One conversation turned into three, and the response from my audience has been remarkable ( “Sex and Seniors Part One” is my most viewed video on YouTube!). I knew I had to interview her for my website, The Wrinkle. I noticed that Natalie had a particularly skillful approach when working with responsive behaviours in dementia that had a sexual component, and I soon learned that Natalie is also a qualified sex therapist, with a special interest in older adults. Geriatrics is a team sport, and one of the professionals on my team is Natalie Wilton, MSW, RSW, a social worker who specializes in working with older adults with dementia. But what is often affected by all of those medical issues – yet rarely talked about - is sex. In my job as a consultant Geriatrician, I see older adults about a wide range of issues, including memory changes, falls, pain, depression, and medication adjustment. But fortunately, we’re starting to see significant progress in combatting this aspect of ageism, too. So it’s sad that it’s so common for it to be treated as “inappropriate” or otherwise discouraged in later life. Sexuality, sexual expression, and the urge for physical intimacy is actually an important part of every adult person’s life. This, of course, is largely due to pervasive ageism in society. Problematic (think sexual behavior when someone has dementia, or sex between nursing home residents).Predatory and/or “lecherous”, as in the “cougar” or the “dirty old man”, or.For instance, it’s common for older adults to be thought of as: The truth is that what pops into people’s minds, when it comes to older adults and sexuality, is often negative. What comes to mind? George Burns cracking wise about sex after 90 being like trying to shoot pool with a rope? A sweet old couple holding hands in their rocking chairs? Nothing? So I’ve been very glad to have her contributing to the site, and I appreciate her covering some topics that I haven’t yet had the time to address. Didyk has a particular interest in informing and empowering older adults and families. Nicole Didyk, founder of the blog and YouTube channel The Wrinkle. (This article is a special guest post by geriatrician Dr.