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Management of Psychiatric Symptoms in Dementia
Yavuz Ayhan1, Selam A Yoseph2, Bruce L Miller3
1Department of Neurology, Memory and Aging Center, Weill Institute for Neurosciences, University of California, 675 Nelson Rising Lane, Suite 190, San Francisco, CA 94158, USA; Global Brain Health Institute, University of California, San Francisco (UCSF), 1651 4th St, 3rd Floor, San Francisco, CA 94143, USA; Trinity College Dublin, Dublin, Ireland; Department of Psychiatry, Hacettepe University Faculty of Medicine, 06230, Sihhiye/ Altindag/ Ankara, Turkey.
Abstract:
Behavioral and Psychological Symptoms of Dementia (BPSD) are frequent, may start early in the disease and increase in frequency and severity over time. BPSD may be associated with medical, social, emotional, and environmental factors and potential triggers should be eliminated. Each BPSD has a unique anatomic and neurochemical profile that may help in making a diagnosis and choosing a therapy. Structured management plans help create an effective framework. Treatment options are understudied and the evidence is inconclusive for many of the pharmacological interventions. Effective nonpharmacological options should be utilized where available. Treatments should be monitored for their efficacy and safety.
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