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Dementia01:30

Dementia

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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
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Alzheimer's Disease: Overview01:26

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Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
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Dissociative Amnesia01:21

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Dissociative amnesia is a complex psychological condition that manifests as an inability to recall personal information, often tied to traumatic or stressful events. Unlike general amnesia, individuals with this condition retain the ability to perform routine activities and procedural tasks, such as operating a phone or navigating public transportation, yet experience profound gaps in autobiographical memory. These lapses may encompass significant life events, such as suicide attempts or...
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Panic Disorder01:27

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Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
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Alzheimer's Disease: Treatment01:22

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Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
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Dissociative Disorders01:27

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Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
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Related Experiment Video

Updated: Feb 17, 2026

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
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[Sudden Crisis in Dementia].

Elmar J Kainz1

  • 1Klinik für neurologisch psychiatrische Gerontologie, Kepler Universitätsklinikum Linz, Wagner Jauregg Weg 15, 4020 Linz, Austria, elmar.kainz@kepleruniklinikum.at.

Psychiatria Danubina
|December 3, 2017
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Summary
This summary is machine-generated.

Dementia care often overlooks behavioral and psychotic symptoms (BPSD). This article explores experienced-based, often off-label, BPSD therapies due to limited evidence and studies in dementia patients.

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Area of Science:

  • Neurology
  • Gerontology
  • Psychiatry

Background:

  • Dementia is a progressive neurodegenerative disease characterized by cognitive decline.
  • Neural cell death in dementia leads to diverse symptoms, including Behavioral and Psychotic Symptoms of Dementia (BPSD).
  • Existing therapeutic guidelines for dementia primarily address cognitive deficits, adhering to Evidence-based Medicine (EbM) criteria.

Observation:

  • There is a significant lack of established therapeutic information and studies specifically for BPSD.
  • The scarcity of research is partly attributed to the substantial workload imposed by ethics committees for study approvals.
  • Current BPSD treatment approaches often rely on medical experience and may be considered off-label due to limited clinical trial data.

Findings:

  • This article focuses on empirically derived therapeutic strategies for BPSD.
  • The discussed therapies are based on practical medical experience rather than extensive clinical evidence.
  • Many therapeutic options presented are utilized off-label for dementia patients.

Implications:

  • Highlights the critical need for more research into BPSD management.
  • Encourages a discussion to establish optimal, individualized treatment plans for dementia patients experiencing BPSD.
  • Suggests a foundation for future research and clinical practice guidelines for BPSD therapy.