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HelenDaw1987 Asked January 2024

Mom at nursing home combative. Thinking about psych consult for psych meds. Currently on Xanax. Hesitant. Any ideas?

DeniseV Jul 14, 2024
Perhaps a neurologist. When my mom, who has dementia, got combative/argumentative, he prescribed Donepezil. She's been taking a low dose for several years. Occasionally, when she has hallucinations, we give her Quetiapine, which neurologist also prescribed. Praying for you and your family. This is so difficult to deal with. Thank God for this forum!

lealonnie1 Jan 2024
Benzos, such as Xanax and Valium, are not recommended for long term treatment of anxiety, especially in elders. An antidepressant/anti anxiety medication that's taken daily is what's recommended, saving Xanax for acute, emergency situations only. A psych consult is a good idea, but be prepared to ask questions.

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KNance72 Jan 2024
Great idea . Xanax is a heavy drug and the withdrawals are awful if you Miss a dose . A psychiatrist is a good Idea - the thing is Xanax has to be tapered off slowly . A word of advice after tapering down she could be given a Low dose of Valium .
lealonnie1 Jan 2024
Valium and Xanax are BOTH benzos. Why would she wean off of Xanax just to go on Valium? This is senseless.
AlvaDeer Jan 2024
I just fail to see how any psyc consult could HURT. Any good psychiatrist will tell you if he feels that geriatric dementia specialist is the best way to go, or would consult with him on the case. I am uncertain why you would hesitate? Can you tell us.

BarbBrooklyn Jan 2024
Helen, I'm curious why you are hesitant to get a consult with a Geriatric Psychiatrist for you mom. Can you articulate the reasons?

Throughout my mom's elder years, both before and after her official diagnosis with Mild Cognitive Impairment and later Vascular Dementia (after a stroke), the psychiatric docs and Nurses were the folks who offered us the most holistic and compassionate solution to mom's issues.

I'm sure we can put your mind at rest if you tell us what your thinking about this issue is.

aj6044 Jan 2024
yep psych consult. don't let the nursing home bully you either. They like to have those wretched 'family meetings' where they dance around sayings like "well maybe this just isn't a good fit for your mom". kindly remind them they are the professionals, mom cannot come home or move, and they need to figure it out as elder care professionals.

strugglinson Jan 2024
yes, ask for psych consult

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