Supporting sexual orientation in dementia couples is about recognizing and respecting the unique ways people express love, intimacy, and identity—even as memory and abilities change. When someone develops dementia, their needs, desires, and behaviors around sex and intimacy can shift. This is true for everyone, regardless of sexual orientation. But for LGBTQ+ couples, there are extra layers to consider because of past experiences with discrimination or feeling invisible in care settings.
For any couple facing dementia—gay, lesbian, bisexual, transgender, or straight—open communication is key. Talking honestly about what feels good, what’s changed, and what’s still possible helps both partners stay connected. Intimacy doesn’t always mean sex; it can be holding hands, cuddling
