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Lewy body dementia, comprising both dementia with Lewy bodies (DLB) and Parkinson’s disease dementia (PDD), has an even worse outcome than other dementias in terms of functional decline, reduced quality of life and increased mortality. Despite revisions in diagnostic criteria and the availability of some diagnostic biomarkers, many cases remain misdiagnosed. There are some effective treatments for Lewy body dementia and its symptoms, but there is considerable heterogeneity in approaches to management. This lecture updates current thinking on how to improve both diagnosis and management, and describes results of a recent study which has developed new management guidelines to assist clinicians to optimise management of people who have Lewy body dementia.