In contemporary society, there’s an emerging and frightening realization that repeated concussions have a devastating effect on men and women in uniform and participants in contact sports. What has largely escaped notice is the silent epidemic of TBI in women and children who are victims of domestic violence (DV). Domestic violence is a public health epidemic and a private nightmare for millions of women, children and families. Considering that 1 in 4 American women have experienced severe violence from an intimate partner in their lifetime, we are long overdue for a serious national conversation.