Sexuality and Dementia: Challenging Outdated Beliefs to Support True Dignity

By Dr Nathalie Huitema

Sexual ageism, the idea that older adults aren’t sexual beings, still shapes how we treat intimacy in aged care. It’s a myth that leaves many people, especially those living with dementia, without the support or dignity they deserve.

Dementia doesn’t mean the end of desire. People still need affection, closeness and sometimes sexual connection. But too often, care facilities focus only on protection and shut down any expression of intimacy. Consent isn’t a simple yes or no. It can be gradual, fluid and supported.

The truth is, we manage risk all the time in aged care, like with fall prevention. So why is intimacy treated so differently? With the right training, policies and respect for personal choice, care providers can create space for safe, meaningful relationships that improve wellbeing.

Real dignity means seeing people as whole. Not just as patients, but as individuals with needs, desires and the right to choose connection.

If you want to learn more about the topic of consent or sex and dementia, you can learn more by subscribing to The Australian Journal of Dementia Care.