When dementia based behaviors mimic previous dysfunctional behaviors, how do you separate the two? Now the folks are ill, so intellectually I know the behaviors are out of their control. However, growing up, some of these behaviors were also exhibited in the family dynamics ( explosive outbursts, OCD, belittling, denial, passive aggressive actions) so the behaviors are familiar but the cause is not the same. When I have the knee jerk response to the negative behaviors it is inappropriate given the circumstances have changed. Any ideas of how to interact positively when dealing with the people now suffering from moderate staged dementia who can be combative and have no reasoning skills left?