The last decade has shown a rapid expansion in the provision of acute rehabilitation services for patients with traumatic brain injury (TBI) in South Africa, with a growing awareness of the problems associated with such injuries and recognition of the need for structured therapy programmes to maximise functional outcomes after injury. However, as a sub-specialty of the rehabilitation model, the field of cognitive rehabilitation is much less understood than the physical modalities. Despite the fact that cognitive disorders derived from TBI are extremely common and can affect all aspects of an individual’s functioning, few patients are referred to specialised rehabilitation units with cognitive remediation as the primary goal. This article identifies the common cognitive impairments in TBI and discusses therapeutic treatment options for these conditions. It also touches on the devastating impact such impairments can have on family members and caregivers, who are in as much need of psychological support as the victim during the rehabilitative process.