, Volume 36, Issue 2, pp 133-134
Date: 17 Feb 2007

Grossly Disinhibited Sexual Behavior in Dementia of Alzheimer's Type

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A 70-year-old male patient reported to the Department of Neurology, Dr. Ram Manohar Lohia Hospital in New Delhi for the chief complaint of forgetfulness for the last 8 years with agitated behavior and disinhibited sexuality. For the last five years, the patient started using sexually explicit language, which was out of keeping with his premorbid history. He then started touching and grabbing his wife's genitals in front of family members.

Upon further probing, it was found that he forced his wife to have sexual intercourse with him 3–4 times during the night and when he gets the opportunity during the daytime. If she refused, he would become aggressive and violent and beat her severely. He also made sexual advances towards other females around him and passes indecent remarks. He has been observed masturbating by caregivers.

A mental status examination revealed that the patient was poorly groomed and unkempt. He had delusions of persecution, reference, and infidelity. Auditory hallucinati ...