Management of behavioural problems in people with dementia

Abstract

Behavioural and psychological symptoms of dementia (BPSD) encompass the wide range of non-cognitive symptoms that affect over 90% of those with dementia. These symptoms include aggression, agitation, psychosis and social disinhibition, and can represent unmet needs in patients that may otherwise be unable to express themselves. Each person with dementia can have any combination of these symptoms – to varying severity – and they can fluctuate throughout the disease course. This article focuses on BPSD, including its common causes, patient assessment within primary care and key aspects of management.