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Sir: The presence of mania is more prominent in dementia than in other neuropsychiatric disorders or chronic illnesses.1,2 The profile of delirium and delusions in the course of dementia was reported to be different from that seen in schizophrenia.3 Debates on the definition of "psychosis related to Alzheimer’s disease" as a new phenomenon are ongoing, and Akiskal and colleagues4 recently proposed the use of the term bipolar VI disorder for patients who present with cognitive impairment and mood symptoms.’ ‹