What is your approach to managing hallucinations in dementia?

Hallucinations in dementia can be categorized in many ways. To begin to conceptualize a management approach, it is useful to distinguish between various types of clinical presentation: pre-existing psychosis in a patient who then develops dementia; new onset psychosis in a patient with dementia; pre...

One thing to remember is that hallucinations are not always disturbing to the patient, but to the caregiver! If the patient is fine with seeing a little girl or dog (often in LBD), the family just needs to be educated to let it go. They don’t need to AGREE that the hallucinations are present; they j...

Acetylcholinesterase inhibitors (especially rivastigmine) have been shown to reduce hallucinations in Alzheimer's disease, Parkinson's disease dementia, and Lewy body disease (d'Angremont et al., PMID 37358841).

Also, improving the lighting and contrast between objects in the environment may help wit...

Rexulti is an antipsychotic that is also FDA approved for psychosis as well as agitation in dementia. This could be an option.