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How to work with challenging behaviours with guest Dr Alice Nicholls, PsychWorks Associates psychologist

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Notes to Episode

I’m joined once again by Dr Alice Nicholls to discuss the management of challenging behaviours.


brain injury, catastrophic injury, post-traumatic amnesia, confusion, recovery, complex, challenging behaviours, understanding, support, quality of life, risky behaviours, risk of harm, access to community, restriction, disruption, stress, frequency, intensity, swearing, family, care teams, multidisciplinary, aggression, anger, managing emotions, environment, training, framework, performance, expression, adjustment to injury, outlet, communication, unmet needs, reinforcement, misunderstanding, consistency, behavioural management, systemic, strategy, multiple perspectives, hypothesis, tentative, professional network, case managers, solicitors, collaboration, treating behaviours, practical steps, data collection, prevention, top tips

0:24 Challenging behaviours following brain injury

2:21 Introducing Dr Alice Nicholls

3:20 How do you define challenging behaviours?

5:06 Some examples of challenging behaviours

8:29 Why do challenging behaviours happen?

12:35 Consistency in behavioural management

14:17 Collaborating with the whole team from the beginning

17:00 Going forward with a working hypothesis on treating behaviours

18:58 Practical steps to take when meeting challenging behaviours

22:45 Data collection to aid prevention

26:11 Dr Alice’s top three tips

Quote: 26:49 "My top tip, or my take-home message, is that challenging behaviour is always meeting an unmet need."

Guest: Dr Alice Nicholls

Presenter: Dr Shabnam Berry-Khan, Director of PsychWorks Associates

Editor: Emily Crosby Media