Tips on narcissistic dementia husband?

Move him into AL and get your life back.

At age 83 a divorce is probably a waste of time and money. Once he's in a facility you can do whatever you want. You're not required to visit him.

Find an Elder Lawyer and have your assets split. Then place DH and spend down his half then apply for Medicaid. You remain in the home, have a car andvenough of your monthly income to live on. An EL can go into more detail.

My parents were married for 64 years. My father was a horrible, selfish man with textbook NPD and ASPD. My mother put up with his emotional and verbal narc abuse for 64 years. The long term stress led to a massive combination stroke and she died at age 89. In essence, he killed her. Then for 17 more months, I had to deal with his bs. I Grey Rocked and went low contact. The last time I saw him was in January 2020 (before the pandemic hit.). It was the last straw and I went NC. All communication went through the ALF staff and I would drop off anything he needed at the front desk. He finally passed at age 96.

Please do whatever you need to do to protect yourself and your mental health.
There is no reasoning with a Narcissist. You have suffered long enough. Call an Elder attorney for finances and APS for help. Explain you are NOT able to take care of him due to dementia, alcoholism, abuse, etc. If they can get him placed; memory care, geriatric psych ward, or wherever, then you probably won't need to go the divorce route. If you actually feel threatened or unsafe, call the police and have him "Baker Acted."
Best of luck to you.

Sometimes, divorcing, financially speaking, isn’t the best option. I know someone who was married to a gambling addict. She was my daughter’s teacher in preschool.

Her attorney told her not to divorce her husband. He recommended that she request that her husband move out and that she remain in her home. Her husband rented an apartment. He died shortly after moving out with heart problems.

She got all of the assets because she hadn’t divorced her husband.

We live in a community property state. Do you? This can also make a difference if you should decide to divorce.

You are not too old to get a better life.
 
Check with your city and county councils on aging for support groups. You can get personal counseling to help you through this. I found caregiving support groups as well as Alanon and Codependents Anonymous. Some are in person and some are online. All of them helped me through a similar situation. I was surprised at how many people experienced what I was going through. Each group had a piece of the puzzle that helped me find what I needed.
 
If you aren't sure about divorce, you can get a legal separation to protect your assets. You can get a divorce later if you decide it's better for you. Definitely check with a lawyer. Most will give a free consultation.
 
On a personal note, I went through something similar in my 60s. I thought I couldn't make it on my own, and had the usual fear, obligation, and guilt. My ex's OWN social worker and psychiatrist both told me that "going above and beyond for an extended period of time NEVER ends well for the caregiver." They also told me it was his "character, not his health" that caused his behavior.
It was like getting official permission to leave. Both supported our separation and I ended up getting a divorce.

Life is so much easier on my own. Nobody yells at me, I can have friends, and even with only half of the income, I feel so much more financially secure. I may be old, but I still have a life.
 
Good luck and best wishes
(If you need it, you have my personal encouragement and permission to do whatever it takes to take care of yourself, up to and including divorce.)

I’m so sorry. I’m sure that you feel lost and confused right now.

What about speaking with an attorney to see what your options are?

I wish that I could offer more help but I think you are at the stage where you need more information before deciding what your next step is.

I have no idea if all of your feelings of love are gone. Or if you feel a sense of obligation to care for your husband?

Do you know how you feel at this point in time? Do you think that it would help if you spoke with a therapist to help you sort through your emotions?

My caregiver days are over now. In the past, I spoke with a therapist about being the primary caregiver for my mom. It truly helped me sort through my emotions during that time.

Are you doing this on your own or do you have help with caregiving for your husband? Have you contacted Council on Aging in your area for a needs assessment regarding your husband’s care?

Wishing you peace as you navigate through this challenging period in your life.

See this website:

https://dailycaring.com/8-ways-to-deal-with-false-dementia-accusations/#:~:text=Seniors%20with%20Alzheimer%27s%20disease%20or,things%20that%20aren%27t%20real.

In part, it says:

2. Build your self-esteem

Building healthy self-esteem can make it much easier to handle and cope with some of the potentially harmful behaviors you may encounter when maintaining a relationship with someone with NPD.
Engaging in positive self-talk, practicing self-care, and finding a healthy support system can help you develop resilience and foster your self-esteem.
Having higher self-esteem can also make it easier to set clear boundaries, be assertive, and advocate for yourself, all of which are key to maintaining a relationship with someone with NPD.

3. Speak up for yourself

Sometimes, ignoring something or simply walking away is an appropriate response — pick your battles, right?

But a lot depends on the relationship. For example, dealing with a boss, parent, or spouse may call for different strategies than dealing with a co-worker, sibling, or child.

If you feel that your boundaries have been crossed when communicating with someone with NPD, try not to react, get visibly flustered, or show annoyance.
If it’s someone you’d like to keep close to in your life, then you owe it to yourself to speak up. Try to do this in a calm, gentle manner. 

You must tell them how their words and conduct impact your life. Be specific and consistent about what’s not acceptable and how you expect to be treated, but prepare yourself for the fact that it may be challenging for them to understand or empathize with your feelings.

Another website link:

The Long-Term Effects of Narcissistic Abuse

Learn how to recognize the signs and symptoms of narcissistic abuse and how to heal from this kind of emotional abuse. 
By: Amanda Lundberg / Clinically Reviewed By: Don Gasparini Ph.D., M.A., CASAC / Updated: February 27, 2024

In part, it says:

Seek therapy - Consider therapy with a qualified mental health professional who has experience in treating trauma and narcissistic abuse. Therapy can provide a safe space to process your experiences, learn coping strategies, and work through any lingering trauma.

Set boundaries - Practice setting and enforcing healthy boundaries in your relationships (especially in a narcissistic relationship). Learning to say no and prioritizing your own needs is essential for rebuilding self-esteem and protecting yourself from further harm.

Practice self-care - Engage in activities that nurture your physical, emotional, and mental well-being. This can include exercise, meditation, spending time in nature, pursuing hobbies, and connecting with supportive friends and family members.

Build support networks - Surround yourself with understanding and supportive people who validate your experiences (read website for further information).

Gena / Touch Matters

Yes. I agree on the divorce. That is exactly what I would do. Half the money is YOURS. Be sure to get it. And you may need to work.

Al Anon is available EVERYWHERE. Do attend. You will find excellent support, help, and guidance.

And who knows, legal separation may work great. Because realistically, at 83, alcoholic and diabetic? He's not going to last long.

If he is that stubborn, he may need to be committed. If you fear for your physical being you can call the police.

Alanon is a free support group for friends and family members of alcoholics. Find groups in your community - many churches host meetings.

Check local hospitals for support groups for caregivers of those with dementia.