Sexuality and Dementia

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Sexuality and Dementia

Compassionate and Practical Strategies for Dealing with Unexpected or Inappropriate Behaviors


Douglas Wornell

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The First Comprehensive Guide for Dealing with Dementia's Effect on Sex, Intimacy, and Relationships

It is common for a person with dementia to exhibit inappropriate and uncharacteristic sexual behavior, including promiscuity, verbal abuse, aggression, grabbing, exhibitionism, and jealous paranoia. This behavior puts a strain on spouses and partners, as well as other loved ones and caregivers. Now, for the first time, esteemed geriatric neuropsychiatrist, Douglas Wornell, MD, provides essential information and practical solutions to cope with these troubling and often embarrassing actions by providing:

  • information on the contributing role of medication (and overmedication), both prescribed and over-the-counter
  • ways to handle inappropriate behaviors that respect the person with dementia, their loved ones, and their caregivers
  • recommendations to minimize the legal risk and potential for injury in long-term care facilities
  • personal stories of the many ways couples have chosen to deal with the changes to their sexual dynamic and relationship

Product Details

  • Publication Date December 13, 2013
  • Page Count 200
  • Product Form Paperback / softback
  • ISBN 13 9781936303557

Editorial Review(s)

“In sympathetic and easy-to-understand style, Douglas Wornell offers personal stories of how some of his patients have handled the problem (of uncharacteristic or inappropriate sexual behavior), plus information on the contributing role of medication, ways for spouses or other caregivers to respond to unwanted behavior, and some of the legal issues involved.” —The Washington Post

"You simply cannot comprehend the journey of Alzheimer's disease without a straightforward, honest understanding of how it affects, changes, and sometimes warps the need for love and intimacy. ...Use this book as a guide. It will give you a roadmap that will allow you insight, and more: a fighting chance to get through this with your sanity and self-respect intact." - Barry Petersen, author of Jan's Story: Love Lost to the Long Goodbye of Alzheimer's and correspondednt for CBS News

"A must read for families and caregivers and a treasure trove of valuable insights for lawyers, financial planners, and other professionals who serve clients dealing with this issue." - Rajiv Nagaich, JD, LLM, Johnson Nagaich, Elder Law and Estate Planning

"An excellent guide...Highly recommended for dementia care facilities, their staff, and any family and/or loved ones that are caring for someone with dementia." - Julie Moorer, RN, University of Washington Alzheimer's Disease Research Center

" important contribution to our understanding of human sexuality, as well as to the burgeoning science of aging." - John Portman, author of The Ethics of Sex and Alzheimer's

About The Author(s)

Dr. Douglas Wornell MD

Doug Wornell, MD, is a geriatric neuropsychiatrist who has participated in the treatment of over 20,000 dementia patients in the past ten years. He is the Medical Director of the Behavioral Wellness Center at Auburn Regional Medical Center and the Director of Wornell Psychiatry and Associates, a geriatric and neuropsychiatric consultative service through which he provides advice to 23 long-term care facilities. Brookdale Senior Living, one of the largest assisted-living dementia care organizations in the country, named him the Caregiver of the Year in 2010. Dr. Wornell is the author of Wandering Explorers: Practical Dementia for Families and Caregivers. He lives with his family in Tacoma, WA.

Table of Contents

"Part One: A Different View of Sexual Behavior;
; Chapter One: An Unexpected Symptom, A Very Common Occurrence;
; Chapter Two: Relationships Revisited;
; Chapter Three: The Neurobiology of Sex and Dementia;
; Chapter Four: Unexpected Bonds;
; Chapter Five: Sexuality in Long-Term Care;
; Part Two: Understanding What You Are Facing;
; Chapter Six: Age-Related Dementia;
; Chapter Seven: Other Dementias;
; Chapter Eight: Sexual Effects of Delirium, Drugs, and Other Substances;
; Chapter Nine: Treating the Symptoms;
; Chapter Ten: Where We Go From Here;