Psychotic & Cognitive Disorders

Summary of Clinical Case

TM, a 79-year-old man, had dementia identified six years before. Subjectively, her wife explains how his condition gradually deteriorated to the point where, in recent months, she has finding it more challenging to manage him. He also has grown more foul and aggressive. Besides, he has started griping about seeing individuals lurking around the house, which makes him feel uneasy. He has fled the house twice, and both times he was discovered lost on the street. TM’s condition also fluctuates as he is sometimes confused and aggressive, while during other moments he is lucid and calm.

DSM-5-TR Diagnosis

Based on DSM-5-TR criteria, TM experiences symptoms of Dementia. According to the criteria, individuals with dementia should exhibit significant cognitive decline more that one of the cognitive domains based on significant impairment of cognitive abilities, poor judgment, difficulty in speaking, confusion, getting lost and wandering, challenges in paying bills, delusion, hallucinations and paranoia, impulsive behavior, losing balance and repetitive behavior (Tay & Subramaniam, 2023). TM experiences most of these symptoms. First, he experiences cognitive decline which has led to deterioration of his condition. He is also confused and wanders around the neighborhood. He also experiences paranoia since he complains that he sees people wandering in his house. Besides, he is aggressive and hostile.

Pharmacological Treatment

An effective pharmacological treatment I would prescribe for the TM is donepezil. It is appropriate for treating symptoms of dementia such as disease symptoms like disorientation and memory loss. This medicine works by enhancing your focus, memory, and capacity to carry out daily tasks. It does not treat dementia or Alzheimer’s disease (Kurian et al., 2021). TM must adhere to the instructions listed on the prescription label. Along with or without food, and at scheduled times, he can consume this drug. It is customary to take this medication right before bed. Even if TM feels better, he will keep taking this drug. I would advise him to consume the 23 mg donepezil tablet whole and not to cut, smash, or chew it.

Non-pharmacological Treatment

For non-pharmacological treatment I will recommend for TM is lifestyle changes. First, he should engage in physical activity. Strength, balance, and cardiovascular health are all enhanced by exercise in dementia patients. With symptoms like agitation, exercise might also be beneficial (Castillo-García et al., 2022). I will help him plan enjoyable and doable activities such as connecting with his loved ones, and helping him focus on what he can still accomplish. At night, cognitive abilities tends to deteriorate. I will help TM create bedtime routines that are relaxing and distant from the noise and occupied family members. Caffeine restrictions, prohibitions against naps, and opportunities for daytime activity will all help him reduce evening restlessness.

Assessment of Treatment


The most popular application for the acetylcholinesterase inhibitor donepezil hydrochloride is the management of dementia. The FDA has given donepezil approval to treat dementia in severe, moderate, and mild forms (Kurian et al., 2021). The medicine helps in  enhancing reasoning or behavior, and reduces some indicators. Additionally, it has additional off-label uses. TM can start with a dose of 5 mg/day. This can be increased to 10 mg/day after six weeks.


The price for a supply of 30 donepezil oral tablet 10 mg costs about $14., as per


The main symptoms of dementia illness are improved with donepezil, which can be tolerated easily and is more successful than a placebo. The majority of the time, improvements are small, although stabilizing cognitive and behavioral issues with donepezil may also be seen as a significant clinical result (Castillo-García et al., 2022). The stress on caregivers might decrease with donepezil.


The safety and tolerability of donepezil have been established. Drowsiness digestive problems (such as nausea, lack of appetite, bloating, loose stool, and dysentery), insomnia, and exhaustion are among the donepezil adverse effects that are frequently reported (Tay & Subramaniam, 2023).

Potential for Adherence

75% of patients who take donepezil as prescribed could get a reaction. This is due to the numerous negative effects it has.








Castillo-García, I. M., López-Álvarez, J., Osorio, R., Olazarán, J., Ramos García, M. I., & Agüera-Ortiz, L. (2022). Clinical trajectories of neuropsychiatric symptoms in mild-moderate to advanced dementia. Journal of Alzheimer’s Disease, (Preprint), 1-15. DOI10.3233/JAD-215133

Kurian, T. A., Balachandran, S., & Francis, Y. K. (2021). A Cross-Sectional Study on the Frequency of Behavioural and Psychological Symptoms of Dementia in Alzheimer’s Disease in a Tertiary Care Hospital of North Kerala. Based Med Healthc, 8(24), 2006-2010. DOI: 10.18410/jebmh/2021/377

Tay, K. W., & Subramaniam, P. (2023). Dementia: Features of treating anxiety and depression and the role of cognitive behavioral therapy: A new narrative. In Handbook of Lifespan Cognitive Behavioral Therapy (pp. 337-344). Academic Press.

Homework Essay Paper Writers
Calculate your order
Pages (550 words)
Approximate price: -

Why Choose Us

Top Quality and Well-Researched Papers

Top Quality and Well-Researched Papers

We always confirm that writers follow all of your instructions precisely. you'll choose your academic level: highschool, college/university or professional, Your order will be assigned to a writer who possesses a respective degree.

Highly Experienced Paper Writers

Highly Experienced Paper Writers

Our team of professional academic writers has years of vast experience in academic writing, research, and formatting. So you can always be sure that your project is in safe hands.

Free Revisions Essay Writing

Free Unlimited Revisions

If you believe we missed something, feel free to send your order for a free revision. After receipt of the final document, You have 10 days to submit the order for review. A revision can be submitted by logging into your personal account or by contacting our support team.

Timely Assignment Delivery

Timely Delivery and 100% Money-Back-Guarantee

We ensure that all papers are always delivered on the expected time. In any case, if we require more time to polish your paper, we may contact you regarding the deadline extension. In case you are not in a position to allocate additional time, a 100% order refund is guaranteed.

Plagiarism free custom writing

Plagiarism free & Confidential

As part of our quality assurance process, we use several writing tools and checks to ensure that all documents you receive are 100% unique and original.Each paper undergoes careful review by our editors to deliver plagiarism free essays. We also guarantee maximum confidentiality in all of our services.

Real time chat essay writer

Real time online chat with your writer

Our writers and support agents are available 24 hours a day 7 days a week to assist you. We are committed to providing you with top-notch customer experience. Chat with us anytime.

Try it now!

Calculate the price of your order

Total price:

How it works?

Get your paper done in these simple steps

give essay topic

Give your requirements

Fill in the order form and tell us about your assignment, instructions and deadline

pay for essay

Proceed with the payment

Choose your preferred payment method and the writer will start writing your custom paper.

download custom essay

Download the final file

Once your high quality custom paper is ready, we will email it to you.

Our Paper Writing Services

We are here to ensure you dont get stuck with your coursework and assignments. Focus on your hobbies and enjoy some quality leisure time as we write your paper. You can trust our kinds of writing services.

essay writing service essay helper


Essay Writing Service

Stuck with an essay assignment? Making an admission application? We specialize in writing high quality and engaging personal statements as well as application essays. Our professional academic essay writers are experts in writing 100% original essays according to order specifications. From compositions, creative writing to literary analysis we've got you covered.

professional assignment Help assignment writer


Professional assignment Help

Your routine homework and academic assignments are completed on time and at affordable prices. Submit your assignments and the respective subject matter expert will get it done within no time and painlessly. Better grades will be yours without any stress at all!

research paper writing service english essay writer


Research and Term Papers

Every member of our dynamic essay writing team is an expert in academic research. They are all well versed with APA, MLA, Chicago, Harvard citation formats. Your research paper gets to you fully formatted and ready to be submitted. The research involved in writing your paper is always 100% original. This is part of our commitment to provide you with papers free of plagiarism.

custom writing academic writer

Custom Writing

Custom Writing Services

Our highly experienced business, nursing, and psychology writers are true professionals with vast prowess at delivering outstanding work in a wide range of fields. You dont have to worry about Short deadlines anymore. Just give us the instructions and you'll receive your custom paper ASAP! We have fully qualified, full-pro writers on stand by to assist you.