I walk my dog every day. But, just recently, when she came to a pole or fire hydrant, she lifted her leg and tried to pee against it, instead of squatting like she normally does. In the five years I've had her, I have never seen such strange behaviorshe does it all the time now! Even when there's no poleWhat's up with that?
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Some patients with this condition do indeed become nude in public places, but it is not an indication that everyone does. This condition hinders higher functioning in the brain, like reasoning and judgment. I'm not sure if the social inhibition section of the brain is in the frontal lobe, but it could beso she might loose her social inhibition. If the condition gets severe enough, surely her reasoning and thinking through consequences in order to make decisions could be impaired. If she's worrying about it, chances are she is no where severe enough to be doing it. People around her should be watching to see how well connected she is to reality overall, and at specific times, especially at night. There is something called sundowning that can happen to people with impaired brain function. At dusk, or night, the dark can contribute to disorientation, just because visual cues people rely on in the daylight are gone. Maybe that's why people tend to take their clothes off at night With your relative, if the people around her who love her notice that her behaviors are becoming more erratic, they can take actions to protect her, and provide for her privacy. I've had patients who did this, and when they could not be reoriented enough to keep their clothes on, I simply made sure their safety and privacy was maintainedso they could not hurt themselves or anyone else, and not embarrass themselves. It's important to maintain as much dignity and respect as possible, while keeping the peace and calm of the person effected with this illness. Sometimes it's not easy, but it has to be done. Your relative is lucky she has you to be concerned with her condition, and to be watching out for her.
