My frail 93 year old widowed mother lives alone in her hoarded house. The entire house is affected- curtains closed always, stuff (papers, etc) piled everywhere, plastic bags hanging from knobs all over the place, "goat paths," no where to prepare food or sit, expired food, sticky floors, house smells like urine... She cannot get upstairs to a bedroom or bathroom, so she sleeps on her filthy sofa and cannot bathe regularly. For years, I tried (without success) to convince her to move in with or move near one of her 4 adult children. I am one of three daughters and there is a brother, the oldest. The brother is the favorite- To illustrate: When brother suddenly hit my two year old son for whining, I was angry and my mom took my BROTHER'S side! But- back to the current issue- We girls tried to help clean and organize after our father died, and long story short- we were not able to touch a single thing. She became very angry over us trying to throw away some plastic packaging- nearly ten years later it is still an issue. The brother comes to visit from another state and "takes care of her" a couple weekends each month. The care does not involve cleaning or decluttering--the mess is worse every time I see it. He criticizes us for "trying to throw away all mama's stuff" - but we didn't.
Three years ago, my mother had a medical event and, because my brother lives out of state, she went to live at my sister's house to recover for about a month. She received round the clock care, nutritious food, and was given water to drink on a regular schedule, was taken to excellent doctors and received in-home physical therapy. (Mom had not been taking doctor's advice prior to this, but my sister made sure doctor's orders were being followed to a T.) My sister could not sustain this level of care (she works full time and was up several times each night to help with restroom needs), and that is when she told him it was not a sustainable situation and asked him to have a discussion with her about next steps- whatever that would be, but she could not provide 24/7 care indefinitely. It turned into a yelling argument (about stupid childhood stuff that had nothing to do with the current crisis) and he stopped talking to all of us- except to yell at me when I reached out to him. He has not spoken to any of us in almost 3 years now. I tried to reach out, esp during the holidays, but he did not respond. We sisters have since stopped all attempts to talk with her about her options to living alone and have not tried to clean or anything. Literally, I have touched nothing on the occasions I have visited since. I stand because there is no where to sit there.
I have since read extensively about hoarding disorder, and I now know better than to try to fix a hoarding situation when the person is unwilling to be helped. My brother does not see the situation as pathological. He said he would build a house for her and him to live in IF she would commit and put up money for the house. In the meantime, she is becoming more and more disabled. Her legs are in bandages from sores that won't heal. It is just insane. She won't allow anyone to come inside the house - not even to repair things, and there would be hell to pay if I told anyone (like a social worker or Adult Protective Services) about the inside of the house. She never accepts my offers to visit. She only calls me when she needs me to pick up meds for her. I am now estranged from my brother and won't be reaching out to him again in the future. Mom CANNOT take care of herself and shouldn't be living alone. My sisters are "over it" and are just letting it be. I am more conflicted. I tried so hard, so long, to help. Sometimes I feel like wishing mom and brother the best and walking away forever with no expectations of either of them. My counselor (for depression) says call APS. Mom would just say brother is "taking good care" of her- same thing she tells her doctors and that would be the end of that.
2) If you are resistant to taking your therapist's advice to call APS, how do you work through that with the therapist? At some point, the therapist (as a mandated reporter) might be required to 'report' a vulnerable adult.
I understand you are conflicted. It is not helpful to your Mom, and not helpful to you.
At 93 years old she should NOT be financing a home with anyone, like your brother. This may likely cause her to be disqualified from Medicaid. No monies or assets should be transferred at all! Medicaid look-back can be up to 5 years, like in my state, 2.5 years minimum in others. I totally understand your quandry...I took control of my MIL and stepFIL's affairs because I could see the trainwreck coming right at us. In your case I'd keep up the healthy boundaries and don't do more than calling APS and taking photos for evidence. Don't enable her by bringing her meds. It will be hard. It's hard already. Hang in there. I wish you peace in your heart.
This does NOT mean that you are also not "letting it be".
You are placing responsibility for your mother's well- being, where it belongs-- on her and alerting the authorities to her vulnerable position.
What is the downside? That mom will be mad at you? So, she will figure out another way to get her meds.
Being able to have a a difference of opinion with your parent is one if the hallmarks of adulthood.
You KNOW she shouldn't be living like this. Make the call today and be done with it.