This devastating injury, not uncommonly results in anger, depression, denial and prolonged grieving before the paralysed individual accepts the true extent of the paralysis. Patients normally employ many denial techniques. It is counter productive to re-enforce the diagnosis before the patient is ready to accept his condition. If the patient has pre-existing psychological /psychiatric disabilities, it may be appropriate to take suitable advice from a local psychologist/psychiatrist. Discussions with the local Spinal Injuries Centre is likely to be advantageous to both the patient and the DGH.