This is an 81 year old man with severe AD dementia. He has been living alone for the last 6 years
since his wife died.
He is generally amiable with his main career but has been known to throw water over her on
occasions out of the blue.
On the one day that this career is not around a care agency sends in a carer to observe the same
routine as his main carer. He has been known to be verbally and physically aggressive to the “one
day a week carers” and has been known to walk around in the neighbourhood on the days when they
attend to his care.
In spite of his severe expressive dysphasia, severe decline in his power of recall and total dependence
on his carers for his basic hygiene and dressing, he remains able to find his way around in the

How can a counsellor help?