I. GENERAL MEDICAL POSSIBILITIES 

1.Medication Side Effect:Some students may think and act impulsively as a side effect of medication.

2.Chronic Pain: Some students may think and act impulsively as a result of chronic pain.

3. Fatigue/Hunger/General Nutrition:Some students may think and act impulsively as a result of chronic pain.

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II. COGNITIVE/SELF-REGULATORY POSSIBILITIES

1.Isolated Deficit: Some students may think and act impulsively as a direct result of frontal lobe injury. (See Tutorial on Impulsiveness/Disinhibition)

2.Attentional Impairment: Some students may think and act impulsively as a result of difficulty attending (See Tutorial on Attention)

3.Weak Orientation to Task: Some students may think and act impulsively as a result of uncertainty regarding what is required of them. (See Tutorials on Language Comprehension; Organization)

4.General Self-Regulation Impairment: Some students may think and act impulsively 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 think and act impulsively as a result of difficulty with memory/retrieval (See Tutorials on Retrieval; Word Retrieval)

6.Organizational Impairment: Some students may think and act impulsively as a result of organizational impairment. (See Tutorial on Organization)

7.Sensory Integration Impairment: Some students may think and act impulsively as result of sensory over-stimulation or sensory under-stimulation.

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III. BEHAVIORAL POSSIBILITIES

1.Oppositionality: Some students may think and act impulsively as a result of oppositional behavior. (See Tutorials on Behavior and Behavior Problems after TBI; Behavior Management: Prevention Strategies)

2.Attention Seeking: Some students may think and act impulsively as a way to seek adult and/or peer attention. (See Tutorials on Attention; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management)

3.Task Avoidance: Some students may think and act impulsively as a way to avoid specific tasks. (See Tutorials on Noncompliance; Errorless Learning; Problem Solving; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management)

4.Control: Some students may think and act impulsively as a way of exercising control. (See Tutorials on Positive Behavioral Supports; Behavior Management: Prevention Strategies; Behavior Management: Contingency Management)

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IV. SOCIAL-EMOTIONAL POSSIBILITIES

1.Anxiety: Some students may think and act impulsively as a result of anxiety. (See Tutorial on Anxiety)

2.Frustration: Some students may think and act impulsively 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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