James had been finding it more difficult to motivate himself to go to the club but his regular routine had carried him through.

Now that the club has closed, he still goes out and walks around seemingly without aim. He lives alone, with a pleasant but limited acquaintance with his neighbours, some of whom have had to direct him home when he has seemed lost in the local area.

Over the past year it has been noticeable that he has become more friendly, talking to his neighbours, shopkeepers and even strangers, who he is inviting back to his house.

These strangers have been noticed coming in and out of his house at various times of the day and night with alcohol, and neighbours are concerned for his safety.

Some of James’ neighbours have talked to him and he admits that he does not really want these people visiting him – but he is glad of the company and does not want to offend them by refusing entry to his house.

James is showing some signs that may indicate dementia. Signs of aimlessness, getting lost and of making poor judgements about people are not uncommon in people living alone with dementia. It can be dangerous, too: people living with dementia are vulnerable, and there are people who will take advantage of vulnerability, sometimes to the point of appalling bullying and cruelty.

On the other hand, many people living by themselves are lonely, and many people prefer companionship with some strings attached to no companionship at all.