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Numerous non-pharmacological interventions have been used in managing BPSD, including physical exercise, cognitive training, music therapy, non-invasive brain stimulation, and acupuncture therapy, to name a few.
Psychotherapy and psycho-educational interventions may assist carers to cope with assisting the person with dementia and to maintain their own health and wellbeing. Behavioural Management Therapy may be useful in targeting challenging (difficult to manage) behavioural patterns in persons with dementia.
Nonpharmacological practices to address BPSDs include sensory practices (aromatherapy, massage, multi-sensory stimulation, bright light therapy), psychosocial practices (validation therapy, reminiscence therapy, music therapy, pet therapy, meaningful activities), and structured care protocols (bathing, mouth care).
The following are used to temporarily improve dementia symptoms. Cholinesterase inhibitors. These medicines work by boosting levels of a chemical messenger involved in memory and judgment. They include donepezil (Aricept, Adlarity), rivastigmine (Exelon) and galantamine (Razadyne ER).
Some focused on touch, such as massage; others were multisensory interventions of tactile, light and auditory stimulation, such as Snoezelen therapy.
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Common useful strategies include music and art therapy and personalized activities (eg, reminiscence, socialization, engaging in meaningful activities, and exercise). Conversing one-to-one with a person about their preferred topics of interest may quiet verbally disruptive behavior.
Familiar objects and photographs offer a sense of security and can suggest pleasant memories. Reduce caffeine intake, sugar, and other foods that cause spikes in energy. Try gentle touch, soothing music, reading, or walks to quell agitation. Speak in a reassuring voice.
You record and talk about important things from your life, to help remember them. Reminiscence work uses photos, objects or music to talk about your past. Being creative can help. Making music, dancing and painting can keep the brain active.
Examples of nonpharmacologic treatments include provision of caregiver education and support, training in problem solving, and targeted therapy directed at the underlying causes for specific behaviors (eg, implementing nighttime routines to address sleep disturbances).
Psychological therapies which are considered as potential treatments for dementia include music therapy, reminiscence therapy, cognitive reframing for caretakers, validation therapy, and mental exercise.

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