How do you manage REM sleep disorder in geriatric patients with dementia associated with periods of catatonia?

Melatonin helps with REM sleep behavior disorder in most but not all cases - a trial-and-error process.

Antipsychotics may not help with REM sleep behavior disorder (in fact, promoting slow-wave sleep worsens REM sleep behavior disorder), but may help with catatonia if the etiology is psychosis (sta...