Is there any therapies to help with disinhibited behaviour.

[julieljs]

[bikerlifestyle]

i had a probem with loss of inhibitions and saying inappropriate things,

CBT has helped with that, along with people being firm with me regarding the times i say inappropriate things, i still do now, but its a lot rarer (that's not to say i don't think them) cbt has helped me think before i speak (well i think thats what it has done, i still dont know how cbt works and happy thinking its magic)

mine wasn't a major issue, so i am guessing that the severity of it has a lot to say in how it well treatment works

i have no experience of physical disinhibited behaviour ie exposing touching etc mine was verbal..

[julieljs]

My son is only 11, but says inappropriate things, to friendly with strangers. Just stuck where to go with this one

[bikerlifestyle]

i dont know where to go either,mybe headway will know

[cat3]

Hi Julie. It sounds like Jack might benefit from seeing the hospital neuropsychologist.....do you have contact details for the specialist nurse at that hospital ? She/he should be the primary point of contact for aftercare matters.

Love and best wishes to you and your children. cat x

[julieljs in reply to cat3]

We have an appointment with his neuro consultant in may, so defiantly needs addressing and hopefully sort something out for Jack.

[Hidden]

After my op in 1967 I too was very uninhibited and when females spoke to me I misconstrued their reasons for doing so. I said and did many inappropriate things, which looking back on today, at the age of 63, is most embarrassing.

To put it bluntly females kept well away from me and with good reason.

There were no back-ups in those days and certain persons spoke very strongly to me about my behaviour and I kept my mouth shut and thought about what I was going to say. I also moderated my actions around women too.

The peculiar thing is that at a more mature age the feelings toward women have returned; not as bad, but they are there. I can control myself it but I'd sooner it hadn't returned.

This part of recovery is never, ever fully discussed and it seriously well needs to be an issue that we can raise and get some sort of treatment for.

[bikerlifestyle in reply to Hidden]

i am with you there, i started a blog called sex a while back, but, i can understand people feel uncomfortable about it.

but you are 100% right it needs to be able to be discussed publicly, i have no shame about it, nor any inhibitions so maybe i was a bit blunt in it.

but every time i have tried to approach this with therapists, they tip toe around the issue, and it eventually never gets addressed

my lack of inhibitions has never improved, i just manage it well these days, sometimes people think i talk to myself because i try and evaluate what i am going to say to see if its appropriate.

the problem is i am a happy person and am rarely serious around people and i get quite excitable and loud and this is when it is harder to moderate what i say as i usually just say what's in my head

[julieljs]

Jack is due to return to school part time this next week, and I'm worried about inappropriate things he may say. His classmates are not going to understand this, and he isn't the same Jack that sat in the class 8 months ago. We have a appt at the RVI on the 13 may with his neuro consultant, so discuss the problem then.

[cat3 in reply to julieljs]

Have you spoken to his form teacher ? She could address the class and explain the situation in basic terms. Children of that age can be surprisingly understanding when awkward issues are properly explained to them. The school will be aware of your children's circumstances but have you been able to discuss this particular problem ?

xx

[Hidden in reply to cat3]

If you don't mind me saying, understanding in the short term is one thing; understanding in the long term is something totally different.

What I am saying is that before anyone does anything to address the problem in inappropriate behaviour one needs to seriously analyse what the likely outcome towards the sufferer is likely to be in the long term when the novelty of watching it happen for the first few times.

Children van be very understanding when alone but when in company children can be so very cruel. I don't much truck with teachers full stop; there are good, bad and indifferent and there are plenty who do their job at the blackboard but pastoral care, of any necessity, is a bit of a struggle.

The other thing is that this poor lad will soon change schools and it won't matter how caring and understanding the entire school/staff/pupils are when the move to secondary school occurs there will be those who will mock. So before the cat is out of the bag, you must understand it'll be nye on impossible to put back in the bag.

If I was in this position I'd delay the start back to school to 14th May, after I've seen the neuro professional - that way you may well be able to attend to things better advised. It's only six days off school too Good luck for the young fellow.

[julieljs]

We have managed to get an extra year at primary school for Jack, there was no way he could move to secondary school in September. Kids are very cruel, but he misses his friends. I'm hoping in a classroom setting his behaviour will be different. It is certainly a massive worry.

[headwayuk Partner Headway]

Hi Julieljs,

Thank you for your question, and I am sorry to hear of the situation with Jack. It sounds like you have put some good changes in place, keeping him back a year at school in a familiar and potentially more understanding environment, and getting the appointment with the neuro consultant.

At this important stage I think getting the right support is essential. I would suggest speaking to the consultant, or failing that Jack's GP, about referral to a neuro-psychologist. It sounds like he would benefit from ongoing behavioural rehabilitation, and now really is the best time to start that.

As Headway's services are aimed at adults with a brain injury, you might like to contact one of the following organisations to discuss the situation:

- Child Brain Injury Trust - 0303 303 2248 - childbraininjurytrust.org.uk/

- Cerebra - 0800 328 1159 - cerebra.org.uk/English/Page...

- The Children's Trust - thechildrenstrust.org.uk/

They should be able to give you more detailed guidance about the services that are available for children.

I hope this helps, and please do post any further questions or blogs on this community, which is open to everyone.

Best wishes,

Headway.

[julieljs]

Thanks for that reply, I will certainly mention the situation at our appointment next week, and push for some profession advice.

[tiger-stripes]

Depending on severity and type of disinhibited behaviour, clear, consistent and timely feedback on what behaviour was wrong and why it was wrong might help e.g. "You must not call Helen fat, because ladies get very upset if you call them fat".