What you are describing sounds a lot like something called explosive
disorder. I don't know that much about it but it can probably be
researched on the web. It is possible that a doctor needs to review
the meds this person is on to see if any side effects could be causing this.
It also sounds like these occurrences often happen when the confined
person feels they have lost even more control over their lives in
that staff is not responsive enough to how or what they would like
done rather than staff doing what they think should be done. I know a
few people with explosive disorder and it is very disconcerting for
the person it is directed towards. The person having the explosion
usually forgets it much faster than the person it is directed
towards. It usually can be managed by letting the person alone to
regain control of him/herself. It is similar to a tantrum in young
children. It is also possible these explosions are a way the brain is
trying to amp up some chemical that is excreted when angry and is
lacking in the system. (This is my own thought and no at all from any
medical training).
Some training to gain more control over self seems warranted as this
is having a bad consequence for the person who wants to live on their
own. Possibly they do not want to live on their own and do not know
how to express it. I think it would help when the person is calm and
possibly remorseful to see if one could figure out exactly what is
setting it off.
At 03:51 PM 9/14/2007, you wrote:e
>Hi all,
>
>So I have some medical questions here, and I'm trying to find
>out if there's any connection between Cerebral Palsy and these
>other medical issues if that's indeed what they are. I'm very
>weak in the area of medical terminology so I ask your indulgence
>while I stumble my way through. I'll set this up as best I can
>via fictitious example.
>
>So we have two people. Person A and person B. Both can be male
>or female. Person A has Cerebral Palsy from birth, and uses an
>electric wheelchair. They are in there mid to late 20's and
>have severe speech limitations. They have lived independently
>in their community for a little over two years and have 24-7
>staffing.
>
>Person B is the primary staff person for person A. Among other
>duties, they assist person A in finding and hiring other staff.
>All staff for person A are in there early to mid 20's.
>
>Since moving out on their own, person A has always bin plagued by
>an unusually high amount of staff turnover. Usually on an
>average of every two weeks to a month. Person B is told person A
>is very hard to work with. Person B is told, person A isn't very
>patient when it comes to working with staff to help better
>understand them, and They loose their temper to the extreme.
>At times when they don't feel they're being understood, they will
>often at the top of their lungs order staff to just go away and
>leave them alone. Then person A just stays in their room
>refusing to say or do anything. They will often behave in this
>manner for up to three hours at a time.
>
>Also When person A is in this state, they will take their anger
>out on staff with frequent bouts of wetting them sells. There
>are staff past and present who feel person A is deliberately
>wetting them sells as a way of getting back at one particular
>staff or another. There have also been incidents when person A
>often puts them sells and staff at great risk. On more then
>one occasion, person A has gone into the street after being
>advised by their staff that it's not safe to do so. Staff
>describes the look on person A's face as one of: "Don't tell me
>what to do, I'll go in the street if I want to!!"
>
>Person A has also been approached by total strangers in the
>presents of staff, and told how it's not a good idea to just dart
>out into the street like that in their wheelchair.
>
>When person B sits down with person A and shares the information
>given to them by the rest of the staff, after some hesitation,
>person A tells person B they are aware of how angry they get, but
>they cannot give any reason for why they get so angry. They tell
>person B when they start to get angry, they try and stop them
>sells but they just cant. Person B has advised person A that if
>their anger continues unchecked, at some point, it may become
>really hard to find adequate staff. Person B also tells person
>A he has heard through the grapevine that person A is getting a
>reputation in the community as someone to stay away from. Person
>B has tried to assist person A in coming up with ways of trying
>to deal with their anger. They've talked about everything from
>person A just going outside for a while, to slow breathing
>exercises. While these kinds of things seem to work now and
>then, often they end up being no more then a temporary band aid
>with the underlying issues just waiting to surface all over
>again.
>
>Now if the above scenario were a real life situation, and if one
>of my co workers asked me what my thoughts were about person A,
>I would say they were someone who was still adjusting to living
>on their own. Someone without a lot of maturity or life
>experience. Someone who is still learning just who they are and
>what they want their life to look like. So there for, they have
>a right as all of us do to make misstates along the way. Even at
>those times when they end up putting their independence at great
>risk. Someone who is justifiably frustrated do to the constant
>challenge of having to make them sells understood to all those
>around them. Or they might just be a real punk who just doesn't
>care about how their behavior affects those around them.
>
>However at the same time I wonder. I wonder if there are issues
>being overlooked regarding person A. So my questions to all of
>you are these:
>With all the information I've given you in the above fictitious
>example, aside from Cerebral Palsy, are there other medical
>issues going on here? Is there some kind of cross over or hard
>wire disconnect in person A's brain to where something gets
>switched on or off, and the only way person A can express them
>sells is by wetting them sells? If so, is this directly related
>to Cerebral Palsy or could there be totally separate issues
>going on here? If this is a medical condition, is there a
>specific name for it? If this is directly related to Cerebral
>Palsy what is the connection? Could Someone direct me to a site
>where I might learn more about these issues?
>
>Thanks in advance for any and all help, and everyone have a
>greaaaat weekend!!
>
>See ya-Gary
>
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