We finally got an appointment after months of waiting for an opening with a psychiatrist for my 95 yr old mother who was diagnosed with late stage dementia a year ago. Her neurologist said he could not prescribe drugs beyond a sleeping pill for her. My mother's violent behaviors and delusional thoughts were endangering her, my sister, and me.

Now she is on Rexulti .5 mg and this has calmed her down tremendously and is less combative. She started Rexulti at .25 mg for several weeks before advancing to .5 mg.

How Rexulti has changed her violent outbursts:
The other day the ceiling fan's pull-chain to turn it off and on was missing and she insisted she had not done anything to it but that someone must have come into her room to take it.
First, no one was in the house but she and me.
Second, why would anyone want to take her ceiling fan's pull-chain?
Third, the pull-chain had come off several times before and she had always shown it to me and I had reattached it.
Fourth, when we looked together for it and could not find it, I told her I would buy a new one and attach it to the small remaining piece so she could again turn her fan on and off. (I'm sure we'll eventually find it.)

During this time of figuring out what happened to the pull-chain, she insisted she had not taken it off because someone had come and taken it. Who would want a chain?, I asked. It's a crazy circle of delusional thinking and sometimes it's hard to get her out of her circular thinking.

In the past she would have started a huge argument. Also, because she has lost a lot of her hearing, I often have to raise my voice so she can hear me. In the past she would interpret this as me being mad at her and this would then be a reason for her to argue and get violent. Now with the Rexulti, she is more likely to accept my explanation of things. (The volume level on her TV is between 65 and 75. I listen to my TV on volume level 8.)
Hopefully, talking with your loved one's physician to consider prescribing a calming med will help those who are dealing with a loved one's aggressive or delusional behaviors. (Just make sure to read the side effects carefully and ask pharmacist to check interactions with other meds your loved one is taking.) Be safe and God bless!