Behavioural and psychological symptoms of dementia
The following pages present statistics and information on:
Behavioural and psychological symptoms of dementia (BPSD) refer to a range of non-cognitive symptoms (such as agitation, apathy or disinhibition) that are common among people with dementia. The type and severity of symptoms can vary over the course of the illness, and on a day-by-day basis.
There are many possible causes of BPSD. For example, people experiencing BPSD may be attempting to communicate, have an unmet need (such as thirst or needing the toilet), or have an infection or other illness (DSA 2025). Physical changes in the brain that impact memory, emotional regulation and communication can also contribute to BPSD.
BPSD symptoms can have a major impact on the quality of life, health outcomes and care needs of people with dementia. Information on BPSD in Australia enables better policy and service planning for supporting people with dementia and their carers.
These pages also present the current data landscape for reporting on BPSD in Australia and ways this may be improved in the future.
For more information on available support services, see Overview of Australia's aged care system and Overview of dementia support services and initiatives.
The Neuropsychiatric Inventory (NPI) is the gold-standard assessment tool and a primary measure of BPSD within clinical settings in Australia. The NPI tool includes data on behaviour type, severity, frequency, and carer distress.
- Dementia Support Australia use the NPI to measure BPSD among people who access their national dementia behaviour support programs. Dementia Support Australia’s administrative data provide the only national estimates of BPSD in Australia that use the NPI.
- Some information on BPSD was collected during comprehensive aged care assessments using the National Screening and Assessment Form (NSAF): whether the person has experienced any of 12 select behaviours that align with some domains in the NPI. Comprehensive aged care assessments are provided by clinical assessors for people with complex and multiple care needs to determine the most suitable type of care (home care, residential aged care or transition care). These assessments had to be completed before someone can access government-subsidised home care, residential aged care or transition care, and are therefore nationally representative of everyone seeking access to these services.
Refer to the Behavioural and psychological symptoms of dementia data tables for the underlying data presented in these pages.
Despite the high impact of BPSD on quality of life and care needs, there are currently no nationally representative prevalence estimates of BPSD among people with dementia in Australia.
- While Dementia Support Australia are the only national data source that use the gold-standard NPI to collect information about people who experience BPSD, their data is limited to people who accessed their services. As such, Dementia Support Australia data are not representative of all people living with dementia or BPSD in Australia.
- Nationally representative information on 12 select behaviours that align with some domains in the NPI is available for people who have completed comprehensive aged-care assessments in 2020–21, but these are only representative of people with complex and multiple care needs who are seeking access to government-subsidised aged care services. Further, unlike the NPI, the questionnaire used to measure behaviours in comprehensive aged care assessments has not been validated and does not measure the severity of behaviours, frequency of behaviours, or impact on carers.
The AIHW is working with Dementia Support Australia on a pilot project aiming to link their data to the National Health Data Hub. This will allow key statistics for people with BPSD to be reported by severity level and by factors such as geographical location, use of residential aged care services, demographic background and utilisation of support services. Such linked data can also allow the behaviours collected in comprehensive aged care assessments to be compared with the gold-standard NPI data collected by Dementia Support Australia.
Key statistics
DSA (Dementia Support Australia) (2025) Carer Handbook for understanding changed behaviours, Dementia Support Australia, accessed 18 June 2025.



