Dementia: Management of Behavioural and Psychological Symptoms

by Ballard, Clive; O'Brien, John; James, Ian; Swann, Alan

• ISBN13: 9780192631756
• ISBN10: 0192631756
• Format: Paperback
• Copyright: 2001-04-26
• Publisher: Oxford University Press

Summary

Dementia is a syndrome characterized by cognitive and non-cognitive symptoms. This book focuses on the clinically distinct categories of non-cognitive symptoms. These are grouped together under the umbrella term Behavioural and Psychological Symptoms in Dementia (BPSD). BPSD include agitation (describing a cluster of related symptoms including anxiety, irritability and motor restlessness, often leading to behaviours such as wandering, pacing, aggression, shouting and night-time disturbances), psychosis (referring to three main categories of symptoms: hallucinations, delusions and delusional misidentification) and mood disorders (depression, anxiety and hypomania). Other symptoms include sexual disinhibition, eating problems and abnormal vocalizations (shouting, screaming and demanding attention). There are many reasons why a patient with dementia may develop BPSD. Because of these potential different aetiologies, a full and careful assessment of possible physical, psychological and environmental factors is essential. This book will inform all of those responsible for caring for the patient with dementia about the identification of BPSD, the nature of the symptoms, assessment of their severity and recommends a structured and sequential approach to management. The authors are internationally respected, combining expertise from the fields of clinical research, psychiatry and clinical psychology to provide an integrated approach to the topic.

Table of Contents

Background-behavioural and psychological symptoms in dementia	1	(2)
Identification and management of behavioural and psychological symptoms in dementia	3	(14)
Psychosis in dementia	17	(20)
Depression	37	(14)
Wandering and restlessness	51	(10)
Aggression	61	(18)
Other behavioural and biological symptoms in dementia	79	(12)
The person and the environment	91	(18)
Depression and burden in dementia carers: the role of behavioural and psychological symptoms	109	(12)
Psychological therapies and approaches to dementia	121	(22)
Cognitive therapy formulations and interventions for treating distress in dementia	143	(26)
Training carers in behavioural management skills	169	(26)
Managing carers' psychological needs	195	(8)
Alternative therapies: other non-pharmacological therapies	203	(16)
Side effects of psychotropic medication	219	(14)
Pharmacological treatment of psychosis	233	(14)
Pharmacotherapy of depression	247	(12)
Pharmacotherapy of agitation, aggression and restlessness	259	(16)
Management of behavioural and psychological symptoms in dementia	275	(10)
Management of behavioural and psychological symptoms in residential and nursing home care	285	(16)
An integrated treatment approach	301	(8)
Index	309