Neuropsychiatric management of young-onset dementias

Psychiatr Clin North Am. 2015 Jun;38(2):323-31. doi: 10.1016/j.psc.2015.01.004. Epub 2015 Feb 27.

Abstract

A combination of pharmacologic and nonpharmacologic approaches is necessary for the appropriate neuropsychiatric management of patients with young-onset dementia. Nonpharmacologic interventions, including psychological management, environmental strategies, and caregiver's support, should be the first choice for neuropsychiatric management. Pharmacologic interventions differ according to the underlying causes of dementia; thus, differential diagnoses are very important. Antipsychotics should be prescribed carefully; they should be used for the shortest time possible, at the lowest possible dose.

Keywords: Alzheimer's disease; Frontotemporal dementia; Neuropsychiatric symptoms; Nonpharmacologic intervention; Pharmacologic intervention; Young-onset dementia.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living / psychology
  • Age of Onset
  • Alzheimer Disease* / diagnosis
  • Alzheimer Disease* / psychology
  • Alzheimer Disease* / therapy
  • Cost of Illness*
  • Disease Management
  • Frontotemporal Dementia* / diagnosis
  • Frontotemporal Dementia* / psychology
  • Frontotemporal Dementia* / therapy
  • Humans
  • Middle Aged
  • Psychological Techniques*
  • Psychotropic Drugs / therapeutic use*
  • Social Support

Substances

  • Psychotropic Drugs