Perseveration and Stimulus-Bound Behavior Associated with Traumatic Brain Injury - OT65

Perseveration and Stimulus-Bound Behavior Associated with Traumatic Brain Injury

by Heidi Bassani, M.Ed, CCC-SLP and Laurel Koss, MS, OTR/L
(4.3 / 119 ratings )

This course is credentialed for:
Occupational Therapy (0.10 AOTA CEU)

Price: $19.00
CE-PRO Price: $9.50


Perseveration and other related utilization behaviors are quite common in traumatic brain injury when damage is sustained to the frontal lobes. These behaviors can be frustrating and can cause unnecessary interruption to treatment. Understanding the differences between these behaviors and how to redirect or limit their occurrence during treatment can be valuable. 


The goal of this continuing education program is to educate speech-language pathologists, occupational therapists, and physical therapists about perseveration, stimulus-bound behavior, and environmental dependency syndrome, explore the characteristics of each, and discuss strategies for intervention. After taking this course, you should be able to:
  • Identify at least three types of perseverative responses.
  • Cite at least three examples of stimulus-bound behavior.
  • Discuss at least two approaches for ameliorating stimulus-bound behavior.

Content Level: Intermediate
Instructional Method: Online Course — Clinical Vignette & Narrative
Content Focus
Domain of OT: Performance skills
OT Process: Evaluation
OT Process: Intervention

Approval Information
This course is intended for an interprofessional audience, including speech-language pathologists, occupational therapists and physical therapists.
Occupational therapists: Take this version of the course to ensure you receive appropriate credit.
For the version accredited or approved for another profession, go to your specific profession at If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
Relias LLC, is an approved provider of continuing education for occupational therapists by the American Occupational Therapy Association, Provider #4000. AOTA does not endorse specific course content, products, or clinical procedures.
OnCourse Learning is also accredited by the Florida Board of Occupational Therapy (provider # FBN 50-1489).

Course Originally Released on: 10/2/2014
Date of Most Recent Review: 1/8/2020
Course Termination/Update Date: 2/28/2023

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

Reports to CE Broker

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Lauren C - Tampa, FL  ·  Apr 02, 2020
Gives great examples of commonly seen behaviors and provides techniques in how to facilitate daily tasks
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Julia D - Carrboro, NC  ·  Mar 30, 2020
This course had some helpful information, but since all learning material was text, I think it would be more effective with visuals such as video examples or even diagrams.
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Beth A - Swisher, IA  ·  Mar 11, 2020
Great information on perseveration and SBB.
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Steven W - PLYMOUTH MEETING, PA  ·  Mar 11, 2020
takes too long for a credit
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Alison S - Hillsborough, NC  ·  Jan 23, 2020
It was helpful to learn different techniques when working with a patient who is perseverative.
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Price: $19.00
CE-PRO Price: $9.50