disinhibition
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Etiology
- dementia, especially Pick's disease
- Kluver-Bucy syndrome
Clinical manifestations
- alcoholism,
- hyperreligiosity
- inappropriate sexual behavior
- excessive eating
- shoplifting
Management
- sexual disinhibition
- gabapentin may be useful[1]
- sertraline 25-100 mg QD may reduce libido
- clomipramine 25-100 mg QD if obsessive behavior
- progesterone start 5 mg PO QD
- leuprolide 5-10 mg IM monthly if behavior improves with progesterone
More general terms
References
- ↑ Jump up to: 1.0 1.1 Alkhalil C1, Tanvir F, Alkhalil B, Lowenthal DT. Treatment of sexual disinhibition in dementia: case reports and review of the literature. Am J Ther. 2004 May-Jun;11(3):231-5. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15133540
- ↑ Rosen T, Lachs MS, Pillemer K. Sexual aggression between residents in nursing homes: literature synthesis of an underrecognized problem. J Am Geriatr Soc. 2010 Oct;58(10):1970-9. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20840462