This is heartbreaking when meaningful communication deteriorates and it's no longer possible to work out agreeable solutions to everyday issues. It totally changes the relationship, and often other family members don't realize the seriousness of it, so their helpfulness is limited. It's a lonely challenge. We try strategies and ideas, read books, go on discussion forums, etc. That's all we can do. I am wondering if some sort of family counseling by Alzheimer's psychologists would be worth trying, has anyone tried this?