This article explores how Taiwanese people construct and recount their experiences of dementia in factual and fictional stories. It compares the narrative meanings in Taiwanese stories with those of analogous mainland Chinese and Hong Kong accounts. The article finds that the Taiwanese stories differ from their mainland Chinese and Hong Kong counterparts in three ways. First, the onset of dementia is largely an unforeseen calamity for the Taiwanese storytellers, while it is an anticipatable life circumstance for the mainland Chinese and Hong Kong storytellers. Second, the Taiwanese storytellers tend to locate the cause for the deterioration of their elderly family member in illness, while the mainland Chinese and Hong Kong storytellers tend to explain away the deterioration of their elderly family member as normative aging. Third, the Taiwanese storytellers maintain their existing identities when faced with the newfound challenge of family caregiving in dementia, while the mainland Chinese and Hong Kong storytellers commonly appropriate the former culturally embodied identity of the family member whom they now care for.