While there are currently no specific treatments for vascular dementia, a doctor may prescribe medication to treat underlying, related, conditions.
This could include treatments for diabetes, stroke, high blood pressure, high cholesterol or heart problems. A doctor may also advise taking up a healthier lifestyle. This could include stopping smoking, taking exercise, maintaining a normal weight and eating healthily.
Some of the symptoms of vascular dementia may be managed by physiotherapy, occupational therapy or speech therapy.
People with vascular dementia may benefit from cognitive therapy. These activities are designed to stimulate thinking skills and engage people. They are often group-based and include games, with an emphasis on enjoyment.
For people with vascular dementia and Alzheimer’s together (mixed dementia), there are some drugs which may help with the symptoms. You can discuss your treatment options with your doctor.
To help relieve symptoms of severe anxiety, agitation and aggression, a doctor may consider an assessment of someone’s health and environment. This could help identify any causes or triggers of agitation or aggression. Non-drug approaches such as aromatherapy or music therapy may also be considered. This might depend on your preference as well as the availability of treatments. If non-drug treatments don’t work, someone may be prescribed an antipsychotic drug. These can have severe side effects, and are not suitable for everyone. They should be carefully monitored. Your doctor will consider what may be appropriate.