When someone with dementia says “I don’t need help” or “There’s nothing wrong with me,” it can feel like denial. But this may actually be anosognosia, a change in the brain that makes it impossible for the person to recognize there’s a problem. They’re not refusing help; they truly can’t see what’s happening. Instead of trying to convince them, focus on connection. Respond to their emotion, not their words. That simple approach can calm the moment and help both of you feel safe. Even if they don
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