Hello, I am new to this forum. My parents are both in their late 70's and still living in their home. My dad is the primary caregiver for my mom. My dad is mentally alert, very active and social. Mom, on the other hand, is a totally different story.
I'm posting this because I'm trying to help my dad find a solution for my mom. I wasn't sure which area to put this under, since there is not only the aspect of dementia, but the underlying mental illness present. For my dad, taking care of my mom is a full time job, and my dad is not really helping her. Dad is her enabler. She refuses to take any medication except for her Norcos, for the constant pain she's in. Now, she's in a lot of pain largely due to the lifetime of self neglect. For starters, she has never slept in a bed; she sleeps in a chair. (When I was a child, she slept on the floor. This is "normal " for her.)
She he also has stopped eating, except for a couple of Ensure shakes a day and maybe a cookie or small snack, but according to my dad, no real food. Her weight has plummeted from 105 (she's always been little) to 75 lbs. She looks like a concentration camp survivor. She stopped keeping up her appearance years ago, and hasn't combed her hair in over a year. She also refuses to wear undergarments and dress appropriately for the weather. You have to almost treat her like a child.
My mom's dr was going to set up for someone to come to their house and help out, but my mom called and cancelled the appointment as soon as she got home from the dr's office. She refuses to allow anyone in her home, for they would be "on to her". She doesn't want anyone there except my dad, ever.
My mom is and has always been more concerned with ruling the house and dictating her craziness than her own health and well being.
My mom has never been diagnosed with a mental illness (other than anxiety because she refuses any further psychiatric testing) but has struggled for most of her adult life, even before I was born (I'm 47). She has signs of what I believe to be schizophrenic behavior for decades. How she's managed to evade her doctors is a mystery.
Mom will turn the water on in the kitchen sink, and stand there splashing water all over herself, the floor, the counters, everywhere. Now, this is something that she's always done. Nothing new, except now, she's doing it sans clothing. In front of an open window, and putting on a show for people when they drive by, regardless of whether it's daylight or dark outside. And yes, neighbors have seen her and asked my dad about it.
Mom has has also started urinating outside in the grass, often in full view of the street. My dad tells me there's "nothing he can do". Again, he's told me that he's mentioned all of these things to her dr, but was told that unless she's hurting herself or someone else, there's nothing they can do.
Another thing she does is walk around the whole house, inspecting every corner, looking for bugs (there aren't any) She has always done this. She calls this behavior "checking". As a child I could never interrupt her when she was checking as it would agitate her and make her go on doing this behavior for hours, talking to herself and pointing to the ceiling, but there were never any bugs present.
Then, there are the water rituals. She will stand there for hours, running the faucet. I call it her birdbath. As a child, she'd even do this outside with the hose in the yard. Growing up wasn't easy, I have PTSD from childhood related trauma from living with her.
She even splashed herself recently at a doctors appointment, completely soaking her blouse. Her doctor didn't seem concerned, as mom had her quick cover up, like always.
Her drs wanted to test test for dementia, and she of course has refused. She runs the entire house and makes all of the decisions, as my dad is even afraid of her. Once she gets started screaming, she will go on for hours. She throws things at him. It's like a nightmare that won't end.
Your mom's doctor is correct insofar as, if mom is not a danger to herself or others, she can't be remanded for an involuntary psychiatric hold. (often called a Baker Act; you might want to investigate what the rules for that exist in mom's state).
Does dad want help? Is dad willing to risk mom's wrath? If not, there's not much you can do, as you are not responsible for your mom's health or happiness.
Has dad asked for assistance? If so, I think your answer needs to be "dad, mom has a serious problem; until you get her some help with her mental health issues, there is nothing I can do to help".
Neighbors can help by calling in mom's indecent exposure to authorities; that actually might be the best way to get her into the system to get her some (involuntary) help.
I'm so sorry for the predicament you and your father (and mother!) are in. I can't speak to the mental illness portion, but you could do what I did in getting her tested for dementia by her doctor: next appt make sure you go with her and as she is checking in at the receptionist's desk, discretely pass them a note requesting that her doc do a dementia test and also a UTI. Docs do this all the time and are happy to help. Then the results will be in her medical records. UTIs can create confusion and other personality changes in someone with a UTI but can be cleared up with antibiotics, if she takes them. I'm hoping someone reliable in your family has PoA for her? If not, try to accomplish this before she has a cognitive exam. I'm not sure your dad is the right person to advocate for her since he is cowed by her. Wishing you success and peace in your hearts as you attempt to help her to a better place in her life!
Your DAD is the one who needs help. As a father, he allowed this throughout your childhood? This is a longstanding pattern and one that will not be easily broken.
Do you think you can get your dad in to see a geriatric psychiatrist for evaluation of his mental status?
I can only recommend that it your father will stand up and be counted that he call 911 when she starts screaming, and have her placed in a mental ward and then refuse to take her back home, thus letting the state to get involved...although, I really doubt that your father has the back bone to do this and stand his ground.
That's all I've got, so sorry about this terrible situation.
I've never worked with any agencies on aging, but it sounds like something that might help you come up with ideas.
Obviously, too, therapy for you to support you through this is a must.
I'm so sorry this is happening. Take care of yourself and best of luck finding the resources and support you need.
Anyway, you may have to wait until your mother does something to hurt herself, get taken to the hospital, and THEN she'll get evaluated.
I have to tell you.............my whole life mother has accused me of 'being against her'!!!!!!!!! I so hate that statement, I'm sure you understand and dislike it yourself. Sigh. A true mess.
I'm sending you a hug and my very best wishes that this all somehow works out alright.
If dad was out of the picture, what would happen to mom? You would be able to report her to APS as a person unable to care for herself. They would arrange for emergency guardianship and send her for a geriatric psych evaluation, get her on meds and place her in a facility. Neither he nor you will have any say in where she's placed.
If dad doesnt have dementia, can he be made to understand that either he can take action or the State will, eventually?
Might that that prod him into taking action?
I've tried to tell him that he needs to step up and take control or the state will sooner or later, and she will not be living with me. He is doing exactly what you said, anything to keep the peace and keep her quiet.
Has APS ever come to your house, based upon the neglected state of a patient with dementia, who may need to be placed for her own safety?
Looks like Dad is running interference, maybe he is stuck with the status quo.???
Maybe your family needs an intervention?
It will be crucial for the OP to protect herself from the fallout of this crises.
Quick question...did you say she is taking Norco? Not sure I read that correctly.
My mom has a prescription for Norco tablets for chronic pain which she takes around the clock. She has bad osteoporosis, and she has had multiple falls; she's a fall risk and refuses to use a walker and wear proper shoes--she wears cheap dollar store flip flops (which offer no support and are bad for feet) year round, even in the snow.
It can be very overwhelming at times dealing with her, as she doesn't see that she's sick. She thinks that WE are the problem and that we just won't let her be, and that we are out to get her and take HER (not their) house. I've had to take a step back because of the stress. I'm trying to be there for my dad as much as I can, but it is beyond frustrating to tell him something and it goes in one ear and out the other. It is useless trying to reason with my mom, it's like arguing with a toddler.
My dad's main focus lately has been trying to "patch things up" between my mom and I, as he "doesn't want her to die unloved". I wrestle with part of me still caring about her, (in light of all of the abuse from her growing up) and part of me just wanting to let her die.
I do have a good support system with my husband and children, if not for them it would be even more difficult.
https://en.m.wikipedia.org/wiki/Anosognosia
https://www.treatmentadvocacycenter.org/key-issues/anosognosia