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My Mother has been diagnosed with bipolar since her 20s. She took lithium for her lifetime, that was the only med that seemed to work. She Stopped taking her lithium about a year ago, stated she `"does not have bipolar anymore, it goes away after you are 78." She is now 80.Now experiencing extreme paranoia, hallucinations, forgetfulness. She lives by her self and is independent with her ADLS. But mentally is very unstable. Will not let anyone in the house. As her children we do not know how to take care of her. She is very proud and wants to stay in her house. We would love to keep her in her home but are concerned for her safety. At the moment she won't let anyone including her children into her home when they come to visit. She will not take any medication continues to state the doctor said she did not need to take it anymore. What are the possibilities of a monthly shot? or any other options.
It seems that lithium does come in LAI form (long-acting injectable). Even so, how will she agree to try it?
If she is paranoid you can call 911 and tell them she is having UTI symptoms and see if they can get her to the ER. Do not tell them she has mental health issues or suspecting dementia since these are not medical emergencies. Once at the ER, it may be possible to get her in as a social admit, and possibly keep her in a psych wing until she accepts treatment. I don't know how medical staff will figure out if she has dementia or not, given her history. Checking her for a UTI won't hurt and if she does have one and accepts treatment, may simplify her symptoms so that other treatment progress for her may be possible.
This definitely sounds more like dementia than bipolar, and yet you say that your mother is mentally stable, to which I have to disagree. Sadly when someone suffers with any form of chronic depression, they are at a much higher risk for developing dementia when they get older. That is a fact. And the fact that your mother is now paranoid, hallucinating and forgetful means that she's now suffering with dementia and not bipolar, so you need to have her see a neurologist to have her tested to see what kind of dementia she may have. So your mother doesn't needed to be treated for being bipolar, but now needs to face the truth as do you all that she's suffering from the horrible disease of dementia, which unfortunately isn't treatable and has no cure. I wish you well in getting your mother diagnosed and in educating yourself about dementia, so you're better prepared for what is to come.
Thank you so much. With the mental illness it has been hard for us to determine if the symptoms are from dementia or mental illness. This is very helpful advice. Thank you so much!
Your mother's medications should be discussed with her doctors.l Wishing you the best. Do know that this discussion should include whether or not the bipolar is the only problem right now. There are often with aging a combination of conditions that may occur.
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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
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I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
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APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
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APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
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If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
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This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
If she is paranoid you can call 911 and tell them she is having UTI symptoms and see if they can get her to the ER. Do not tell them she has mental health issues or suspecting dementia since these are not medical emergencies. Once at the ER, it may be possible to get her in as a social admit, and possibly keep her in a psych wing until she accepts treatment. I don't know how medical staff will figure out if she has dementia or not, given her history. Checking her for a UTI won't hurt and if she does have one and accepts treatment, may simplify her symptoms so that other treatment progress for her may be possible.
Sadly when someone suffers with any form of chronic depression, they are at a much higher risk for developing dementia when they get older. That is a fact.
And the fact that your mother is now paranoid, hallucinating and forgetful means that she's now suffering with dementia and not bipolar, so you need to have her see a neurologist to have her tested to see what kind of dementia she may have.
So your mother doesn't needed to be treated for being bipolar, but now needs to face the truth as do you all that she's suffering from the horrible disease of dementia, which unfortunately isn't treatable and has no cure.
I wish you well in getting your mother diagnosed and in educating yourself about dementia, so you're better prepared for what is to come.
Wishing you the best.
Do know that this discussion should include whether or not the bipolar is the only problem right now. There are often with aging a combination of conditions that may occur.