Letter to the Editors: Nonpharmacologic Interventions for Verbal Agitation and Disruptive Vocalization

It is always useful to remind practitioners that nonpharmacologic interventions are most effective for the treatment of neuropsychiatric symptoms of dementia, and the review in the recent issue of Caring (2020;21[2]:19) provides excellent guidance. However, the summary table appears to address only evidence from randomized controlled trials (RCTs) on treatment of verbal agitation, sometimes called disruptive vocalization, and it states there are “no effective interventions.” There are no RCT results for treatment of this condition because, fortunately, it is relatively rare.