Obsessions and compulsions—like skin picking, binge eating, hoarding, or impulse shopping—can sometimes be the very first signs of behavioral variant frontotemporal dementia (bvFTD), especially in people under 65. These behaviors are often misunderstood. They might get misdiagnosed as psychiatric disorders—or just brushed off entirely. In the South, we might say “he just needs Jesus”… but really? He needs a neurologist. When someone’s brain is changing, their ability to regulate impulses, shift