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Can a person with dementia be treated for a personality disorder?

New Contributor

Can a person with dementia be treated for a personality disorder?

My father has dementia, which (I think) is exacerbated by having a personality disorder. Can he be treated for this, or does his dementia prevent this? Has anyone had experience of the two problems.

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Senior Contributor

Re: Can a person with dementia be treated for a personality disorder?

Hello @MonP 

Dementia can complicate the treatment of any medical condition.  Even in those without a mental health diagnosis, behaviours and personalities change. I do not know if a PD contributes to the risk of developing what are seen as the more challenging aspects of dementia. 

 

Clear communication in relation to the treatment of any medical condition is necessary - not just psych,  do you have medical POA? Medication reviews are often helpful to ensure no untoward interactions between prescribed meds.  There is a lot of controversy about the use of antipsychotics in patients with dementia (most carry a black box warning for use in the elderly) and these are the RANZCP guidelines.

 

https://www.google.com.au/url?sa=t&source=web&rct=j&url=https://www.ranzcp.org/Files/Resources/Colle...

 

Help and support is available through Dementia Australia, their website has some excellent information as well as carer support options.

 

https://www.dementia.org.au

 

 

Is it BPD or another PD your father has? The following is a link to nhmrc guidelines regarding the treatment of BPD.

 

https://www.google.com.au/url?sa=t&source=web&rct=j&url=http://bpdfoundation.org.au/images/mh25_bord...

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Senior Contributor

Re: Can a person with dementia be treated for a personality disorder?

My dad has dementia. Recently with his senior Gerontologist, he diagnosed dad with depression, filled out a script for antidepressant BUT asked me to wait 2 weeks to see if dad improved with extra time outside in the sun, BECAUSE antidepressants can make the dementia worse and affect coordination (falls risk).  I say this because a lot of personality disorders are treated with antidepressants.