04/10/2026
He is not refusing. He may be anxious.
Behavior is often misunderstood in healthcare and support settings.
For people with intellectual and developmental disabilities, what looks like refusal or defiance can actually be a response to anxiety, fear, pain, confusion, or sensory overload.
When staff take a step back and look deeper, they can better understand what someone is communicating. With the right training and awareness, escalation can decrease, and support can improve.
Understanding behavior starts with listening and looking beyond the surface.