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Dementia-related psychosis: causes, symptoms, etc.

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Dementia is a group of symptoms that cause cognitive decline, such as thinking, memory, and problem solving. The most common form of dementia is Alzheimer’s disease.

Symptoms dementia This includes memory loss, difficulty expressing thoughts, confusion or confusion. Some people with dementia are sometimes aggressive and have difficulty adjusting their emotions.

Psychosis is also a complication of dementia. Psychosis A mental state in which you do not know if someone is true. Not only delusional or delusional thoughts, Hallucinations..

Managing and treating dementia-related psychosis requires understanding, patience, and different approaches. Learn what researchers know about why this condition occurs in dementia and how to deal with it.

about 5.8 million people I have been diagnosed with dementia in the United States.Researchers believe in that number Double By 2060. A significant proportion of people with dementia can experience mental illness at some point.

The incidence of dementia-related psychosis depends on several issues, including:

  • Types of dementia
  • Stage or severity of dementia
  • Individual risk factors, including other health conditions

One 2021 study 20-70 percent Many people with dementia experience psychosis as part of their condition.

Another study from 2020 90 percent Some people with dementia have certain behavioral and psychological symptoms such as psychosis, agitation, aggression, and depression.

Psychosis can occur in any type of dementia, but some types of dementia show a higher rate.These include: Alzheimer’s disease, Lewy body dementiaAnd associated dementia Parkinson’s disease..

As dementia progresses and other symptoms become more severe, the likelihood of mental illness can increase.

However, in some people, psychosis can be an early symptom of dementia.Hallucinations Can occur Early stage of impairment. They can even develop before other symptoms.

Symptoms of psychosis often depend on the type of dementia a person has. Their overall health and complex risk factors can also affect the progression of symptoms. In short, each person’s experience is different.

Symptoms of dementia-related psychosis include:

For example, a person with dementia can hallucinate a cat or dog that is not actually in the room. They may have delusions or delusions that their caretakers are stealing money or trying to harm them, even without that evidence.

It is unknown why some people with dementia develop psychosis and others do not. However, some potential causes have been identified.

Atypical deposits in people with Alzheimer’s disease In the brain It may be related to mental illness. These can interfere with brain signals.People with Alzheimer’s disease Probability is high Experience delusions.

Lewy body dementias is the result of plaque deposition in the brain or “Lewy bodies”. They affect the chemical messaging system of the brain. Hallucinations are a common symptom of psychosis in people with this type of dementia.

Dementia associated with Parkinson’s disease may be associated with medication.People with Parkinson’s disease often take it Dopamine potentiator There are several symptoms, such as stiffness and walking problems.However, some of these medicines May cause Onset of psychotic symptoms.

However, for many, dementia-related psychosis is the result of continuous changes to the brain, many of which cannot be identified or stopped.

There is no standardized treatment for dementia-related psychosis. Psychosis is a complex phenomenon for which there is no simple cure.

Instead, doctors can rely on their caregivers to help those affected by dementia understand what they are experiencing. Certain strategies can limit the potential triggers of mental illness and prevent stressful emotional situations from getting out of control.

These strategies include:

  • Environmental adjustment. If a person with dementia has recurrent symptoms of psychosis, it may help remove the potential triggers for those experiences.
    • For example, if you have a glimpse of yourself in the mirror and then “see” others in the room, you cover the reflective surface.
    • If you are concerned about the dark and shaded corners of your house, use lights to illuminate these spaces.
    • National Institute on Aging also proposes Organize your home environmentLabel items to make them easier to navigate and to make people with dementia feel safer.
  • Coordinate the care approach. When you challenge someone’s delusions and hallucinations, they can become angry, scared, and even aggressive. Instead of trying to tell someone that something isn’t real, caregivers can engage with their loved ones by asking questions. Do not raise or yell.
  • Keep active. It is unhealthy to leave a person with dementia alone all day long.Instead, people with dementia Active and engaged Regularly. Plan a walk, visit a loved one, or do some simple work around your house.

In more advanced cases, the doctor may prescribe medication for dementia-related psychosis.

medicine Currently, dementia-related psychosis has been studied and off-label prescriptions include, among others:

  • Serotonin 5-HT receptor agonist
  • Selective Serotonin Reuptake Inhibitor (SSRI)
  • Atypical antipsychotics (brexiprazole, lumateperon, or pimavanserin)
  • Second generation antipsychotics (especially quetiapine)
  • lithium
  • Anticonvulsant (gabapentin)
  • Cannabinoids (THC and CBDSubstances contained in cannabis plants)

The antipsychotic drug Pimavanserin (trade name Nuplazid) is Approved By the Food and Drug Administration to treat the psychosis of Parkinson’s disease.

These drugs are not without side effects. Some medications are at risk of exacerbating the symptoms of psychosis and increasing mortality in people with dementia.

Dementia-related psychosis can be difficult to diagnose. Symptoms can be mistaken for other health conditions such as anxiety and depression. People with dementia may hesitate to hide some of their symptoms and admit that they are seeing or hearing what others do not see.

Psychosis is common in people with memory-related symptoms, but there are few effective treatments. Lifestyle adjustments, long-term care, and specific medications can help manage episodes of dementia-related psychosis.

Understanding that many people with dementia are experiencing symptoms of psychosis and learning how to recognize those signs may help the affected person or caretaker to prepare.

It also encourages compassion and understanding as loved ones and medical professionals classify the effects of psychosis and how it interacts with other symptoms of dementia.

Sources

1/ https://Google.com/

2/ https://www.healthline.com/health/dementia-related-psychosis

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