Understanding Neurobehavioural Disability (NBD) Associated with Brain Injury

What is neurobehavioural disability?

Neurobehavioural disability or NBD is a term used for a unique set of long term cognitive and psychosocial changes as a result of traumatic brain injury but can occur after any brain injury, e.g., stroke. 

What are the features associated with NBD post-brain injury

- Difficulties in attention 

- Inflexibility 

- Reduced self-awareness 

- Executive dysfunction (problem solving, planning, organising self) 

- Lack of insight 

- Difficulties in social judgement 

- Aggression 

- Reduced ability to control impulses and emotional responses 

- Communication challenges 

How is it assessed and managed?

NBD is typically assessed by psychologists and mental health OTs using a battery of cognitive and psychological tests that provide information on nature and severity, which then informs care and support plans.

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Co-occurrence of mental illnesses and the incomplete picture of the NDIS access diagnosis