In this episode, Kelly addresses the moral dilemma caregivers face: whether to lie or tell the truth to loved ones with dementia. Traditionally, reality orientation—telling the truth—was seen as a matter of principle. But from the 1990s, therapeutic fibbing—small, compassionate lies—gained acceptance. Kelly argues for 'leading with their reality,' adapting responses based on the stage of dementia and what comforts or calms the person. She provides practical advice, ways to respond that meet your loved where they are and how to get self-support for when these situations arise.

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