You’re married and your spouse has a cognitive impairment. You’ve avoided discussion of this with friends and family. Even to the point where you’ve forbidden others to talk to your spouse about it. After time your spouse keeps asking what’s wrong. By this time it’s too late to explain. The ability to reason is gone and the spouse would not understand what a diagnosis of Alzheimer’s even means but they keep wondering and asking what’s wrong with them. What are thoughts on being open and honest about a diagnosis versus avoiding discussion? How does this affect the relationship of the married couple, the diagnosed spouse, the children, other family members, and friends?