The person tries to undress in inappropriate places. Why?

My wife starts taking off her clothes anywhere, sometimes in front of visitors. I get embarrassed and don't know if she's doing it on purpose or if there's a reason. How should I act?

Seeing someone who has always been modest undress in public leaves any carer feeling embarrassed and protective at the same time. Know that, almost always, there is a reason behind it — it's not provocation or disrespect.

Why it happens

In the vast majority of cases, undressing is a way of communicating discomfort: heat, tight or itchy clothes, an annoying tag, a wet nappy, a need to urinate, or constipation. It can also be a loss of social awareness of what is appropriate, due to brain changes. Tiredness and very warm environments worsen the situation.

Practical strategies

• First, check for physical comfort: temperature, nappy, need to go to the toilet.
• Choose comfortable clothing, light, without tags, and easy to manage.
• Discreetly take them to a private space instead of exposing them.
• Keep the house at a pleasant temperature.
• Anticipate regular toilet routines to reduce discomfort.

What NOT to do

• Do not scold or embarrass them in front of others.
• Do not assume it is intentional without first ruling out discomfort or pain.

When to seek professional help

If it is sudden and accompanied by agitation, it could be a sign of a urinary infection or pain — seek assessment from your GP or call NHS 111. If it persists, ask for specialised guidance.

"I found out it was the tag on her shirt that was bothering her. I cut off all the tags and it stopped." — Anonymous Carer