Fact 11. Neuropsychiatric Symptoms in DLB: More Than Just Hallucinations
While visual hallucinations are a defining feature of DLB, other neuropsychiatric symptoms also commonly occur. These can include depression, anxiety, apathy, and agitation. These symptoms can be distressing for both the patient and caregiver, and significantly impact the patient’s quality of life.
Depression in DLB can manifest as persistent sadness, loss of interest in previously enjoyed activities, and withdrawal from social interactions. It’s important to recognize and manage this symptom effectively as it can further exacerbate cognitive decline and negatively impact the patient’s quality of life.
Anxiety, characterized by persistent worry and restlessness, can also occur in DLB. It can manifest alongside cognitive fluctuations and can be particularly distressing during periods of increased confusion.
Apathy, or a lack of motivation or interest, is another common symptom. It can result in decreased activity and social engagement, contributing to a poorer quality of life and increased caregiver burden.
Agitation, characterized by restlessness, verbal outbursts, or physical aggression, can also occur, particularly in the later stages of the disease. It can be challenging to manage and can significantly impact caregiver stress. (11)
