Psychiatry Boot Camp

3.7 Behavioral and Psychological Symptoms of Dementia (BPSD) / Neuropsychiatric Symptoms of Dementia (NPS)


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Dr. George Grossberg, Henry and Amelia Nasrallah Endowed Professor of Psychiatry & Behavioral Neuroscience at Saint Louis University School of Medicine, past president of the American Association for Geriatric Psychiatry, and past president of the International Psychogeriatric Association, orients us to behavioral disturbances in patients with neurocognitive disorders.

We walk through common behavioral disturbances in patients with dementia, including apathy, depression, psychosis, and agitation. We discuss management strategies including nonpharmacological and pharmacological interventions. Dr. Grossberg shares his expertise on difficult clinical management decisions when working with this population, and centers us around the importance of knowing the patient as well as the disease.

Selected References:

  1. ⁠Progress in Pharmacologic Management of Neuropsychiatric Syndromes in Neurodegenerative Disorders: A Review (Cummings 2024)
  2. Neuropsychiatric Symptoms of Dementia and their nonpharmacological and pharmacological management (Tampi 2022)⁠
  3. Management of BPSD Algorithm (Chen with Osser 2021)⁠
  4. Atypical Antipsychotics for Aggression and Psychosis in Alzheimer's disease (Ballard 2006)
  5. Efficacy and Adverse Effects of Atypical Antipsychotics for Dementia (Schneider 2006)
  6. Sequential Drug Treatment Algorithm for Agitation and Aggression in Alzheimer's and Mixed Dementia (Davies 2018)

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Psychiatry Boot CampBy Mark Mullen, MD

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