Final answer:
The changes described in the question represent a decrease in self-esteem.
Step-by-step explanation:
The changes described in the question represent a decrease in self-esteem. Traumatic brain injuries can affect a person's self-perception, leading to reduced self-confidence and feelings of worthlessness. This is especially true for individuals who take pride in their ability to care for others and now perceive themselves as a burden. These changes in self-esteem can have a significant impact on a person's overall well-being and ability to care for themselves.