, I asked my supervisor for permission to observe. What I witnessed was transformative, the intricate connection between the mind and body, the problem-solving involved in restoring function, and the patient-centered approach captivated me. I realized then that occupational therapy, particularly in neurological rehabilitation, was the career path I wanted to pursue.

From the very start of my career, I gravitated toward inpatient rehabilitation, where I had the opportunity to work with individuals recovering from various neurological conditions, including traumatic brain injuries (TBIs), strokes, and spinal cord injuries. I found immense fulfillment in helping individuals regain independence in their daily lives, relearn fundamental skills, and reintegrate into their communities. Brain injury rehabilitation is unpredictable and challenging, but that challenge is what drives my passion. Each patient’s recovery is unique, requiring creativity, critical thinking, and a deep understanding of neuroplasticity. The ability to help someone regain function and rediscover their identity after a life-altering injury is both humbling and incredibly rewarding. Over the years, my dedication to this field has only grown stronger, reinforcing my commitment to advancing treatment approaches, advocating for patients, and contributing to the evolving landscape of brain injury rehabilitation.

How has the field of brain injury changed in your time working?

The field of brain injury rehabilitation has evolved significantly, particularly with advancements in neuroplasticity research, assistive technology, and interdisciplinary care models. When I first started, rehabilitation was primarily focused on physical recovery, the biomedical/biomechanical model and compensatory strategies. Now, there is a much stronger emphasis on cognitive rehabilitation, mental health, and long-term community reintegration. Innovations such as virtual reality therapy, robotics, and brain-computer interfaces have expanded the possibilities for functional recovery.

Additionally, there is greater recognition of the importance of person-centered care, emphasizing quality of life, mental health, and social participation. The advocacy surrounding brain injury has also improved, with increased awareness and resources for individuals living with TBIs and their families. However, despite these advancements, there is still a long way to go in ensuring consistent access to high-quality care across all settings and the need for continued advocacy work.

Why is having CBIS important to you? How is it helpful in your daily work?

Earning my CBIS credential was a great asset for my professional growth. It has provided me with an excuse to concentrate more time on taking continuing education courses specifically for brain injury recovery. The advanced understanding of best practices in treatment and the latest research in neurorehabilitation enhances my ability to assess, treat, mentor others, and advocate for individuals with brain injuries effectively. In my daily work, it allows me to develop evidence-based interventions, educate patients and families on recovery of brain injury, and collaborate more effectively with interdisciplinary teams. I think having this credential only reinforces my commitment to lifelong learning and staying current in a rapidly evolving field.

How can clinicians best advocate for individuals with brain injury, their caregivers, and family members?

Advocacy is crucial in brain injury rehabilitation, as many individuals face barriers to accessing appropriate care and resources. Clinicians can advocate by promoting policy changes that support brain injury prevention, rehabilitation funding, and long-term care services. Education is a powerful tool by informing patients, families, and caregivers about their rights, available resources, and rehabilitation options, we empower them to make informed decisions.

Additionally, establishing a strong interdisciplinary collaboration ensures that individuals with brain injuries receive comprehensive care that addresses their cognitive, physical, and emotional needs. Clinicians can also contribute to research, participate in community outreach, and engage with organizations like the Brain Injury Association of America to promote awareness and policy reform.

What are some challenges you have faced working with individuals with brain injury?

Working with individuals with brain injuries presents several challenges, including the unpredictable nature of recovery, emotional and behavioral changes, and the long-term impact on both the patient and their support system. One of the biggest challenges is managing the emotional and cognitive changes that often accompany TBIs, such as aggression, impulsivity, or depression. I acknowledge that during the early stages of many patients’ recovery, I have encountered situations that posed a level of risk. These factors can significantly impact therapy engagement and require a highly individualized approach and a great amount of patience.

Access to care remains a major issue. Many patients and families struggle with insurance limitations, financial burdens, and a lack of long-term support. Navigating these challenges requires a combination of clinical expertise, persistence, and strong advocacy efforts to ensure that individuals receive the care they need.

What do you see as the future of the brain injury field/research/education?

The future of brain injury rehabilitation is promising, with ongoing advancements in neuroscience, technology, and rehabilitation methods. I anticipate greater integration of neurotechnology, such as brain-computer interfaces and neuromodulation techniques, to enhance cognitive and motor recovery. The role of artificial intelligence and machine learning in tracking patient progress and predicting outcomes will likely transform how we approach individualized rehabilitation. The virtual reality integrated therapy is dynamic and exciting even for older patients. In addition, there is a growing emphasis on holistic recovery, addressing not only physical and cognitive impairments but also emotional well-being, vocational reintegration, and social participation. I find myself consistently providing psychosocial support as well as occupational therapy care. I recently returned to graduate school to pursue a doctorate in occupational therapy to deepen my expertise and address knowledge gaps. My goal is to contribute to the advancement of evidence-based practice, particularly in the treatment and rehabilitation of individuals with TBIs. I am hopeful that education and advocacy efforts will continue to expand, ensuring that individuals with TBIs receive lifelong support. Occupational therapy will continue to play a vital role in this evolution, emphasizing functional independence and quality of life for individuals living with brain injuries.