It is known that if a man strikes another man, the damager must pay "Five Payments" - Nezek (damage), Tza'ar (pain), Ripui (doctors' bills), Sheves (unemployment), and Boshes (embarrassment). (This is an explicit series of Mishnayos in Bava Kama Chapter 8.)
What is the halacha if Reuven were to, c"v paralyze Shimon such that Shimon is permanently stuck in a wheelchair? He obviously has to pay the same Five Payments. But is there a chiyuv for Reuven to pay for the fact that Shimon's life will never be the same? Is there a payment for forcing him into a lower quality of life, to which he will now have to become adjusted? Is there anything that can force Reuven to pay for Shimon's emotional pain from being unable to walk?
Is it Nezek?
- No, the payment for damages is calculated by finding the loss in his value on the slave market. There's nothing in the calculation regarding payment for his quality of life, only what he's able to accomplish as a slave.
Is it Tza'ar?
- No. Tza'ar is how much one would demand to undergo pain. The Mishnah gives the example of a fingernail injury "in which there is no wound," so it would seem to apply to physical pain only, not emotional pain.
Is it Ripui?
- I think we can all agree that quality of life isn't included in doctors' bills. As @DoubleAA pointed out, Reuven would be liable for the disability tools, but I don't see how there can be a payment for a lower quality of life.
Is it Sheves?
- Still no. First of all, Shimon might have been able to get his job back. Even if he couldn't, he likely would have been able to get another job. As the Mishnah makes clear, Sheves is paid as if he's a cucumber watcher, i.e. absolute minimum wage. As long as he gets any job, Sheves will not cover his new quality of life.
What about Boshes?
- Perhaps you could argue, as @DoubleAA did, that there's a measure of embarrassment of being that nebach rolling around on the street in his wheelchair, but it doesn't exactly cover his lower quality of life.
So there's three options I see here at this point. Possibly the likeliest is that I've completely misunderstood what one or more of these categories cover, and indeed emotional pain is covered by one of them. The second option is that there's another payment I'm unaware of. And the third option is that, indeed, Chazal did not make a payment to cover emotional pain. So which is it?