Aim: To show a case report of mental health consequances of a felow who survived Trauma brain injury (TBI) with commotio cerebri that was not properly diagnosed in the first emergency medical examination and harm that he and his family suffer because of lack of knowledge and ethics of medical, economic and judical authorities. Case report: A twenty-six year old male survived a traffic accident that caused TBI. He was misdiagnosed during the emergency examination. Because of that (and other factors) he has not returned to his previous level of functioning. After he treated in the Department of Psychiatry, he went back to his environment a sick leave council interrupted his sick leave, showing mistrust to him and his condition and towards the discharge diagnoses from the Department of Psychiatry. The council sent him to his job without occupational rehabilitation that was recommended. As he could not work in his full capacity, the authorities from his job discharged him on January 2012. When he was on the trial for getting his compensation because of health damages the insurance health expert denied his sufferings and all mental consequences of the commotio cerebri because it was not diagnosed on the first examination in the evening of the accident. So the destiny of this young fellow is very questionable in perspective because of lack of knowledge and ethics of medical staff who are not responsible regarding Hippocratic oath and of industry management who do not take adequate care about their workers who survive traffic accident on the way back to home from their job and who continually suffer because of health particularly mental health consequences. Conclusion: The TBI is an important health public problem and the hospital must establish a perfect managemet in this patients for avoid Mental Changes of Commotio Cerebri.