Neuropsychiatric symptoms (NPS) occur because of changes in the brain caused by Alzheimer’s disease, but certain situations can make them worse. Some things that may trigger or intensify symptoms include:

  • Pain or stress
  • Too little sleep
  • Constipation
  • Sudden change in a well-known place, routine, or person
  • A feeling of loss — for example, the person may miss the freedom to drive or go out alone
  • Too much noise or confusion or too many people in the room
  • Being forced to do something — for example, to bathe or to remember events or people — when Alzheimer’s has made the activity very hard or impossible
  • Feeling lonely and not having enough contact with other people
  • Certain medications or interactions between two medications
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