Opened it with my mom, Age 84, who has LBD (dementia). Without even reading the directions, I explained the basic idea of the game. She was able to express similarities as she laid down each card. We just made it fun (no wrong cards, as long as she voiced her perceived similarities). In the end, she said "I'm glad yoi brought thus game. That was fun." Yep. That's all I wanted. And I had fun too, and wasn't bored. Thank you.