Traumatic brain injuries are among the most serious — and most complicated — outcomes of a motor vehicle accident. If you're researching what a Houston brain injury lawyer does, or trying to understand how TBI claims work in Texas, this page explains the process: how liability is established, what damages typically come into play, how insurers approach these cases, and why the specific facts of your accident matter enormously.
A traumatic brain injury can range from a mild concussion to a severe, permanent impairment affecting memory, personality, motor function, and the ability to work or live independently. That spectrum creates real challenges in a claims context.
Unlike a broken bone — which shows clearly on an X-ray and heals on a documented timeline — TBIs often involve:
These factors make TBI claims more likely to be contested, more expensive to document, and more dependent on medical and legal expertise than many other injury types.
Texas follows a modified comparative fault rule (sometimes called proportionate responsibility). This means:
Texas is an at-fault state, not a no-fault state. This means the driver responsible for the crash is generally responsible for resulting damages, and claims are typically filed against the at-fault driver's liability insurance. There is no mandatory personal injury protection (PIP) requirement in Texas, though insurers must offer it — and whether you have PIP coverage affects your options.
Police reports from the Houston Police Department or Harris County Sheriff's Office play a significant role in early fault determinations, though insurers conduct their own investigations and may weigh additional evidence including witness statements, traffic camera footage, and accident reconstruction.
In Texas personal injury cases involving TBI, damages generally fall into two categories:
| Damage Type | Examples |
|---|---|
| Economic damages | Emergency care, hospitalization, surgery, rehabilitation, lost wages, future medical costs, lost earning capacity |
| Non-economic damages | Pain and suffering, mental anguish, loss of enjoyment of life, disfigurement |
Texas does not cap non-economic damages in most personal injury cases (caps apply in medical malpractice cases). However, the value assigned to non-economic damages in a TBI claim depends heavily on the documented severity of the injury, the clarity of the liability picture, available insurance coverage, and — if the case goes to trial — how a jury assesses the evidence.
Future damages are particularly significant in severe TBI cases. Projecting lifetime medical costs and lost earning capacity typically requires vocational experts, life care planners, and economists. These projections are often a central point of dispute between claimants and insurers.
Insurance companies handling TBI claims typically:
When a TBI claim involves significant future damages, insurers may resist early settlement or make offers that don't account for long-term costs. The gap between an initial offer and the actual documented value of a severe TBI case can be substantial — though what that gap looks like in any individual case depends entirely on the facts, coverage limits, and how the claim is handled.
Attorneys who handle TBI cases in Houston typically work on a contingency fee basis — meaning no upfront payment, with the attorney receiving a percentage of any recovery, commonly in the range of 33–40%, though this varies by firm and case complexity.
What a personal injury attorney generally does in a TBI case:
The statute of limitations for personal injury cases in Texas is generally two years from the date of the accident — but exceptions exist, and certain circumstances (government vehicles, minors, discovery of injury) can affect that timeline. Missing a filing deadline typically bars recovery entirely.
No two TBI cases resolve the same way. The outcome depends on:
In Houston — a large urban jurisdiction with significant jury variation — trial outcomes in TBI cases can differ meaningfully from cases resolved in smaller Texas counties. That local context is something attorneys practicing in Harris County understand in ways that general information cannot capture.
The facts of your accident, your specific coverage, and the documented medical picture are what determine how this process actually unfolds for you.
