My mother's dementia causes her such stress toward the end of the month and around the 1st when she gets her check. She goes into a frenzy, sorting out all the bills that have ever been sent to her, trying to organize them in some fashion. She'll write out checks for months in advance but doesn't understand the concept of "holding" the payment. Plus, she's blind. So, seeing her checkbook (which she insists on keeping) is a problem. She also obsesses about which checks have cleared the bank. But they're not going to clear if she never mails them! I'm really frustrated.
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Regarding POA I'm my Mom's POA and the bank has it on file.. I didn't need to have her deemed incompetent to handle her accounts..