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

Perseveration and Stimulus-Bound Behavior Associated With Traumatic Brain Injury

by George M. Fluharty, MA, CCC-SLP
(4.2 / 33 ratings )

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

Price: $19.00
CE-PRO Price: $9.50


Someone who perseverates may repeat elements of the previous response or even the complete response, even though it is no longer correct. Perseveration is associated with damage to the frontal lobes and is often observed by SLPs and other therapists while testing confrontation and generative naming, writing, and drawing. Stimulus-bound behavior and environmental dependency syndrome are also associated with frontal lobe damage. People who exhibit SBB may be compelled to use objects the way the objects are designed to be used, even when instructed not to do so. They are drawn to an object and use it accurately, but at inappropriate times. Environmental dependency syndrome is a condition in which the immediate environment may trigger more complex and integrated (albeit still illogical and inapt) response. This article explores the characteristics of perseveration, SBB, and EDS and strategies for intervention. 


The goal of this continuing education program is to educate speech-language pathologists, occupational therapists, and physical therapists about perseveration, a condition that is associated with damage to the frontal lobes and is often observed by SLPs and other therapists while testing confrontation and generative naming, writing, and drawing. After studying the information presented here, you will 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 and environmental dependency syndrome 
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.
OnCourse Learning is an approved provider of continuing education for occupational therapists by the American Occupational Therapy Association. 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: 11/14/2016
Course Termination/Update Date: 11/14/2019

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning 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.

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Monica J - Davis, CA  ·  Mar 02, 2018
Some useful information presented.
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Kathrine F - Sonoma, CA  ·  Sep 12, 2017
Interesting and well presented.
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Shiona J - Clarksburg, MD  ·  Aug 24, 2017
I never knew there was so much more to perseveration. I definitely couldn't/should've been treating it more
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Kristi O - Hamilton, OH  ·  Jun 23, 2017
It was somewhat helpful
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miriam c - north Royalton, OH  ·  Mar 13, 2017
I had not seen any educational material on this topic before. I am so glad you provided this course. I was able to use some of the assessments with a new client at our facility and share the information with my OTR/L and SLP.
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Price: $19.00
CE-PRO Price: $9.50