Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Thank you for your post. Please tell me more about your current concerns for your mother? When did her symptoms first start and please tell me more about her history.
Her symptoms started suddenly at about 6 months ago. She started hearing disturbing voices that threatened to kill her, told her to walk down to the lake where they would cut her legs off etc. and were coming from the walls. It was just voices. She has always been socially isolated except my brother living next door (alcoholic, undependable, car just repossed) whom Mom thinks is wonderful and he is good to her. He has been staying overnight with her since this started.
Before this she was always the same so this was a shock. She is a very stoic person who has been a very hard worker. Until this year she gardened (which she loves and excels at, loved shoveling snow and mowing the grass, she is an avid reader and seemed quite happy.She is extremely hard of hearing almost to total deafness. She has a very expensive hearing aid but it does not help much. Our family history is not very good with an alcoholic, abusive husband/father but Mom seems to have forgotten (buried) the past and doesn't remember anything about it and no one mentions it at all to her.
Thank you for your response and the detailed description of your mother's condition. Is she currently under the care of a doctor? If so, what is her current medications? Also, has she received a full psychological evaluation?
She takes something for high blood pressure and I think olanzapine although at avery low dose. I am not sure how complete the psychological exam was because of her deafness. I was with her the last time she saw a psychiatrist and he spoke to very little.
Other then medications, does she receive any other services such as attending a partial hospitalization program for the geriatric population?
The way to view paraphrenia is similiar to view it as dementia. Unfortunately, the brain deteriorates as we grow older and some people are genetically inclined for their brains to deteriorate faster than others. This deterioration can come in the form or demential (where people forget certain memories or not know where the are) to paraphrenia, such as your mother. Treatment typically includes antipsychotic medications sucha s olanzapine, living in an assistant living type residence, and/or attending partial hospitalization programs. If you need a referral to any of these resouces, please let me know where in the U.S. you are writing from.
Unfortunately my mother is very poor and lives in her own home. My brother lives next door and takes care of the yard etc. She is also extremely stubborn and refuses to enter an assisted living situation and does not seem too happy with my help. Also unfortunately one of my sisters and I live about 2 hours away and my other sister lives accross the country. There is almost a total lack of communication due to her deafness. I don't really think she would let a stranger into the house. We have been writing her letters. She also refuses to consider one of those machines where she could read what people are saying on the phone. My mother lives in Madison, WI.
Do you feel that your mother thinks something is wrong and needs help? Or do you feel that she feels satisfied with her current condition? Or do you feel that she is too "out of it" that she isn't able to determine how she feels?
Please consider obtaining guardianship for her wellbeing as she may be too impaired to make decisions about her current health.
A resource I found for you is Journey Mental Health Center (ph:(NNN) NNN-NNNN https://www.journeymhc.org/) where they have a mobile outreach team for geriatric clients.
Another helpful website is the state of Wisconsin's Departmetn of Aging and Disabilities:
I understand income is an issue but these resources will help you and your mother in obtaining the services she needs.
Please let me know if you have any further questions.
I actually think Mom is satisfied with her condition. Thank you for your help.