We present two cases of outpatient behavioural psychotherapy of fronta
l-lobe brain-injured adults. Unlike inpatient treatment of severely fr
ontal-injured patients in which the hospital setting acts on the patie
nt to modify behaviour, outpatient treatment teaches the self-motivate
d individual to use the structure and directiveness of behavioural psy
chotherapy to overcome his or her neuropsychological deficits. The lit
erature describes two types of frontal syndromes: disinhibition and ad
ynamia. Treatment of both types of syndromes is illustrated using case
presentations. The therapeutic interventions for both syndromes are d
esigned to exaggerate the link between stimulus and response to counte
r impaired processing of feedback. A six-stage behavioural psychothera
py model of the frontal-injured patient is outlined.