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Clinical Case Studies in Long-Term Care Psychiatry Sexually Inappropriate Behavior
from Section 7 - Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
Published online by Cambridge University Press: 31 October 2024
Sexually inappropriate behavior can be a manifistation of disinhibited behavior seen in older adults with major neurocognitive disorders. Sexual expression in older adults with major neurocognitive disorders is normal and should not be universally discouraged when in an appropriate setting and when the rights of others are not violated. The evaluation of sexually inappropriate behavior should include a detailed history that includes what the behavior is, who is involved, what is the context of the behavior, who is being impacted, and if the behavior is out of proportion with other disinhibited behaviors. Look for and potentially remove medications that could be contributing to sexually inappropriate behavior including dopamine agonists, anticholinergic agents, and benzodiazepines.
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