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
Understanding the Diagnosis
Learn about a behavioral variant frontotemporal dementia (bvFTD) diagnosis. Understand personality changes, anosognosia (lack of insight), and care planning.
Symptoms and the Rascovsky Criteria
Learn the 6 core symptoms of behavioral variant frontotemporal dementia (bvFTD). Understand the Rascovsky criteria and how to avoid psychiatric misdiagnosis.
The Biology and Genetics of bvFTD
Understand the biology and genetics of bvFTD. Learn about inherited C9orf72, MAPT, and GRN mutations, toxic brain proteins, and the role of genetic testing.
Imaging and Biomarkers
Learn about imaging and biomarkers used to diagnose behavioral variant frontotemporal dementia (bvFTD). Understand MRI, FDG-PET scans, and the NfL blood test.
Practical Strategies: Managing Daily Life with bvFTD
Learn practical strategies for managing behavioral variant frontotemporal dementia (bvFTD). Discover off-label medications, safety tips, and the TAP program.
Progression and End-of-Life Care
Understand the progression and end-of-life stages of behavioral variant FTD (bvFTD). Learn about late-stage symptoms, life expectancy, and palliative care.
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)?
Why is bvFTD frequently misdiagnosed as a psychiatric disorder?
What causes behavioral variant frontotemporal dementia?
How is bvFTD diagnosed?
What treatments and care strategies are used for bvFTD?
Questions to Ask Your Doctor
Curated prompts to bring to your next appointment.
- 1.Who will be the primary point of contact on your team as the disease progresses and our needs change?
- 2.Are there any current clinical trials for bvFTD that I or my loved one might be eligible for?
- 3.Can you provide referrals for both a specialized neurologist and an occupational therapist familiar with FTD?
Questions For You
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References
References (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.
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