Nellie On the Sofa with Richard Russell | Mental Capacity and Dementia: The Perception Gap

In this special lived-experience episode of Nellie On the Sofa, Richard Russell joins us to explore how dementia affects real-world decision-making and why mental capacity can look “intact” in conversation while being fundamentally impaired in practice. Drawing on detailed lived experience of caring for his mum, who lives with vascular dementia and diabetes, Richard and Ben unpack the “perception gap” that often appears in capacity work: where someone can describe individual steps (medication, blood glucose checks, meal planning) but cannot integrate them into a safe, coherent plan of action. This session is essential viewing for solicitors, deputies, will writers, social workers and safeguarding professionals working with capacity-related decisions. Topics covered include: Diabetes management and loss of capacity: when “knowing the steps” isn’t enough Mental capacity assessment practice and why early red flags can be missed The role of carers, social workers and safeguarding in real-world evidence gathering Documentation and communication: how families and professionals can evidence concerns clearly Key takeaways: In dementia cases, standardised questions alone can be misleading without collateral input and observable evidence (missed meds, unsafe cooking, falls). Dementia-related false beliefs and accusations can trigger safeguarding processes and place emotional strain on attorneys and carers. 📌 Learn more about Nellie Supports: https://www.nelliesupports.com 📩 Contact: [email protected] This recording is for general information and training. It is not legal advice. #NellieSupports #OnTheSofa #MentalCapacity