work: The Father

title: Misplaced Watch Accusation

test_role: caregiver

[User] My father is convinced his carer stole his watch, but he just can't remember where he put it. He's very upset.

detected_emotion: anger

ground_truth_answer: It's distressing when a loved one makes accusations, especially when it stems from memory loss. A calm and reassuring approach is best. Try not to argue about the facts. Instead, you could say something like, 'I see how upsetting this is for you. That watch is very important. Let's look for it together.' Often, helping them look in a familiar hiding spot, like the bathroom cupboard where Anthony often hid his, can resolve the immediate situation without confrontation.


title: Disorientation in Own Flat

[User] He seems so lost and is asking who I am. He doesn't recognize me in his own home.

detected_behaviors: confusion misidentification

detected_emotion: sadness

ground_truth_answer: It is incredibly painful when a parent doesn't recognize you. This is a common symptom of dementia called misidentification. It's important to stay calm and not take it personally. Gently reintroduce yourself, for example: 'I'm Anne, your daughter. I can see this is confusing right now.' Sometimes stepping out of the room for a moment and re-entering can help reset the situation.


title: Wants His Mother

[User] He's crying and saying he wants his mummy to come and fetch him. What do I do?

ground_truth_answer: This is a deeply emotional and common experience, especially in later stages of dementia. He is expressing a profound need for comfort and security, which he associates with his mother. Instead of correcting him, try to connect with the underlying emotion. You could say, 'You miss your mummy very much, don't you? Tell me about her.' This validates his feelings and can lead to gentle redirection or reminiscence.


work: Still Alice

title: Forgetting Words During Lecture

test_role: patient

[User] I was giving a talk and suddenly couldn't find the word I was looking for. It was so embarrassing.

ground_truth_answer: That sounds incredibly frustrating and stressful. It's a phenomenon called aphasia, and it's a common early symptom. Forgetting a word like 'lexicon' in the middle of a lecture, as Alice did, can be jarring. You handled it with grace by using humor. Remember to be kind to yourself; this is a symptom of the disease, not a personal failing.


title: Disorientation While Running

[User] I was out for a run on a familiar path and suddenly had no idea where I was. Everything seemed disconnected and I was terrified.

detected_behaviors: confusion wandering

detected_emotion: fear

ground_truth_answer: That sounds terrifying. Experiencing sudden and profound disorientation, even in a very familiar place like the Columbia campus, is a very real and scary symptom. It's important to have safety measures in place, such as wearing an ID bracelet or carrying a phone with GPS tracking. What you felt was completely valid, and it's okay to acknowledge the fear that comes with these moments.


title: Repetitive Questioning with Family

[User] She keeps asking me what time my sister's play is, even after I've put it in her phone calendar.

detected_emotion: calm

ground_truth_answer: This can be very trying. Repetitive questioning happens because the brain is no longer retaining the new information. While it's frustrating to answer the same question repeatedly, patience is key. Try to answer in a calm, reassuring tone each time. Sometimes, writing the answer on a small whiteboard in a visible place can also help reduce the frequency of the questions.


work: Away from Her

title: Object Misplacement

[User] She put the frying pan in the freezer and didn't seem to notice. I had to move it when she left the room.

ground_truth_answer: This is a classic example of object misplacement due to cognitive changes. It can be startling, but it's often best not to make a big deal out of it, just as Grant did. He waited until Fiona left the room and then quietly moved the pan. This avoids causing embarrassment or confusion and maintains a calm environment. Simple labels on cupboards can sometimes help, but gentle correction is often the kindest approach.


title: Not Recognizing Spouse

[User] I went to visit my wife after a month and she treated me like a polite stranger. It was devastating.

ground_truth_answer: That is a truly devastating experience, and your feelings are completely valid. When Fiona failed to recognize Grant, it was a pivotal and heartbreaking moment. It is important to remember this is the disease, not the person, and it is not a reflection of your relationship or their love for you. It may be helpful to bring a familiar object or photo to gently prompt their memory, but it's most important to be patient and meet them where they are in that moment.


title: New Attachment in Care Home

[User] My wife has become very attached to another man in the nursing home and doesn't have time for me anymore.

ground_truth_answer: This is a surprisingly common and emotionally complex situation. The new attachment, like Fiona's bond with Aubrey, often fills a need for companionship and routine in their new environment. The nurse Kristy explained it as a 'phase.' It's important not to view it as a personal rejection. Try to support their new friendship while still finding gentle ways to connect with your wife, perhaps by participating in activities they both enjoy.


work: Alive Inside

title: Withdrawn and Unresponsive

[User] Henry just sits with his head down all day and barely responds to anything.

detected_behaviors: withdrawal apathy

ground_truth_answer: It's very difficult to see someone so withdrawn. This state is common in advanced dementia. One powerful, non-pharmacological approach is personalized music therapy. As seen with Henry, hearing his favorite gospel and Cab Calloway music helped him 'awaken.' He lifted his head, sang, and began to reminisce. Creating a playlist of music from their youth can be a wonderful way to reconnect and bring moments of joy.


title: Agitation and Medication Resistance

[User] He gets very agitated and angry about his loss of freedom, and he fights taking his medication.

ground_truth_answer: Agitation is a significant challenge. While medication is often prescribed, it's worth exploring other avenues. The documentary 'Alive Inside' highlights how personalized music can be a powerful tool to soothe agitation and bring joy, sometimes more effectively and with fewer side effects than drugs. A simple $40 music player with their favorite songs could make a world of difference.


title: Effectiveness of Music Therapy

[User] Does music therapy actually work? What do doctors say?

ground_truth_answer: Yes, music therapy is a widely recognized and effective non-pharmacological treatment. Neurologists and physicians note that music can activate parts of the brain that are less damaged by dementia, awakening memories and emotions. As shown in 'Alive Inside,' hearing familiar music can bring withdrawn individuals like Henry back to life, prompting them to sing and reminisce, and can bring immense joy to people like Marylou.


title: Where am I again? (gentle re-orientation)

[User] I don’t recognise this place. Who moved my things?

detected_emotion: confusion

ground_truth_answer: It can be very disorienting when familiar surroundings suddenly feel strange. It seems you're noticing some changes in the flat. You're safe here with your daughter. Let's walk through the room together, maybe we can find your things.


title: They’re sending me away (care-home anxiety)

[User] They’re trying to put me in a home.

detected_emotion: anxiety

ground_truth_answer: It sounds like you're worried about having to leave your home. It's completely understandable to feel that way. Your daughter wants to make sure you're safe and well cared for. Let's talk about what makes you feel comfortable here at home.


title: You’ve stolen my watch! (misplaced object)

[User] Someone’s nicked my watch!

ground_truth_answer: It's so frustrating when something important like your watch goes missing. I understand why you're upset. I know how much you value it. Why don't we look for it together? Sometimes things end up in the oddest places.


title: I lost the word (cueing & confidence)

[User] I can’t find the word for… the thing you peel… yellow…

ground_truth_answer: It's okay, take your time. It sounds like you're thinking of a fruit. Is it long and curved? Are you thinking of a banana? It's frustrating when words are just out of reach, but we can figure it out together.


title: What does the diagnosis mean? (facts without gloom)

[User] We’ve just had the early-onset diagnosis. What now?

ground_truth_answer: Receiving a diagnosis of early-onset Alzheimer's is overwhelming. It's okay to feel scared and uncertain. The next steps often involve understanding the diagnosis, like Alice did, which includes genetic testing for the familial type. It is also a time to discuss with family, explore available medications like Aricept that can help manage symptoms, and begin conversations about future care and what's most important to you.


title: I want to keep teaching (planning & boundaries)

[User] I’d like to keep lecturing—if I can.

ground_truth_answer: It's wonderful that you want to continue doing what you love. Let's focus on that. We can break it down into manageable steps. Perhaps we can start by co-teaching a single class, or focusing on guest lectures. The university department will want to support you, as they did with Alice, to find a solution that works for everyone while managing stress.


title: She didn’t know me (visit distress)

[User] She looked through me—as if I were vapour.

ground_truth_answer: That must have been incredibly painful. When a loved one doesn't recognize you, it can feel like a profound loss. Remember, this is a symptom of the disease and not a reflection of her feelings for you. The nurse Kristy advised Grant to take it day by day, as memory can fluctuate. Be patient with her and with yourself.


title: Jealousy & triangulation (gentle reframing)

[User] She’s taken with another man at the home.

ground_truth_answer: It's understandable to feel hurt and confused by this. In a care home setting, residents sometimes form close bonds, like Fiona did with Aubrey, as a way to find comfort and stability. This new relationship isn't a betrayal of you; it's a coping mechanism for her. It can be helpful to try and see it as a phase that provides her with companionship, and gently continue your visits to maintain your own connection.


title: Staff coordination (clear asks)

[User] What should I ask the nurse tomorrow?

ground_truth_answer: When speaking with the nursing staff, it's helpful to be specific. You could ask questions like: 'How has her mood been over the last few days?' 'Has she been eating well?' 'Can you tell me about her interactions with other residents, like Aubrey?' Building a good relationship with a compassionate nurse, like Kristy, can provide you with valuable insights and support.


title: Switch on the music (activation)

[User] He’s withdrawn today.

ground_truth_answer: When someone is withdrawn, music can be a powerful way to re-engage them. Try playing some of his favorite music from his youth. In 'Alive Inside', Henry became animated and joyful upon hearing his beloved gospel and Cab Calloway songs. It's a gentle way to connect without the pressure of conversation.


title: Build the playlist (curation by memory hooks)

[User] How do I choose the right songs?

ground_truth_answer: The most effective songs are often those with strong personal connections. Think about music from their teenage years and early twenties. What did they listen to at parties, weddings, or other significant life events? The goal is to let the music evoke memories, just as the interviewer prompted the elder in 'Alive Inside'. Ask other family members for ideas to build a truly personalized playlist.


title: Aftercare & safety (practical guardrails)

[User] Headphones keep going missing.

ground_truth_answer: That's a common issue. To help keep track of the headphones and music player, you could try a few things. Label them clearly with his name. Consider getting brightly colored headphones that are easier to spot. You could also attach them to a lanyard or clip them to his clothing. Creating a designated, obvious spot for them, like a hook by his favorite chair, can also help build a routine.


title: Patient Anxiety About Being Left Alone

[User] Please don't leave me by myself. I get scared when I'm alone in the house.

ground_truth_answer: It sounds like you're feeling scared right now, and that's completely understandable. I hear you. You are not alone; I am here with you. Let's sit together for a while. What would make you feel a little more comfortable?


title: Patient Frustration with Simple Tasks (Apraxia)

[User] I can't remember how to make coffee anymore. The machine is so confusing.

ground_truth_answer: It is so frustrating when a familiar task suddenly becomes complicated. This is a symptom called apraxia. It's not your fault at all. How about we tackle it together? I can walk you through the steps, and we can enjoy a cup of coffee when we're done.


title: Patient Expressing Sundowning Symptoms

[User] I feel so restless and upset right now. I need to go somewhere but I don't know where.

ground_truth_answer: It sounds like you're feeling very unsettled, and that can be a difficult feeling. You're safe right here. Sometimes a simple activity can help. Would you like to listen to some music with me, or perhaps we could walk to the kitchen and look for a snack?


title: Patient Misidentifying a Family Member

[User] It's so wonderful to see you, mother. I've missed you so much.

detected_emotion: warmth

ground_truth_answer: It's wonderful to see you too. You're thinking of your mother, what a lovely thought. Tell me a favorite memory you have of her. I'm your daughter, Fiona, and I love you very much.


title: Patient Experiencing a Hallucination

[User] There's a dog in the garden, but it won't stop barking at me. Can you make it go away?

ground_truth_answer: That sounds very frightening. I don't see a dog right now, but I believe that you do. You are safe here with me. Let's try closing the curtains and moving to another room for a little while, away from the window.


title: Patient Repeating a Question Due to Anxiety

[User] Are you sure my daughter is visiting today? I really don't want to miss her.

ground_truth_answer: Yes, I am sure. Anne will be here to visit today. It sounds like you are very excited to see her. She is very much looking forward to seeing you too. She should be here around lunchtime. Shall we look at some photos of her while we wait?


title: Patient Expressing a Positive Memory (Reminiscence)

[User] I was just remembering the music at our wedding. Everyone was dancing.

detected_emotion: joy

ground_truth_answer: That sounds like a beautiful memory. Music has such a wonderful way of bringing back happy times. Do you remember any of the songs that were played? I would love to hear more about that day.


title: Patient Says Thank You

[User] Thank you, that was helpful.

ground_truth_answer: You're very welcome. I'm here to help whenever you need me. Is there anything else I can assist you with today?


title: Caregiver Greets the Agent

[User] Hello, how are you?

ground_truth_answer: Hello! I'm doing well, thank you for asking. How can I help you today?


title: Patient Asks General Knowledge Question

[User] Who was the president of the United States back in 1970?

ground_truth_answer: In 1970, the President of the United States was Richard Nixon.


title: Patient Asks General Knowledge - Geography

[User] What is the capital of Canada?

ground_truth_answer: The capital of Canada is Ottawa.


title: Patient Asks General Knowledge - Art

[User] Who painted the Mona Lisa?

ground_truth_answer: The Mona Lisa was painted by the Italian artist Leonardo da Vinci.


title: Patient Asks General Knowledge - History

[User] What year did World War II end?

ground_truth_answer: World War II ended in 1945.


work: Complaints of a Dutiful Daughter

title: Caregiver Asks for a Summary

[User] Can you give me a summary of the main events from the last three days?

expected_route: summarization

ground_truth_answer: Certainly. Here is a summary of the last three days based on your notes: On Monday, your father had a calm morning but experienced a period of agitation in the evening, related to sundowning. On Tuesday, he enjoyed a visit from his granddaughter and listened to music, which improved his mood. Yesterday, he had a doctor's appointment in the morning and slept for most of the afternoon.


title: Caregiver Asks for Summary of a Symptom

[User] Summarize all the journal entries related to my husband's word-finding difficulties.

ground_truth_answer: Here is a summary of entries related to word-finding: The issue was first noted three months ago during a lecture (aphasia). Two months ago, he struggled to name common kitchen items. Last month, there are several notes about him being unable to finish sentences. This past week, you noted two instances where he struggled to recall the names of close friends.


title: Caregiver Asks for Summary for New Aide

[User] Create a short, one-paragraph summary of my wife's key interests and daily routine for the new weekend aide.

ground_truth_answer: Of course. Fiona is a kind woman who enjoys quiet activities. Her daily routine typically involves waking around 8 AM, having tea and toast for breakfast, and listening to classical music. She enjoys short walks in the garden after lunch, weather permitting. In the afternoon, she often likes to look at old photo albums or sit quietly. She can become anxious if her routine is disrupted, so maintaining a calm and predictable environment is very helpful.


title: Patient Asks for Summary of Previous Day

[User] Can you remind me what I did yesterday? Just the main points, please.

ground_truth_answer: Of course. Yesterday, you had a quiet morning and enjoyed listening to some of your favorite music. In the afternoon, your daughter Anne came to visit, and you spent time looking at old photographs together. For dinner, you had chicken soup.


title: Patient Asks for Daughter's Name

[User] I'm trying to remember... what is my daughter's name again?

ground_truth_answer: Thinking about your daughter, the journal mentions her name is Debbie. She sounds very important to you.


title: Patient Asks for Partner's Name

[User] Who was my long-term partner I lived with in New York?

ground_truth_answer: According to the journal, you lived with Danish for almost 50 years in New York.


title: Patient Asks for Daughter's Birthplace

[User] Where was my daughter Debbie born?

ground_truth_answer: The journal mentions that your daughter, Debbie, was born on 169th Street in Flushing.


title: Patient Asks About Their Age

[User] How old am I, according to my last conversation with Debbie?

ground_truth_answer: In a conversation with Debbie, you came to realize that you are 84 years old.


title: Patient Asks About Partner's Passing

[User] I know my husband passed away. When did the journal say it happened?

ground_truth_answer: The journal notes that Danish died about five years ago.


title: Patient Asks to Connect Husband to a Location

[User] Did my husband Danish live with us in Flushing where Debbie was born?

ground_truth_answer: The journal notes that your daughter Debbie was born on 169th Street in Flushing, and that you all lived there. It also mentions you lived with your husband Danish for almost 50 years, so it seems very likely he lived there with you.


title: Patient Asks About Timeline of Relationship

[User] Considering Danish passed away 5 years ago, how long had we been living together before that?

ground_truth_answer: That's a thoughtful question. The journal mentions that you lived with Danish for almost 50 years and that he passed away about five years ago, which suggests you had a long and meaningful life together.


title: Patient Asks to Combine People and Places

[User] I know I lived with Danish in New York, but who was the other person I knew there?

ground_truth_answer: Looking at your journal, it mentions you lived in New York for a long time with Danish. A separate memory from your time living on 169th Street in Flushing also notes that you knew someone named Frances.


title: Patient Asks to Contrast Two Eras

[User] I know I started out in San Francisco and then moved to New York. What does the journal say about my life in San Francisco?

ground_truth_answer: The journal mentions that you started out in San Francisco before you went to New York for a long time, but it doesn't contain any other specific details about your life there.