Improving behavioural issues in adults with CP can be a challenge for them, their family and others around them, but it is never too late to start working on changing behaviours. It is important to remember that good support and treatments options are available to help.

Some of the behavioural problems that adults with CP experience can be related to the physical and emotional challenges they face as a result of their CP. For example, the basal ganglia in a person’s brain is responsible for motor control, emotions and executive functioning (skills that include thinking, planning, organisation, memory and self-control). Damage to the basal ganglia can occur in people with CP and may cause behavioural issues.

Research has found that adults with CP, especially men, are more likely to suffer from mental health conditions, such as anxiety or depression, than those without CP. Frustration with quality of life combined with behavioural issues can lead to other problems that may include alcoholism and drug use, especially in men.

It is important that adults with CP seek help from their GP or other members of their healthcare team to discuss any behavioural issues and mental health concerns, so they can receive effective treatment and support, and referral to a healthcare specialist as required.

There are ways to help improve mental health and behavioural issues, which take time, strength and commitment, but they can be effective.

Some techniques include:

• deep breathing and meditation
• cognitive behavioural therapy
• counselling

Working with mental health and behavioural specialists can help adults with CP cope with any mental health issues and learn to change challenging behaviours. It will also improve their relationships and enhance quality of life.