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I have definitely noticed this among some patients with dementia. Sometimes it comes up after they get to a certain point. Not necessarily aggressive, just openly offensive.
I know of a priest that would swear and be aggressive sexually, it’s like they get flipped to another character with dementia(some of them)
Mmmm it’s hard to say. I know mental changes come with memory issues. Sometimes I think some elderly people are also revealing themselves no filter. Some believe they’ve earned it. I had a client that was always talking about white people this, that, or the other. This person was A&O and what it came down to was the experiences as a black person during 40s,50s, 60s. . .