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It is insulting to GPs to accuse us of profligate overuse of antipsychotics in dementia patients.
We know the problems of using antipsychotics, but we are the ones who have to try to care for people with dementia and the people who care for them.
I had a patient who was physically fit and had moderate dementia. He had been on anticholinergics for some time but they had made no appreciable difference to his continued functional decline.
He would get into his head that he wanted to go home to his mother. He would be off in all weathers and be picked up by the police. If his wife had physically restrained him, he would be violent. She had the support of …