What non-pharmacological interventions are effective in managing the symptoms of frontotemporal dementia in primary care?

Non-pharmacological interventions effective in managing symptoms of frontotemporal dementia (FTD) in primary care include:

• Tailored activities to promote wellbeing: Offer a range of activities that are personalised to the person's preferences to support their wellbeing and engagement.
• Cognitive stimulation therapy: Consider group cognitive stimulation therapy for people living with mild to moderate dementia, which may help maintain cognitive and social functioning.
• Group reminiscence therapy: This may be considered for people with mild to moderate dementia to support memory and social interaction.
• Cognitive rehabilitation and occupational therapy: These interventions focus on supporting functional ability and independence by addressing the impact of cognitive impairment on everyday activities.
• Psychosocial and environmental interventions: Use these as initial and ongoing management to reduce distress, agitation, and behavioural symptoms by exploring and addressing possible causes such as pain or environmental triggers.

Pharmacological treatments such as acetylcholinesterase inhibitors or memantine are not recommended for frontotemporal dementia, so non-pharmacological approaches are particularly important in this subtype of dementia.

These interventions should be delivered with sensitivity to the individual’s needs and preferences, and healthcare professionals should be trained in managing difficult conversations and supporting people living with dementia and their carers.

References: NICE NG97