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NightOwl Asked September 2017

What causes a person to imagine or hallucinate about tragic things?

Mom has dementia, what type we don't know even though she's had lots of testing. At first they thought vascular and now maybe Lewey Body which I know you can't test for definitively until death. Mom's hallucinations lately are so tragic in nature and involve seeing children accidentally getting hurt and in which she is responsible to help them. Now the doctors are mentioning her seeing a psychiatrist. Will psychiatry help if this is dementia related? I personally have always thought there was an underlying psychiatric problem. Interesting that her brother suffered from depression in his 40's (and she in her 30's) that involved him imagining he was responsible for tragic events that never happened. He had to see a psychiatrist. They together with their other siblings had a tragic childhood.

jjariz Sep 2017
My DH has Lewy Body Dementia and is treated by a geriatric psychiatrist. She is excellent and as his symptoms ebb and flow, she has worked with us on adjusting his medications to keep DH on an even keel. Geri psych is good in my opinion.
Jamie

BarbBrooklyn Sep 2017
Michigan, geriatric psychiatrists can sometimes work wonders with meds. They don't try to figure out the trauma, they medicate the centers of the brain that are firing.

My mom had a tragic childhood and probably some childhood trauma. She would wring her hands, weeping and try, although she had aphasia, to tell us something terrible that had happened.

It didn't matter what it was. We got her medication relief for depression, anxiety and agitation. I hope you can find the same relief for your mom.

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NightOwl Sep 2017
Yes we have tested for uti and other things often, and just two days ago too. It's a good starting point and simethingbyou wouldnt want to miss.

JoAnn29 Sep 2017
A Dementia patient's reality, TV and dreams are all one and the same. When there were explosions on TV, Mom thought it was happening to my house. Same with dreams. She also saw a little girl and I could hear her telling the girl not to do something. Mom would call me to do something about the little girl but she would be gone by the time I got downstairs. This is normal. If she gets really upset then maybe a med will help.

cwillie Sep 2017
It is interesting that they both had similar delusions, I wonder if there is some deeply buried childhood trauma involved.
I expect the psychiatrist's role would be trying out medications to relieve her troubling symptoms. If there is anything helpful available a specialist is the best person to go to, just as you would seek the expertise of a cardiologist for heat problems.

freqflyer Sep 2017
MichiganOwl, I would first have your Mom tested for an urinary tract infection as such an infection in an older person will cause strange things such as hallucinations.

My Dad had a UTI, just prior to that he was seeing ants climbing up the walls and ants in his food. As the UTI was clearing up, the ants were slowly going away in his mind.

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