title: Neuropsychiatric management of young-onset dementias.
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.
authors.affiliation: Department of Psychiatry, The Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo 105-8461, Japan. Electronic address: shinagawa@jikei.ac.jp.
authors.forename: Shunichiro
authors.initials: S
authors.lastname: Shinagawa
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D017668:Age of Onset; D000544:Alzheimer Disease / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D017281:Cost of Illness; D019468:Disease Management; D057180:Frontotemporal Dementia / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D011580:Psychological Techniques; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D012944:Social Support
chemical_list: D011619:Psychotropic Drugs
keywords: Alzheimer's disease; Frontotemporal dementia; Neuropsychiatric symptoms; Nonpharmacologic intervention; Pharmacologic intervention; Young-onset dementia