I. GENERAL MEDICAL POSSIBILITIES 

1.Medication Side Effect: Some students may be inconsistent in their behavior and performance as a side effect of medication.

2.Medication Interactions: Some students may be inconsistent in their behavior and performance as a result of medication interactions.

3. Chronic Pain: Some students may be inconsistent in their behavior and performance as a result of chronic pain.

4.Fatigue/Hunger/General Nutrition: Some students may be inconsistent in their behavior as a result of fatigue, hunger, or poor nutrition.

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II. COGNITIVE/SELF-REGULATORY POSSIBILITIES

1.Isolated Deficit: Some students may be inconsistent in their behavior and performance as a direct result of frontal lobe injury. (See Tutorial on Impulsiveness/Disinhibition)

2.Attentional Impairment: Some students may be inconsistent in their behavior and performance as a result of difficulty attending. (See Tutorial on Attention)

3.Weak Orientation to Task: Some students may be inconsistent in their behavior and performance as a result of uncertainty regarding what is required of them. (See Tutorials on Language Comprehension; Organization)

4.Self-Regulation Impairment: Some students may be inconsistent in their behavior and performance as a result of general difficulty with self-regulation. (See Tutorials on Self-Regulation; Self-Monitoring and Self-Evaluating; Organization; Impulsiveness/Disinhibition; Initiation; Problem Solving)

5.Memory/Retrieval Impairment: Some students may be inconsistent in their behavior and performance as a result of difficulty with memory/retrieval. (See Tutorials on Retrieval; Word Retrieval)

6.Inflexibility: Some students may be inconsistent in their behavior and performance as a result of difficulty with change; they may be rigid and inflexible; they may have particular difficulty with novel versus routine tasks. (See Tutorial on Flexibility)

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III. BEHAVIORAL POSSIBILITIES

1.Oppositionality: Some students may be inconsistent in their behavior and performance as a result of oppositional behavior. (See Tutorials on Behavior and Behavior Problems after TBI; Behavior Management: Prevention Strategies)

2.Manipulativeness: Some students may be inconsistent in their behavior and performance as a form of manipulation (other than oppositional behavior). (See Tutorials on Teaching Positive Communication Alternatives to Negative Behavior; Behavior Management: Prevention Strategies)

3.Attention Seeking: Some students may be inconsistent in their behavior and performance as a way to seek adult and/or peer attention. (See Tutorials on Attention; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management)

4.Task Avoidance: Some students may be inconsistent in their behavior and performance as a way to avoid specific tasks. (See Tutorials on Noncompliance; Errorless Learning; Problem Solving; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management)

5.Control: Some students may be inconsistent in their behavior and performance as a way of exercising control. (See Tutorials on Positive Behavioral Supports; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management)

6. Non-Preferred Task Avoidance: Some students may be inconsistent in their behavior and performance as result of being required to participate in non-preferred activities. (See Tutorials on Positive Behavioral Supports; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management)

7. Sensory Impairment: Some students may be inconsistent in their behavior and performance as result of sensory over-stimulation or sensory under-stimulation.

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IV. SOCIAL-EMOTIONAL POSSIBILITIES

1. Depression: Some students may be inconsistent in their behavior and performance because they are upset, depressed, and/or lack positive relationships with peers and/or adults. (See  Tutorials on Depression; Peer Relationships)

2. Anxiety: Some students may be inconsistent in their behavior and performance as a result of anxiety. (See Tutorial on Anxiety)

3. Family Problems: Some students may be inconsistent in their behavior and performance as a result of family crises or other problems away from school.

4. Frustration: Some students may be inconsistent in their behavior and performance as a result of feeling frustrated. (See Tutorials on Self Regulation/Executive Function Routines after TBI; Teaching Positive Communication Alternatives to Negative Behavior)

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