This paper is a literature review of vocally disruptive behaviors (VDB) in people with dementia. This area of interest has not caught the full attention of researchers and professionals alike. Thus, the knowledge base being developed is limited. This paper will discuss the prevalence and the severity of the problem. The profiles of persons displaying VDB will be portrayed, as will the context for which VDB frequently occurs. Then, postulations regarding the etiologies for VDB and corresponding interventions will be explicated. Unfortunately, systematic studies are few and the effectiveness of different kinds of intervention strategies has not been supported by empirical data. Finally, issues pertaining to the study of VDB will be examined and directions for future research will be recommended.