Motivation and initiation

Disclaimer: This fact sheet is for education purposes only. Please consult with your doctor or other health professional to make sure this information is right for your child.

What is it?

Reductions in motivation and initiation can occur following an acquired brain injury. Difficulties in these areas manifest in reduced activity levels and disinterest in participating in activities. There may also be difficulties with putting intentions or plans into action.

What do problems with motivation and initiation look like?

The following list outlines some of the common difficulties that may be seen on an everyday basis that could indicate problems in this area.

• Reduced displays of emotional expression or reduced levels of activity
• Few independent attempts made to engage in activities
• Reduced interest in discussing interests or activities
• May not begin tasks spontaneously
• May need several prompts to begin and complete activities

What strategies might help?

• Find things that are the most interesting for the child
• Arrange regular small group activities, where the child has a set responsibility or task
• Encourage the child to start the task or provide prompts for the first step
• Reward and encourage self-initiated activity, task completion and persistence

Who do I see and how is it diagnosed?

Difficulties with motivation and initiation, as well as other cognitive difficulties are formally identifyied by a neuropsychological assessment. A neuropsychologist can help devise compensatory and management strategies that are suitable for each individual child and their cognitive profile. A clinical psychologist may also be able to provide individual strategies to cope with behaviour, motivation and initiation problems.

Rehabilitation Department The Children's Hospital at Westmead Cnr Hawkesbury Rd & Hainsworth St, Westmead Locked Bag 4001, Westmead, 2145 Tel: (02) 9845 2132 - Fax: (02) 9845 0685 http://www.chw.edu.au/rehabilitation/