With my OH it seems to me that the worse he gets the more convinced he is that there is either nothing, or very little wrong with him. Most of the time he accepts he has dementia (but not very much); in August we went on a coach trip to the Edinburgh Tattoo, there was another couple in the trip where the gentleman had dementia, we ate with them and also spent sometime in Edinburgh with them, my husband was convinced he was no where near as ‘bad’ (his words) as this gentleman, and certainly his speech was better, but otherwise this gentleman seemed far more capable. My husband also deliberately made no attempt to talk to him, and sulked when I did. How did you handle this with Pauline? Usually I agree with OH and re assure him that he is very capable, but this can backfire when he tries to do things and fails completely and then gets very upset.