ABSTRACT
Neurobehavioural disability (NBD) is an important concept, providing a theoretical framework to understand what drives acquired brain injury (ABI) challenging behaviour and a means of managing it through an appropriate model of rehabilitation. This chapter reviews some of the frequently reported and troublesome challenging behaviours associated with ABI and describe rehabilitation approaches that have been successfully employed in their management. Variability in negative behavioural symptoms of NBD has been reported in a review of apathy. Information collected in assessment necessarily need to reflect the complete range of underlying causes, especially those concerning the principal sources of behaviour change, damaged neural systems and neurocognitive impairment, and a range of additional variables that are known to further impact on how NBD translates into social difficulties. Successful outcomes with cognitive behaviour therapy (CBT) have been demonstrated regarding ABI mood disorders; however, the evidence base for ABI challenging behaviour, including aggression, is lacking.
