How do you manage problematic disinhibited behaviors in patients with neurocognitive disorders?  

This requires a problem-centered approach. I suggest the following thought process. Analyse the root cause: Is it disinhibition? Unmet needs? Under/Overstimulating environment? Medication side effect? For disinhibition (frontal lobe dysfunction): I have had success with gabapentin and low-dose D...

I will search for etiology first.  Is it physiological? Many patients do not have official partners at that age. As an example, eating is the most direct way to satisfy true biological hunger, other non-food factors like excessive dopamine/testosterone should also consider in mind. SSRI is not...

I see this problem, not infrequently, in patients in every stage of dementia, from MCI to severe dementia. Sertraline can be beneficial, but if not, lamotrigine or divalproex often work reasonably well.  

This is a very important area since such behavior often results in caregiver stress and earlier placement in alternative facilities. First, a clear description of the problematic behavior (verbal, physical, timing, apparent precipitants, form of actual behavior, and how this is a change from pre-mor...

When medical and other etiologies have been ruled out, and a medication approach is indicated, paroxetine if often the med of choice. Just as it is often not preferered for depression and anxiety due to it's sexual side effects, this becomes beneficial for this population. 

After excluding treatable etiology if the behavior still is problematic and not amenable to environmental modification anti androgen provera has worked for my patients 

Agree with Low dose Depakote or possibly Lamotrigine