Hear me clearly: sometimes people with dementia can be sexually inappropriate on purpose. If that’s been part of their personality throughout life, it may continue. That’s not what I’m addressing here. For many caregivers, sexual inappropriateness seems to come out of nowhere. In those cases, it may not be willful — it can be a symptom of dementia. Dementia can cause disorientation, misinterpretation of situations, and lowered impulse control, leading to behaviors that feel sexual but are actual