Skip to content
PubMed This is a summary of 82 peer-reviewed journal articles Updated
Neurology · Behavioral Variant Frontotemporal Dementia

Frontotemporal Dementia (Behavioral Variant): A Guide for Patients and Families

At a Glance

Behavioral variant frontotemporal dementia (bvFTD) is a progressive brain disease that alters personality, behavior, and decision-making. Because patients often cannot recognize their own illness, early care planning and strong family support are essential for managing the disease safely.

Receiving a diagnosis of behavioral variant frontotemporal dementia (bvFTD) is often the culmination of a long, confusing medical journey. Whether you are a patient in the early stages seeking to understand your own changing mind, or a family member trying to make sense of a loved one’s shifting personality, this guide is designed to empower you with the facts.

bvFTD is a progressive brain disease that primarily affects the frontal and temporal lobes—the regions of the brain responsible for personality, behavior, empathy, and decision-making [1]. Unlike Alzheimer’s disease, which typically begins with memory loss, bvFTD changes how a person interacts with the world and the people they love.

Because a hallmark symptom of this disease is anosognosia (a physical inability to recognize one’s own illness), the burden of care and disease management often falls heavily on family members and caregivers [1]. However, for patients reading this in the early stages, now is the time to actively participate in your care planning, document your preferences, and work collaboratively with your family to safeguard your future.

This resource is broken down into specific topics to help you navigate every step of the bvFTD journey.

Table of Contents

Whether you are the person living with the diagnosis or the one standing beside them, you are facing a profound challenge. Armed with the right medical knowledge and support, you can navigate the path ahead with dignity, safety, and compassion.

Common questions in this guide

What is behavioral variant frontotemporal dementia (bvFTD)?
bvFTD is a progressive brain disease that primarily damages the frontal and temporal lobes. Unlike Alzheimer's disease which starts with memory loss, bvFTD leads to significant changes in a person's personality, behavior, empathy, and decision-making skills.
Why is bvFTD frequently misdiagnosed as a psychiatric disorder?
Early symptoms of bvFTD involve extreme shifts in personality and behavior, which can closely resemble psychiatric conditions. Because patients often experience anosognosia—a physical inability to recognize their own illness—they may not accurately report their symptoms, complicating the diagnosis.
What causes behavioral variant frontotemporal dementia?
The disease is caused by the accumulation of misfolded proteins, specifically Tau and TDP-43, in the brain. In some cases, it is driven by inherited genetic mutations such as C9orf72, MAPT, or GRN.
How is bvFTD diagnosed?
Doctors use the Rascovsky criteria to evaluate core behavioral symptoms alongside medical tests. To confirm the diagnosis, they typically rely on MRI or PET scans to view brain changes, as well as blood tests to check for specific biomarkers like neurofilament light chain (NfL).
What treatments and care strategies are used for bvFTD?
While there is no cure, care focuses on practical management strategies. This includes occupational therapy, medication management for behaviors, securing caregiver support, and completing critical legal and financial planning while the patient can still participate.

Questions to Ask Your Doctor

Curated prompts to bring to your next appointment.

  1. 1.Who will be the primary point of contact on your team as the disease progresses and our needs change?
  2. 2.Are there any current clinical trials for bvFTD that I or my loved one might be eligible for?
  3. 3.Can you provide referrals for both a specialized neurologist and an occupational therapist familiar with FTD?

Questions For You

Tap a prompt to share your answer — we'll use it plus this page's context to start a tailored conversation.

References

References (1)
  1. 1

    Self-Consciousness Deficits in Alzheimer's Disease and Frontotemporal Dementia.

    Arroyo-Anlló EM, Bouston AT, Fargeau MN, et al.

    Journal of Alzheimer's disease : JAD 2017; (55(4)):1437-1443 doi:10.3233/JAD-160770.

    PMID: 27858712

This guide is for informational purposes only and does not replace professional medical advice. Always consult a neurologist or specialized healthcare provider for an official diagnosis and personalized care plan.

Get notified when new evidence is published on Behavioral variant of frontotemporal dementia.

We monitor PubMed for new peer-reviewed studies on this topic and email a short summary when something meaningful changes.