Hi, thanks for writing in! Yes, I think the biggest part is to understand that it’s not HER, it’s her disease. So when she says mean things or does mean things, it’s not because she’s mean or because she doesn’t love her granddaughter. It’s because her brain is changing in a way that affects the way she processes information, speaks, understands, and everything else. Dementia is a difficult group of diseases because it’s a “family disease,” meaning that it often affects the family more than it affects the person living with dementia. The good news is that, often, people change as their dementia progresses. There’s a very real chance that this is just a bad stage, and she’ll eventually be a lot nicer. We also want to make sure that her grandmom is getting her needs met: she could be acting out because she’s hungry, tired, has a urinary tract infection, etc. I hope your friend will follow my blog!