Sexual Behavior

During intimate moments, those with a TBI may sometimes act differently. These behaviors can often be addressed over time. It takes patience, feedback, and a consistent approach. Discuss with the healthcare provider the concerns you may have.

What might you see?

• Hypersexuality (thinking or talking about or wanting frequent sexual activity, for example, masturbation, possible use of pornography)
• Hyposexuality (lack of interest in sex)
• Emotionally uncomfortable with intimacy
• Trying to kiss or touch others
• Making suggestive or flirtatious comments to or about others
• Disrobing or engaging in masturbation in front of others

How can you help?

• Develop a "stop and think" signal to let the service member or veteran know that they are doing or saying something inappropriate.
• Use redirection (in other words, try to change the topic or focus of interest to something else).
• Talk to the service member or veteran about acceptable and unacceptable ways to act in public and in private.
• Tell the service member or veteran that having sexual feelings is normal. Inappropriate sexual behavior should be immediately addressed.
• Emotional changes and physical symptoms can affect desire for intimacy and sex. The service member or veteran can discuss their concerns with a provider or counselor.