Behavioral and Psychological Symptoms of Dementia (BPSD) may include apathy, rumination, perseveration, wandering, paranoia, agitation, sleep disturbances, impulsivity, repetitive questioning, confusion about time, and resistance to medication or self-care.

These behaviors often stem from limited insight, as individuals with dementia may not recognize their actions or understand their impact. As language and memory decline, behaviors may also become a form of communication, serving as an attempt to express unmet needs or distress.

I partner with loved ones to take a compassionate and problem-solving approach, much like a scientist observing patterns. My goal is to empower families while preserving the dignity of the person with dementia. Together, we develop strategies to reduce distress, promote comfort and familiarity, and engage the person’s remaining cognitive strengths.

These behavior management approaches can be effective in private homes, assisted living communities, skilled nursing facilities, and memory care settings.