Dad's 82 - vascular dementia diagnosed 2004 - very mild so far (I think) Mum (75) looks after him. He doesn't know he has dementia - and would be in complete denial if told - and absolutely scared stiff. Problem is mum's concerns (and the effect on her health) are worrying. His paranoia is stepping up and no matter how much reassurance is given, it's mum, at the end of the day, who is left alone with him and his relentless bad mindedness and endless 'what if' senarios. My brother thinks his condition ought to be explained gently to him and to broach the subject of EPA - mum's frightened that this would fuel his paranoia to going off the scale and life would be unbareable on a day to day basis - i.e. we're all plotting against him. I have spoken briefly with his GP, but realise that time is so restricted. I have also arranged a meet up with the local Alz Soc next week - fel such a novice to all of this. Is paranoia an issue to others? is it so subjective that really no one can offer positive advice?