ABSTRACT
This chapter presents a case of a 46-year-old man who is reported with mild to moderate learning disability and Down syndrome. He lived with his elderly mother until he moved into supported accommodation approximately 2 years ago. He shares his accommodation with another person who has a mild learning disability. His sleep pattern is very erratic. He often wakes at night and insists on getting fully dressed. He is complaining of abdominal pain and on a couple of occasions has been incontinent of faeces. This is unusual for him and has caused him significant distress. People with Down syndrome have a higher incidence of physical problems including leukaemia, thyroid disorders notably hypothyroidism, cardiac problems, chest infections and cataracts. Hypothyroidism may be the cause of his lack of motivation and work problems. It could explain abdominal discomfort, constipation and overflow. People with Down syndrome frequently experience periods of depression, particularly in middle age, and therefore one should explore symptoms of depression.
