When I can remain truly present with my dementing patient, even facing the hard truths about her decline, she feels more deeply accompanied and thus more available to experience the realities and possibilities available at this time of her life. Maxine Anderson presents her account of three and a half years accompanying her patient’s journey into dementia. Sally, a psychoanalytic patient from several decades ago, returns to therapy as she begins to experience the early signs of Alzheimer’s, a disease she watched her mother descend into. Sessions start with Sally alone but soon involve Sally’s husband David and, later, her carer Connie. Psychoanalyst, patient, husband, and carer all learn together as they navigate the turbulent emotional waters caused by Sally’s condition. The sessions brought out much to experience and to learn: about loss and the need to mourn, but also about the impulse to turn away out of fear and helplessness. The deepest lessons had to do with the value of