title: Treatment of vocally disruptive behaviour of multifactorial aetiology.
abstract: OBJECTIVE
  To describe the treatment of vocally disruptive behaviour (VDB) of multifactorial aetiology.
  
  
  METHODS
  Three case reports were used to illustrate the treatment of multifactorial VDB.
  
  
  RESULTS
  A biopsychosocial assessment is required to identify the different aetiologies involved and the way they interact. Acute medical and psychiatric factors may demand that interventions are introduced simultaneously rather than in succession.
  
  
  CONCLUSIONS
  Successful interventions require the combination of biopsychosocial strategies tailored to the individual case with realistic goals that include the acceptance of a residual level of VDB as a reasonable outcome.
authors.affiliation: Academic Department of Psychogeriatrics, Prince Henry Hospital, Little Bay, Sydney, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Meares
authors.forename: B
authors.initials: B
authors.lastname: Draper
mesh_terms: D000368:Aged; D017109:Akathisia, Drug-Induced / Q000209:etiology / Q000628:therapy; D001521:Behavior Therapy; D003704:Dementia / Q000150:complications*; D003863:Depression / Q000150:complications; D005260:Female; D006707:Homes for the Aged / Q000458:organization & administration; D006801:Humans; D001523:Mental Disorders / Q000209:etiology* / Q000534:rehabilitation*; D009622:Noise; D009735:Nursing Homes / Q000458:organization & administration; D017374:Paroxetine / Q000627:therapeutic use; D010349:Patient Compliance; D026741:Physical Therapy Modalities; D011595:Psychomotor Agitation / Q000188:drug therapy* / Q000209:etiology*; D012149:Restraint, Physical / Q000009:adverse effects; D018967:Risperidone / Q000009:adverse effects; D014705:Verbal Behavior
chemical_list: D017374:Paroxetine; D018967:Risperidone