There is no specific treatment for Pick disease. Medicines may help manage mood swings.
Sometimes, patients with Pick disease take the same medicines used to treat other types of dementia.
In some cases, stopping or changing medicines that worsen confusion or that are not needed can improve thinking and other mental functions. Medicines include:
- Central nervous system depressants
It is important to treat any disorders that can cause confusion. These include:
- Decreased oxygen (hypoxia) levels
- Heart failure
- High carbon dioxide levels
- Kidney failure
- Liver failure
- Nutritional disorders
- Thyroid disorders
- Psychiatric conditions such as depression
Medicines may be needed to control aggressive, dangerous, or agitated behaviors.
Some patients may benefit from hearing aids, glasses, cataract surgery, or other treatments.
Behavior modification can help some people control unacceptable or dangerous behaviors. This consists of rewarding appropriate or positive behaviors and ignoring inappropriate behaviors (when it is safe to do so).
Psychotherapy (talk therapy) does not always work. This is because it can cause further confusion or disorientation.
Reality orientation, which reinforces environmental and other cues, may help reduce disorientation.
Depending on the symptoms and severity of the disease, the patient may need monitoring and help with personal hygiene and self-care. Eventually, there may be a need for 24-hour care and monitoring at home or in a special facility. Family counseling can help the person cope with the changes needed for home care.
Care may include:
- Adult protective services
- Community resources
- Visiting nurses or aides
- Volunteer services
Persons with Pick disease and their family may need to seek legal advice early in the course of the disorder. Advance directive, power of attorney, and other legal actions can make it easier to make decisions regarding the care of the person with Pick disease.