Dementia-Related Behavioral Disturbance Treatment in California

When a loved one with dementia becomes agitated, aggressive, suspicious, or restless at sundown, families are often left without guidance. Behavioral and psychological symptoms of dementia (BPSD) are medical symptoms — and managing them well protects the dignity, safety, and quality of life of everyone involved.

This is a core specialty at Mindful Sewa Psychiatry. Harpal Singh, PMHNP-BC, has extensive experience in memory care, assisted living, and long-term care psychiatry, and provides telehealth consultation across California for families and facilities alike.

Signs & Symptoms of Dementia-Related Behaviors

• Agitation, pacing, or restlessness
• Aggression or resistance to care
• Sundowning — worsening confusion in the evening
• Suspicion, accusations, or paranoia
• Hallucinations or delusions
• Sleep-wake reversal
• Repetitive questioning or calling out
• Depression or apathy alongside dementia

How We Treat Dementia-Related Behaviors

Good BPSD care starts with detective work: pain, infection, medication effects, and environmental triggers cause many behavioral changes and must be ruled out first. Then we use non-drug strategies first, adding careful, conservative medication management only when behaviors threaten safety or wellbeing — always at the lowest effective dose, always re-evaluated.

We partner with family caregivers and facility staff, and we understand the regulatory landscape around psychotropic use in long-term care.

What to Expect at Your First Appointment

Appointments are by video and typically include the family caregiver or facility nurse. We review the behavior pattern, medical history, and current medications, then deliver a concrete, prioritized plan — including what to try tonight.

Ready to start? Book a comprehensive evaluation, review our transparent fees, or take the symptoms quiz first.