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PURPOSE OF REVIEW: The purpose of this review is to describe studies concentrating on psychosocial and behavioural interventions for patients with dementia, particularly those published between spring 2003 and spring 2004 and specifically excluding those primarily involving medication. They consist of a variety of nonpharmacological approaches such as interventions for carers and behavioural approaches to the management of symptoms of dementia. In addition, the broader context of the importance of these interventions will be considered.RECENT FINDINGS: Most studies confirm previous observations regarding the negative effects of caregiving on the physical and mental health of carers. Recent findings have also shown that effective interventions for caregivers should be targeted to individual needs and can effectively involve patients themselves in the process. Specific carer interventions to reduce depression and anxiety are of benefit and the effects last longer than just the duration of the intervention. Generally, the quality of research on interventions is improving.SUMMARY: There are now a myriad of opportunities to intervene using nonpharmacological approaches, to manage a number of symptoms of dementia and to alleviate the stress on carers. Combining pharmacological and nonpharmacological interventions seems an appropriate aspiration for anyone involved in the care of people with dementia. [ABSTRACT FROM AUTHOR]