You may. Is this another instance of cognitive impairment? Or is it consistent with hallucinations? One symptom of Lewey Body Dementia is hallucinations, I believe. One symptom of psychosis is "loosening of associations" which means inability to stick to a topic and frequent wandering off topic in a way that disregards his audience. Is it scary because it's a concern when your leader or a parental figure shows that they are totally nuts?