15th February 2025

A 61-year-old man is accompanied to his appointment by his daughter, who is a GP.

A 61-year-old man is accompanied to his appointment by his daughter, who is a GP. She reports that for the past two years, the family have noticed him becoming more prone to making crude jokes and he has had several extramarital affairs. The distress this causes his family does not appear to bother him. She describes this as unusual, compared to his previous character.

More recently, she has observed him “struggling to get his words out”. Last weekend, she observed him playing with his grandson and noticed that he struggled to pour the tea in an imaginary tea party.

Given the most likely diagnosis, what is the most appropriate treatment option?

Select the SINGLE most appropriate option from the list below. Select ONE option only.