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HD Reach
2409 Crabtree Blvd, Ste 107
Raleigh, NC 27604

Monday through Friday 9 AM - 5 PM

HD Reach
2409 Crabtree Blvd, Ste 107
Raleigh, NC 27604

Monday through Friday 9 AM - 5 PM

Managing HD

Addressing Challenging Behaviors

Set Realistic Goals for handling challenges 

Choose the single most important problem to change at one time , but consider multiple ways to approach it. For example, you might decide to work on irritability, and include medication management, redirection, setting limits, and working to increase trust in your relationship with the person with HD. 

Address problems in this order: safety first, then  behaviors that interfere with relationships or personal/medical care, and then quality of life issues. Begin your approach this way: 

  • Name the behavior.
  • Measure it (frequency, intensity, etc.).
  • Choose the strategy you will use.
  • Monitor results.
  • Be objective!
  • Ask for help.
  • Take care of yourself.

Behavior Logs 

It’s helpful to keep track of behavior when determining cause and effect, especially when you’re puzzled about what the behavior might be (i.e., perseveration vs. persistence, irritability vs. justifiable anger, etc.). Behavior logs will track the results of different interventions. 

Some tricks for the best use of behavior logs: 

  • Complete the behavior log every day during a calm moment.

  • Follow the recording of the behavior with something pleasant for yourself. It’s not easy to go over a difficult experience in your mind, and it is helpful to soothe yourself afterwards. Drink a cup of tea or listen to music, whatever you do to make yourself feel better. For ideas, see Adult Pleasant Events Schedule.

  • Start your review of the experience at the last moment you can recall when things were going okay, right before the behavior began. Go through each action, thought, or emotion from the start of the behavior until it resolves. Don’t forget to include your own emotions and reactions.

  • Don’t judge your own actions or feelings; you are doing the best you can too.

  • Identify the real problem, not just the part of the event that was most painful for you. Be objective.

  • Include days when there is no negative behavior. It will help you put the behavior in perspective.

HD Reach
2409 Crabtree Blvd, Ste 107
Raleigh, NC 27604

Monday through Friday 9 AM - 5 PM

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