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I. Huntington Disease: An Overview
II. Why Difficult Behaviours Occur in Huntington Disease
A. How Does the Brain Contribute to Behaviour Changes in HD?
Understanding Anatomy and Related Behaviours 6
Understanding Brain Communication and Circuitry
Understanding the Role of the Caudate in the Brain
B. How Can the Environment Contribute to Behaviour Difficulties in HD?
Routine
Distractions
C. How Can Individual Factors Contribute to Behaviour Difficulties in HD?
Unique Personality
Stage of Illness
Loss
Safety and Self-Esteem
Acute and/or Chronic Illness
Food Reactions
Dehydration
Fatigue
Physical Discomfort
Undetected Visual or Hearing Impairments
The Effects of Medications
III. General Approaches to Solving Behaviour Problems in HD
A. Guidelines to Problem Solving
B. Approaches to Good Communication
C. Environmental Concerns
D. Care for Caregivers
IV. Common Behaviour Concerns in HD
A. Communication
B. Memory
C. Executive Functions
....Apathy and Diminished Ability to Initiate
....Organization
....Impulse Control .
....Frustration, Irritability, Anger, Temper Outbursts
....Denial, Unawareness
....Repetition/Perseveration
D. Depression
E. Anxiety
F. Psychosis: Hallucinations and Delusions
G. Sexuality
H. Sleep Disturbances
V. Authors Note
VI.Resources
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