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I'm in the same boat - lots and lots of negativity from mom about her (six!) sisters, all but one of whom are in their 80s and with a long laundry list of ailments. I've started to go low contact with her too - I'm still really struggling and looking for a therapist. Just having a hard time feeling like life is worth living some days.

Hang in there.
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I've started saying, with a big smile, 'you're right, it's ALL my fault!' An ex boyfriend told me to just walk away - with no audience, the whining will stop. I don't think you can change them, you just have to change your response and it's really hard to do.
When I was due to have surgery, my mom's only question was if I still have life insurance. So warm and fuzzy....
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You cannot disrupt her negativity. Her brain is damaged. You cannot get through to a damaged brain. Detach from her and let the facility fulfill her needs.
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Amber, you say you feel you need to attend all of your mom's medical appointments with her. But as a factual matter, do you? Will someone from the facility take her if you're not there? Is that something that you could hold over her head (e.g. "You know, Mom, I could let the aide take you to the dentist/cardiologist/optometrist/nephrologist/dermatologist, etc., and not even show up, if you would prefer that.")

When my mother starts acting like a b!tch, I remind her that I don't actually need to be there at all. (My mother is not a consistently negative person, but she can be snide and snarky when I don't handle things the way she thinks they ought to be done). If your mother's attitude is not due to her dementia, then it wouldn't hurt to make clear to her that if she doesn't drop the attitude, she can find her way to the next appointment without your help. You might not wish to do that, but it is what I would do in your place.
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I can relate. Hope someone knows the answer
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Correction: 4th paragraph: "What will I do now that your father is gone?"
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