Many people living with middle to late stage Alzheimer’s or another dementia experience incontinence as the disease progresses. This does not happen to everyone, but don’t be alarmed or surprised if it does. For some people, incontinence can cause feeling of shame, embarrassment, anxiety, or depression. Never speak harshly or become angry with a person for soiling themselves. Always treat them with kindness and respect during what may be awkward, uncomfortable, and distressing moments.