Part 2 – Coping Tips for Caregivers: Dementia, Boundaries, and Sexuality
π§ Coping Tips: Dementia and Sexuality
This is Part 2 of a two-part series on dementia and sexuality.
If you missed Part 1, you can access it here. https://thecaregiverlifestyle.blogspot.com/2025/05/when-dementia-blurs-boundaries-part-1.html
Here are gentle, research-informed ways to navigate this painful terrain:
✔️ Understand the Cause
This behavior is not intentional. It’s the result of brain changes, especially in the frontal lobes, where impulse control, memory, and inhibition live. Recognizing this doesn’t erase the discomfort, but it helps release misplaced shame.
✔️ Set and Hold Clear Boundaries
You have a right to say no.
To redirect. To leave the room. To call in support.
You are not required to “absorb” inappropriate behavior in the name of caregiving.
✔️ Use Nonjudgmental Redirection
If your loved one speaks or acts inappropriately, calmly shift focus.
Offer an activity, play music, or guide them toward something that soothes and distracts without escalating shame or confusion.
✔️ Modify the Environment
Keep private areas covered with layered clothing.
Provide structure and calming routines to reduce agitation and boredom, which can trigger impulsive behavior.
✔️ Get Professional Help
Some medications may help reduce disinhibition.
A neurologist, geriatrician, or dementia-trained psychiatrist can help determine what’s safe and appropriate.
✔️ Find Emotional Support
This is not something you should carry alone.
Join a support group. Speak with a dementia-informed therapist.
Talk to someone who understands the emotional impact of caregiving in this exact space.
π¬ Reflection Prompt
Have you ever experienced a caregiving moment that left you emotionally shaken or unsure of what to do?
What helped you move through it—or what kind of support would have made a difference?
π£️ You Are Not Alone
If this has happened to you, please know:
You are not weak. You are not failing. You are human.
Caregiving asks us to hold the sacred and the deeply unsettling at the same time.
But no one signs up to have their boundaries crossed, their identity blurred, or their sense of safety shaken by someone they love.
So here’s the truth:
π You can love someone and still feel disturbed by their behavior.
π You can show up with compassion and still need space.
π You can care deeply and still feel grief for what’s been lost.
π£ If this post resonated with you, please share it with another caregiver.
You never know who’s quietly sitting with this same discomfort—wishing someone else would say it first.
π The Caregiver Lifestyle Blog: https://thecaregiverlifestyle.blogspot.com
π© Follow me on Facebook – The Caregiver Lifestyle for more real talk, gentle wisdom, and weekly support.
π Sources:
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Alzheimer’s Society UK. Challenging sexual behaviour in dementia
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National Institute on Aging. Changes in Intimacy and Sexuality in Alzheimer’s Disease
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Dementia: The International Journal of Social Research and Practice, 2021.
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Maplewood Senior Living. How to Handle Sexually Inappropriate Behavior in Dementia
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