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Suggest Treatment For Delusion And Dementia In An Elderly Person

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Posted on Mon, 15 Feb 2016
Question: My mother is 83 years old. About ten years ago my siblings and I began to notice my mom acting out of her character. She would tell us stories that our step dad was doing mean things to her. Things like marking her clothes with blood or spotting her clothes with bleach and hiding her belongings or throwing them away. Our step dad was awnrey like that in a way so we didn't think too much about it. My step dad passed away about eight years ago. At that time I was out of a job and staying with a friend so I moved back home with my mom. During that time she began to accuse me of doing things to her and her things. She even accused me of stealing cans of green beans from her (I was in the process of moving into my own place)and that same day I had given her money to help pay for some groceries. After moving out she continued to accuse me of doing things to her. About 3 years ago she meet a man & remarried. Shortly after they married she began to tell us her new husband was doing mean things to her. She said he flirted with other women & never introduced her as his wife. That he was destroying things that were hers and leaving clothes in the middle of the floor so she would trip on them and putting deer stink on her clothes, shoes and her hair brushes and combs. She said we couldn't imaging the mean things he did to her but she has no proof what so ever of any of it. She divorced him a year ago. I got to know her last husband and I just don't believe he did these things. He is very friendly with people not shy and knows everyone in the town they live in. My mom has always been a jeolous person. Now she lives alone he has remarried again. We thought maybe she could live in peace and she was good for about 6 months. She claimed he hated her so bad he would never leave her alone. We had security cameras installed outside her home and a security system put in her home. After living with her and experiencing first hand her accusations I have voiced my doubts to her by telling her there were other explanations for these things she thinks are happening to her. She has started telling us someone is doing things to her again. Still no proof any of us can see. But now she thinks her ex husband is paying me money to go in her house and put this yellow deer stink on her carpet and all over her cabinets and clothes. She is accusing me of taking paper towels and toilet paper from her. She bought a grandaughter a Christmas gift and told my sister she had better put it away so the younger kids wouldn't get it. Next thing we know she can't find it and accused me of taking it. Everything always happens to her after I have been there. Now almost a month after Christmas she tells my sister she found the gift. She has yet to tell me. Probably because she thinks I put it back. I would never in a million years do any thing to my mom to hurt her or take from her or destroy of hers ever. I have always been very close to my mom we are a very close family. I have even told my mom she needs help that these type of things happen to some people when the get old. She won't hear a word of it. She said she can't believe one of her kids hates her so bad they would do these things to her. Nothing I say to her convinces her how wrong she is. It is absolutely killing me and our relationship is suffering. Is there a medical word for what is going on with her? Where do we go from here? I can't enjoy what little time my mom has left. Mom has 5 siblings I am the middle child. I am the only one she is doing this too. It breaks my heart she is going through this anyway not to mention what it is doing to me.
Sincerely,
Lorella Marchman

doctor
Answered by Dr. Chintan Solanki (2 hours later)
Brief Answer:
she has delusion likely,need to rule out psychotic or neurological problem

Detailed Answer:
Dear Lorella,

Thanks for writing to us. I can understand your concern for your mother and the phase through which she and you are passing.

You have very well narrated her history. She seems to have delusion of persecution. In that person has some false, firm, fixed belief that someone is doing bad things to him/her and that belief is unshakable even after giving sufficient contradictory evidences.

At age after 80 such problem is likely related with some neurological problem. There is possibility of dementia with psychotic features as there is history of forgetfulness. If neurological investigations come normal some psychotic disorder is there. To diagnose her problem mental status examination is needed.

I recommend consulting neurologist and/or psychiatrist to diagnose and treat her problem.

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (1 hour later)
It is all so real to her and she is convinced it's me with the problem. She says she is not imagining these things are happening and that she isn't doing them. She keeps telling us someone is putting something yellow all over her house and that her carpets are ruined. I ask her to show me but she says I won't be able to see it because she got most of it cleaned up already. She showed one of my sisters a spot on her carpet that my sister said she couldn't see it. But she sees it on everything to hear her tell it. We have all told her we don't see it and she still doesn't believe us. She thinks I told everyone to say they don't see it. She absolutely believes that I must really hate her so much I would do these things to her. She cries everyday about this and feels very alone and that she feels she is worthless. She just keeps asking me to just tell her why what has she done to make me hate her so much. I cry every time she accuses me of these things and it doesn't phase her in the least she just gets colder towards me. I'm sorry to keep rambling on about this to you I guess I was hoping to get an answer that I could relay to her that would convince her to seek medical help an answer that would tell her that she most likely has something going on causing her to believe these things and that it's not me. This is not going to have a quick fix and that's what I want. My question to you now is this... is there medication that can her her and if there is is it going to make her feel like a zombie. She keeps saying she isn't going to take medication for something someone else is doing and she won't take medication and be a zombie. Can she be helped if we get her to a doctor.
doctor
Answered by Dr. Chintan Solanki (14 hours later)
Brief Answer:
medication can help without such side effect

Detailed Answer:
Hello,

Sorry for delayed response. Yes she can be treated after diagnosis.

I can understand your situation. Most of the patients with delusion do not become ready to consult doctor and take the treatment as they believe that there is nothing abnormal in them.

In your mom's case you can do following.

First of all you need to consul doctor alone and narrate her case. Your GP can refer you to neurologist/psychiatrist. You should also consult the specialist and explain her history. Doctor can decide investigations. After that you can take her mother with help of some other family member to specialist by saying that she needs only routine check-up. On basis of investigations doctor can give her treatment.

She likely needs anti-psychotic medicine. Her problem can be treated with that. She will not feel like a zombie as newer medicines are relatively safe and without sedation.

If she does not become ready at all for check-up, you can call specialist for home visit.

Feel free to discuss further.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Treatment For Delusion And Dementia In An Elderly Person

Brief Answer: she has delusion likely,need to rule out psychotic or neurological problem Detailed Answer: Dear Lorella, Thanks for writing to us. I can understand your concern for your mother and the phase through which she and you are passing. You have very well narrated her history. She seems to have delusion of persecution. In that person has some false, firm, fixed belief that someone is doing bad things to him/her and that belief is unshakable even after giving sufficient contradictory evidences. At age after 80 such problem is likely related with some neurological problem. There is possibility of dementia with psychotic features as there is history of forgetfulness. If neurological investigations come normal some psychotic disorder is there. To diagnose her problem mental status examination is needed. I recommend consulting neurologist and/or psychiatrist to diagnose and treat her problem. Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.