Language matters – especially when we’re talking about behaviour. In disability and mental health support, the words we use can shape how people are understood, supported and treated.
That’s why there’s a growing shift from talking about “behaviours of concern” to “behaviours of distress”.
Why language matters
The term behaviours of concern has traditionally been used to describe actions that may be unsafe, disruptive or challenging. While still commonly used in systems like the NDIS, the phrase can unintentionally place focus on the behaviour itself – rather than the person behind it.
Behaviours of distress recognises that behaviour is often a response to something going wrong. It helps us see behaviour as:
- A form of communication
- A sign that someone’s needs aren’t being met
- A response to stress, pain, confusion or overwhelm
Changing the language encourages empathy, respect and understanding, rather than blame.
Interpreting the need behind the behaviour
From an occupational therapy and Positive Behaviour Support (PBS) perspective, behaviour is never random. It usually tells us something important.
Behaviours of distress may be linked to:
- Difficulty communicating needs
- Sensory overload or discomfort
- Anxiety, trauma or emotional regulation challenges
- Fatigue, pain or unmet physical needs
- Changes to routine or environment
Instead of asking “How do we stop this behaviour?”, we ask: “What is this person trying to tell us?”
How Positive Behaviour Support reframes behaviour compassionately
Positive Behaviour Support (PBS) focuses on improving quality of life by understanding behaviour in context.
PBS aims to:
- Identify the function of behaviour
- Reduce distress by meeting underlying needs
- Build skills, supports and safer alternatives
- Create environments where people feel supported and understood
This approach aligns closely with occupational therapy, where the goal is to help people participate in daily life in ways that feel safe, meaningful and achievable.
A more respectful, person‑centred approach
Using language like behaviours of distress doesn’t ignore risk or safety. Instead, it ensures support is:
- Person‑centred
- Trauma‑informed
- Focused on dignity and human rights
At LiveBig, we believe understanding behaviour starts with listening, curiosity and compassion – and with supporting people, not labelling them. If you’d like to speak with one of our experienced Positive Behaviour Support Practitioners, get in touch with us here.
