My husband is showing distrust and mood swings on top of hypersexuality. Any advice?

Mauisue: Perhaps your husband needs to visit a neurologist for a definitive dementia dx or to rule it out. As well, he is exhibiting signs of what is commonly known as ISB, Inappropriate Sexual Behavior. Medications may help.

Please make an appointment with a Geriatric Psychiatrist who can prescribe medications to ease your husband's brain issues. If he threatens you, please video his behavior and words and then call 911 for a psych evaluation for placement. (72 hour hold)

Please contact hospice if you haven't already.

Please start making your plans for a new and safer life for you. Perhaps meeting with the Geriatric Psychiatrist will give you some insights into the sacrifices that you've made.

Take him, if safe to transport , to his PCP for a new assessment of level of care needs. Be sure to inform the PCP of these and other specific decline behaviors etc that you are observing. Your safety and well being are equally important. " Mood swings, " distrust" an " hypersexuality" can all turn violent and abusive very quickly. They can also indicate other serious physical declines with your husbands physical health that are prompting these behaviors.

Get support for yourself as well with perhaps supportive affirmation visits from your faith leader of choice, your own PCP, or a community chaplain or other social services professional.

Absolutely get him to the doctor for an evaluation and be direct. Distrust and mood swings can lead to a dangerous event as well as the difficulty of the hyper sexuality. There should be medications

If your husband is showing hypersexual behaviors with Alzheimer's/dementia, that is known as Inappropriate Sexual Behavior or ISB. You don't say whether or not he was diagnosed with one of the dementias? In any event, if the ISB is causing problems, call his doctor and discuss it, and ask that meds be prescribed to calm his libido down. This is common with dementia and AD, and I'm sure his doctor will not be shocked to hear of his issue.

Here is a link to an article about coping with ISB:

https://dailycaring.com/9-ways-to-handle-alzheimers-and-sexually-inappropriate-behavior/

Wishing you the best of luck with all you have on your plate.