Fact 8. Disinhibition: Breaking Social Norms in Dementia
Disinhibition, or the inability to suppress impulsive behaviors and emotions, is another behavioral issue associated with dementia. This condition can lead to actions and responses that seem out of character, such as inappropriate comments, neglect of personal hygiene, or impulsive decision-making.
A person exhibiting disinhibition may struggle to adhere to social norms and expectations. This inability to self-regulate behavior often stems from damage to the frontal lobes, an area of the brain associated with decision-making, emotional regulation, and social behavior. Thus, what may appear as a voluntary disregard for societal rules is, in fact, a neurological consequence of dementia.
Disinhibition can place an additional strain on relationships, causing embarrassment and potential isolation. This lack of self-regulation can also pose safety risks, as the person may be more prone to falls, accidents, or self-neglect. Thus, managing disinhibition is crucial for both the individual’s and caregivers’ wellbeing.
One of the most effective strategies for managing disinhibition is adopting a patient and understanding approach. Instead of chastising or correcting the behavior, caregivers can redirect the individual’s attention to a safer or more appropriate activity. It may also be helpful to explain the situation to friends and family to avoid misunderstanding and maintain social support. (8)
