Hello My Mum was diagnosed with probable multi infarct dementia (now called vascular dementia) in 1994 at hospital (later found out GP had entered the same diagnosis (but did not disclose it) on Mums notes 3 years earlier. Mum has lived in various care homes for 7 & a half years , now in general nursing home, - so is in at least her 13th year of dementia. All along I could see in Mum - an awareness of what was happening to her, but also that she did not want her immediate family to 'come out' with it. Even now I see it - she is 'saying' to me (purely through a look & tiny movement of facial muscles that I can recognise & on occasions little noises) that she knows all that can be done is being done & she is 'OK' . She doesnt want me to worry or fuss ! but does like me to visit regularly. Maybe I'm seeing things that arent there any more - but I dont think so - after all I wish I could kid myself that Mum is in a little world of her own, completely safe & in a kind of womb. Is there more 'awareness' with vascular dementia? If so - is it more important to give and discuss the diagnosis with the person themselves at an early stage? Is that best done by people other than the family? Why can some people cope with this awareness better than others?