In this rewind episode, Laura speaks with Dr. Maggie Syme, licensed psychologist and Project Director at the Marcus Institute for Aging Research, about one of the most overlooked topics in dementia care: sexual wellness and intimacy. Together, they unpack how intimacy changes with aging and dementia, the challenges caregivers face, and why it’s essential to honor this part of life with compassion and openness.

👤 Meet Dr. Maggie Syme, PhD, MPH:

Maggie Syme, PhD, MPH, is a licensed psychologist and Project Director at the Marcus Institute for Aging Research. She specializes in sexual wellness for older adults, with a focus on reducing stigma, supporting caregivers, and helping families navigate intimacy throughout the dementia journey.

📌 Topics Discussed:

• How sexual relationships change during the course of dementia progression
• Practical ways to maintain intimacy and connection for both caregivers and people living with dementia
• Recognizing and navigating consent when awareness fluctuates
• Understanding and responding to inappropriate sexual behaviors (ISB)
• The impact of stigma, ageism, and cultural attitudes on sexual wellness
• How long-term care settings can (and should) support intimacy
• Why grieving changes is important—and how caregivers can still embrace new ways of connecting

⏱️ Timestamps (Approximate):

00:00 – Introduction to Dr. Maggie Syme

06:30 – How generational and cultural beliefs shape intimacy in aging

15:45 – Biological and psychological factors that affect sexual wellness

28:10 – Navigating intimacy and consent with dementia

41:20 – Responding to inappropriate sexual behaviors (ISB)

54:00 – Supporting intimacy in long-term care facilities

1:05:00 – Grieving change and redefining connection

💡 Key Takeaways:

• Sexuality and intimacy remain important throughout aging and dementia.
• Consent in dementia care requires close attention to behavioral cues and a willingness to pause when needed.
• Intimacy is broader than sex—it can include cuddling, touch, and emotional connection.
• Caregivers deserve validation for their own needs and can explore new ways to honor them.
• Reducing stigma around sex and aging helps families create more supportive, compassionate care plans.

📚 Resources Mentioned

National Institute on Aging – Sex and dementia articles

Alzheimer’s Association – Changes in Sexuality and Intimacy

Long-Term Care Ombudsman Program – Resident rights and advocacy

🤝 Connect with Dr. Maggie Syme

Currently at the Marcus Institute for Aging Research

National Institute on Aging (sex and dementia articles)

Alzheimer's Association: Changes in Sexuality and Intimacy

🌿 Connect with Laura Vaillancourt & the Life on Repeat Podcast

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