Care recipient (cr) has low impulse control that leads to thoughtless decisions recklessness temper outbursts and inappropriate sexual behavior

Try: Try setting predictable routines for daily living to help you manage cr’s activities try overseeing cr’s finances and restrict cr’s access to money try to keep a watchful eye on who cr spends time with cr may be easily influenced by peers to make poor decisions get rid of weapons and dangerous objects or at least put them under lock and key watch for developing obsessions with things like smoking caffeine or even internet use

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Medical Physical, Sexuality Intimacy, Social, Cognitive Awareness, Somewhat Aware, Unaware, Long-Term Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: With cr sometimes information is taken more seriously when it comes from someone outside the family

References: a caregiver’s guide to huntington’s disease by huntington’s disease society of america 2011 available at www hdsa org

Keywords: Imulse control thoughtless decisions recklessness temper outbursts inappropriate sexual behavior challenging behavior

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is very defensive towards others and accuses them of things they haven’t done

Try: Try to look and sound like you’re listening when face-to-face you need to look interested nod your head and keep good eye contact over the ‘phone – try making the occasional uh huh – i see if cr senses that you care and that you’re interested in his her problem then they’re likely to become more reasonable try to get all the facts – write them down repeat back paraphrase the problem to ensure your understanding and to let cr know that you are listening try to use names a person’s name is one of the warmest sounds they hear it says that you have recognize them as an individual it is important not to overdo it as it may come across to cr as patronizing make sure cr knows your name and that you’ll take ownership for the problem avoid blaming someone or something else try to be sensitive to cr cr’s ego avoid interrupting cr avoid arguing with cr avoid jumping in with solutions allow cr to let off steam avoid saying calm down try to see it from cr cr’s point of view too often you may think cr is making too much fuss you may think what what’s the big deal; i’ll fix it right away try to remember that the issue at hand is a big deal to cr and he she wants you to appreciate it you don’t necessarily need to agree with cr however try to accept the fact that it it’s a problem for cr try to be very aware of your body language and tone of voice they can make the situation worse if you’re not paying attention your tone of voice and body language may be communicating your frustration and annoyance but keep in mind that people listen with their eyes so cr may give greater credibility to how you say something rather than what you say it it’s also important to use a warm tone of voice when dealing with a difficult situation this doesn’t mean being nicey- nicey or behaving in a non-assertive manner try to avoid certain words when communicating with cr there are certain trigger words that can cause cr to become more difficult especially in emotionally charged situations these include you have to but i want you to i need you to i can’t or you can’t try saying something else other than sorry sorry is an overused word everyone says it when something goes wrong and it has lost its value how often have you heard – sorry ’bout that give me the details and i’ll sort this out for you try saying something like i apologize for _____ if you really need to use the sorry word make sure to include it as part of a full sentence i’m sorry you haven’t found your wallet yet harold again it it’s good practice to use cr’s name

Materials: Pen paper

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Medical Physical, Cognitive Awareness, Somewhat Aware, Unaware, Long-Term Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: Try to break tasks into small steps and write them out try offering cr limited choices and avoid asking cr open-ended questions for example ask do you want beef or chicken for dinner instead of what do you want to eat try using simple to-do lists and a calendar or appointment book try to plan activities so that the same type of thing happens at the same time every day try to get into a regular routine so that cr doesn’t have to rely so much on his her memory

References: dealing with difficult people by alan fairweather 2001 available at www howtodealwithdifficultpeople com

Keywords: Challenging behavior false accusations accuses accusatory upset angry cranky mad shouting shouts paranoid paranoia

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is very defensive towards others and accuses them of things they haven’t done

Try: Try to empathize with cr for example first try to deal with cr’s feelings – then deal with his her problem try to remember that empathy isn’t about agreement only acceptance of what cr is saying and feeling try saying something like i understand how you feel other examples of an empathy response are i can understand that you’re angry or i see what you mean try building rapport with cr sometimes it it’s useful to add another phrase to the empathy response including yourself in the picture for example you could try saying i can understand how you feel; i don’t like it either when that happens to me this has the effect of getting on cr’s side and helps you builds rapport with him her try under promising and then over deliver avoid letting yourself get tempted in a difficult situation to make promises that are difficult to keep avoid saying things like i’ll find your wallet and give it back to you after lunch it may be difficult to find it after lunch instead try saying something like i’ll help you look for it this afternoon

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Medical Physical, Personal, Cognitive Awareness, Somewhat Aware, Unaware, Long-Term Memory, So-So L T Memory, Poor L T Memory, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: Try to break tasks into small steps and write them out try offering cr limited choices and avoid asking cr open-ended questions for example ask do you want beef or chicken for dinner instead of what do you want to eat try using simple to-do lists and a calendar or appointment book try to plan activities so that the same type of thing happens at the same time every day try to get into a regular routine so that cr doesn’t have to rely so much on his her memory

References: dealing with difficult people by alan fairweather 2001 available at www howtodealwithdifficultpeople com

Keywords: Challenging behavior false accusations accuses accusatory upset angry cranky mad shouting shouts paranoid paranoia

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) monoplozes others’ time and attention

Try: Try to help cr recognize that he she is being clingy and needy it might help to be direct and just say you are being needy and clingy cr may not realize this help cr find his her own likes or hobbies help him her focus on him herself it may be reading gardening wood working painting etc try to help cr find something of interest

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Personal

Information: n/a

References: how to stop being so needy by web contributor no date available at www ehow com

Keywords: Needy clingy monopolizes dependent low self esteme

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is very self-centered and lacks empathy for others

Try: Try setting boundaries decide which demands you can meet or how much approval you’re willing to give to cr and then stick to your decision also try to end or cut off a self-centered conversation if you can or at least set a time limit on how long you’ll listen support yourself if your resistance to cr makes him her angery refuse to be emotionally blackmailed remember that your time and feelings are not important to cr this can help remove your guilt try using bargaining chips if you have something cr wants avoid giving it to cr or give it sparingly to keep cr’s worst behavior under control be aware that when you no longer satisfy cr his her old ways will resurface avoid anger any confrontation should be conducted quietly and with control but even a tactful approach may be greeted with anger or sometimes-frightening rage very likely you’ll hear that the difficult situation is your problem and there’s something wrong with you arguing will only make you feel like you will want to blow your brains out be careful not to expect accommodation from cr but do give yourself points for standing up for yourself know when to leave when cr upsets you try leaving the room and taking a mental break

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Personal

Information: n/a

References: are you involved with a narcissistic person by thomas j schumacher no date available at www ec-online net

Keywords: Narsisitic grandiosity self centered empathy challenging behavior difficult people bullies

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is constantly interrupting people when they are having a conversation

Try: Try reading a book magazine or watching a how to video of interest to cr everyday one of the reasons why cr may have a hard time not interrupting others is because he she doesn’t know how to listen properly you can teach cr this by giving cr a bunch of listening exercises the most effective way to do this is by reading to cr everyday after reading cr a story ask cr questions about it and see if he she has really understood the same exercise can be done with a newspaper or magazine article or with an interesting how to video

Materials: Books magazines newspapers how-to videos

Categories: Sage, Topic, Behavior Challenging, Communication, Emotional Psychological, Verbal Communication, So-So Verbal Comm, Poor Verbal Comm, Cognitive Awareness, Somewhat Aware

Information: n/a

References: how to teach children not to interrupt by russell brooks no date available at www howtodothings com

Keywords: Interupts communication rude listening attention span annoying talking

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has temper tantrums when he she doesn’t get what he she wants

Try: Try to remain calm yelling and shouting at cr will only make him her think it is acceptable to yell as well take a deep breath and give yourself a moment try giving cr a verbal warning look cr straight in the eyes and tell him her in a calm voice to stop the behavior or he she will not be able to participate in whatever activity is planned set a time limit such as at the count of three start counting and if cr doesn’t stop you must enforce your promise of no activities try to define cr’s triggers certain conditions are sure to set cr off such as bedtime struggles not getting the item he she wanted in the store sleepiness or hunger so best to prepare for it make sure cr is well rested before going out you have snacks on hand and stay away from cr’s favorite aisles in stores try reinforcing positive behavior praise cr when he she behaves properly this will make him her more likely to choose to behave properly to gain your attention set parameters for cr for example don’t ask him her if he she wants to do something that is required instead let him her choose between two things he she needs to do for example at bedtime ask if he she wants to brush his her teeth first or if he she wants to put on his her pajamas this will give cr some level of control over his her situation and will lessen his her frustration avoid hitting cr no matter how badly he she is behaving hitting will reinforce that violence is acceptable behavior try ignoring the tantrum if cr is doing it to gain your attention or doing it to make you give in to what he she wants giving in will teach cr it is the way to get your attention and he she will keep on doing it better to tell him her you will mind him her when he she stops then pay attention to him her as soon as he she does if the tantrum is in a public place warn cr you will leave unless he she stops the bad behavior take him her to a private corner for a time out to get away from the public eye after the tantrum talk to cr look him her straight in the eye and explain what he she did wrong always correct the behavior avoid criticizing cr teach him her an alternate behavior cr may throw a tantrum because he she doesn’t know how else to act if you yelled at cr apologize for your behavior as well

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Cognitive Awareness, Somewhat Aware, Unaware

Information: n/a

References: how to manage a child’s temper tantrum by linda hightower no date available at www howtodothings com

Keywords: Temper tantrums bad behavior acts out challenging behavior demanding yelling screaming anger angry childish

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) exhibits sensitivity to noises that seem tolerable to others in the same area information the cr may have a different sensitivity to sound levels or even to different sounds such as someone chewing gum or tapping fingers on tabletops if the cr is suffering from a type of noise anxiety sounds may seem to be amplified to him or her the cr may feel that the noises are being done deliberately to annoy or upset him or her and this may bring on frustration and agitation often even the absence of sound will cause stress and intense behavioral reactions

Try: Try to identify which sounds or lack of sounds actually triggers the anxiety or frustration if it is a loud sound try headphones with soft soothing music if the sound is a certain repetitive sound such as street noises lawn mowers sounds of kitchen utensils or background noises in other rooms try a sound machine that emits a constant sound or white noise

Materials: n/a

Categories: Behavior Challenging, Emotional Psychological

Information: n/a

References: n/a

Keywords: Compulsive behavior

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) appears to be compliant but represses withholds and covers up deeply felt anger and aggressive feelings that cannot be more directly expressed the repressed anger comes out later on in an unhealthy way information unexpressed or suppressed anger can lead to passive-aggressive behavior such as getting back at people without telling them why being critical and hostile being resentful in random situations lashing out at the caregiver (cg) when it is not warranted or for unknown reasons unexpressed or suppressed anger can lead to physical ailments such as hypertension and depression the cr may feel that he or she is not being understood or not being sympathized with

Try: Allow the cr to vent any repressed anger to get it out into the open where it will be easier to deal with sharing or validating the cr’s anger will sometimes be all it takes to ease the difficult behavior once a specific situation is identified try to find a workable solution for example if the cr is frustrated because of an inability to dress independently allow him or her to select the clothing choices if preparing a meal is no longer an option ask the cr to help choose the menu and assist with setting the table try to always use positive words and maintain a positive tone when dealing with passive aggressive behavior this may diffuse the anger before it becomes unmanageable passive aggressiveness is a unhealthy response the cr has to a specific situation or person if this response is directed at you it helps if you do not take it personally

Materials: n/a

Categories: Behavior Challenging, Emotional Psychological, Fully Aware, Somewhat Aware

Information: n/a

References: n/a

Keywords: Compulsive behavior

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) needs help changing his her bad behavior or bad habit

Try: Identify the behavior that needs to be changed and then encourage cr to admit that his her behavior needs to be modified suggest that cr take a good look at him herself and think about the action or behavior that he she does that he she would like to change once cr knows the specific behavior that needs to be stopped cr can take measures to do so try to help cr determine the triggers of the behavior one way to start changing the behavior is to first identify what causes cr to behave a certain way in the first place for example does cr bite his her nails where he she is feeling insecure or vulnerable does cr light up when he she feels stressed knowing the environmental and emotional causes that compel cr to do the behavior can help him her avoid the situation also once cr knows that he she has a trigger situation to deal with it will cause cr to be more mindful and aware that cr may succumb to a bad habit as a way of coping encourage cr to tell him herself that he she can change for the better encourage cr to stay positive and fill his her thoughts of life affirming things remind cr that he she is a strong person and he she can do whatever he she sets his her mind to do suggest that cr avoid phrasing the behavior he she wants to change in a negative way instead phrase it positively for example don’t say i am not a smoker instead say i am healthy and smoke free help cr find an alternative behavior for example if cr is a nail bitter suggest that cr get a manicure instead or suggest that cr take up knitting or an activity that will let him her work with his her hands to keep busy youcould also suggest that cr take a deep breath and think for a moment rather than automatically doing a behavior this will help cr think and be more mindful of his her actions help cr stay motivated by areminding him her of his her improvements as the days and weeks go by encourage cr to give him herself a pat on the back for sticking to his her plan of action remind cr that it takes about 21 days for new habits to kick in so he she should go easy on him herself if he she stumbles encourage cr to just stay focused and know that he she can change a behavior if he she sets his her mind to it

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Medical Physical, Personal

Information: n/a

References: how to stop bad habits by linda hightower no date available at www howtodothings com

Keywords: Bad behavior habits smoking nail biting

*This information is listed as a Tip and is not explicitly medically licensed