Behaviours that Challenge (BtC)

‘Behaviours that Challenge’ (BtC) is a term used, rather than a disorder itself, which is commonly linked to a number of conditions. It may relate to upsetting behaviours such as hurting oneself or others via destructive behaviours for example. For individual’s presenting with BtC, their individual presentation of BtC may vary greatly. Ultimately, this term captures that the individual’s behaviour poses a challenge to those around them, causes distress, and are commonly misunderstood. Theory suggests that BtC is likely a communication of distress and unmet needs, and thus seeking support to understand BtC is key.

BtC sometimes accompanies the following conditions:

• Advanced Dementia
• Attention Deficit Hyperactivity Disorder (ADHD)
• Autism Spectrum Disorder (ASD).

Support for Behaviours that Challenge (BtC)

Support for BtC varies for every individual according to their particular needs, and dependent on what might contributing to BtC, may not be entirely eradicated. For example, in the case of Dementia which is a progressive neurodegenerative disease. In cases such as this, treatment therefore is focused upon helping those around the individual with BtC to understand what they may be communicating, and what needs may be unmet that are resulting in and maintaining BtC. Positive Behaviour Support (PBS) may therefore be the recommended treatment of choice, and would likely involve a multidisciplinary team approach and involvement of families and carers. In other cases, Cognitive Behaviour Therapy (CBT) alone or in combination with PBS may be most appropriate. The best approach will be collaboratively established following a thorough assessment.

If you would like to enquire into accessing support for BtC for yourself, a student or loved one at the Fitzrovia Psychology Clinic, please contact us to arrange an assessment.