Changes in function and behavior

Olivo is a 15-year-old who acquired a brain injury in a car accident. Prior to the injury, Olivo functioned typically for his age and was a sophomore in high school. He had no significant academic or behavioral challenges at home or at school. Since the accident, there have been notable changes in function and behavior. Olivo is easily frustrated when he cannot have what he wants and often becomes anxious. He has limited tolerance for waiting. Sometimes, Olivo decides to have a tantrum to get his way. The therapist working with Olivo has suggested that, when he is anxious or frustrated, his parents show him cards with his favorite items and have him point to what he wants. Olivo does not seem to like the cards because when they are presented, he throws them.