Patient Inclusion Criteria:  diagnosis of Alzheimer's Disease or a Related Dementia (ADRD) Montreal Cognitive Assessment (MoCA) score of ≥16 decision-making capacity to consent to a low risk study as indicated by a score of ≥9 on the University of California-San Diego Brief Assessment of Capacity to Consent decision-making capacity to execute a Health Care Proxy (HCP), as indicated by the validated and reliable HCP Guidelines for ability to execute HCP among nursing home residents identification of an informal caregiver  Caregiver Inclusion Criteria:  the person whom the ADRD patient indicates provides their informal (unpaid) care provides care to the patient for a minimum of eight hours per week for at least the past six months MoCA score of ≥ 26 ADRD patient must provide consent to participate in the study  Exclusion Criteria for Patient or Caregiver:  not fluent in English ≤17 years of age too ill or weak to complete the interviews (per the interviewer) presence of significant sensory, language, or motor deficit (e.g., visual or hearing loss, paralysis, aphasia) in active cancer treatment has a terminal illness with a life expectancy of six months or less ADRD patient is in the late stage of dementia (i.e., severe cognitive impairment), is bed-bound, or has a nursing home admission planned within 12 months has a diagnosis of Major Depressive Disorder, Bipolar Disorder, current psychotic disorder or substance abuse disorder per self-report or the medical record ADRD patient-caregiver dyads who have completed advance directives, due to the lack of need for an intervention Corresponding patient or caregiver does not consent to take part in the study