Introduction: Background of doll therapy, significance of using doll therapy in care homes, the use of doll therapy in care homes. How does doll therapy benefit old patients with dementia. Main body: Theories of dementia and doll therapy. Validation Therapy, how to use validation therapy, how effective is validation therapy? Reminiscence Therapy, the use of memory box and scheme. Music Therapy: How does music therapy help dementia patients, how is it used and why is it better than doll therapy? Painting: How can painting help people with dementia? Conclusion: Why is doll therapy inappropriate and why do families and caregivers find it demeaning? The ethics of using dolls with older patients. How can we overcome the controversies surrounding doll therapy. Why is doll therapy seen as childish by other cultures. How can people from UK and other culture approve the use of doll therapy. What does future research need to look at for using dolls to treat dementia.