SubtypeTreatment
Delirium (other than medication toxicity)Treat underlying medical condition.
If medication is needed, consider typical antipsychotic.
DepressionWithout psychosis: antidepressant
With psychosis: antidepressant plus antipsychotic, or electroconvulsive therapy
PsychosisAcute: atypical antipsychotic
Long-term: atypical antipsychotic
AnxietyAcute: benzodiazepine such as lorazepam (Ativan) or oxazepam (Serax)
Long-term: buspirone (BuSpar)
InsomniaAcute: trazodone (Desyrel); consider benzodiazepine such as temazepam (Restoril) or zolpidem (Ambien).
Long-term: trazodone
“Sundowning”Acute: trazodone
Long-term: trazodone; consider typical or atypical antipsychotic.
Aggression or angerSevere
Acute: typical or atypical antipsychotic
Long-term: divalproex sodium (Depakote) or atypical antipsychotic
Mild
Acute: trazodone
Long-term: divalproex sodium, SSRI, trazodone, or buspirone
Osteoarthritic painLong-term: tricyclic antidepressant, SSRI, or trazodone