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date: 22 September 2019

Abstract and Keywords

There is an increasing interest in the use of cognitive-behavioural therapy (CBT) for people with dementia, with RCT protocols currently being developed for the treatment of anxiety. Because anxiety, and other psychiatric conditions, may be contributing factors in ‘behaviours that challenge’ (BC), such work is important. However, overall CBT is less well developed in the treatment of BC. This chapter first examines the nature of BC and then looks at the key CBT principles being used to reduce problematic behaviours. While this initial section is short on an evidence base, there already exists a healthy literature on the use of CBT for carers. As this chapter will show, when working with people with severe dementia, the therapeutic work is often conducted via professional carers and staff. The research with carers is diverse in focus, looking at maintaining carers’ well-being and/or providing support to reduce both the incidences of BC and the likelihood of institutionalization of the person with dementia.

Keywords: psychotherapy, BPSD, challenging behaviour, agitation, carers, biopsychosocial

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