How to treat behavioral and psychological symptoms of dementia (BPSD): Do not treat patients exhibiting symptoms like BPSD with neuroleptics from the beginning


  • This review article was presented by the author in Symposium of the 22nd Annual Meeting of Japanese Psychogeriatric Society in Osaka, 15–16 November 2007.

Dr Masashi Takita MD, Takita Memory Mental Clinic, 5-13-8 Muromi, Sawara-ku, Fukuoka 814-0015, Japan. Email:


The present report details the case of three patients who had symptoms like behavioral and psychological symptoms of dementia (BPSD). In all three cases, other factors contributing to the disease were hidden behind the symptoms resembling BPSD. These cases exhibited symptoms like BPSD following acute or subacute onset. Before starting medication with antipsychotic drugs, the underlying causes of the symptoms, especially those with an acute or subacute onset, should be considered.