Combative and disruptive behavior affects Sam. Using the incorrect approach can elicit hostile responses. Sam can be self-abusive, combative, and disruptive to houseplants in demonstrating frustration.
Lack of inhibition affects Sam in the form of inappropriate sexual and social behavior. He blows kisses to strangers in the community and demonstrates inappropriate touch to males and females.
Irritability is common for Don. Communication can be difficult for this individual at times. Based on the day and/or mood, he may or may not be up to the task of training.
Anxiety does affect Rob, although to a much lesser degree since his participation in a fitness program. When experiencing anxiety, Rob will "zone out" periodically, only being able to respond verbally with yes or no. He will describe his body as getting "very stiff." Large groups, others with disabilities, and new people can trigger this response. Anxiety can be displayed by all the men at different levels for different reasons.
Detachment from reality affects Don in that he hears and responds to voices that are not there. Rob periodically thinks people are talking about him, whether in the community or on television, which results in an increase in anxiety and a decrease in participation.