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Reply to "What do you do with an elderly person who has severe panic disorder?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Is this related to a dementia diagnosis? What medication does she take, and could it be a side-effect of one of them? Are there hallucinations? What's the panic about? Is your father someone she perceives to be critical to her safety, or does she trust other people?[/quote] it's not - she is on a lot of medication right now to manage severe pain for which she has upcoming surgery. so that does add to the issue and create some confusion. the panic is about health/ dying etc. she ONLY trusts him and I think in some ways he has 'enabled' some of it where someone else would have maybe handled it differently. but he has done the best he can. I just fear for a time when she doesnt have him. [/quote] I ask because such situations are common in the elderly and can be due to various things. My father's anxiety and occasional panic (not as bad as your mother's) is due to cognitive decline. At some point he'll probably be diagnosed with dementia. My MIL, on the other hand, had hallucinations, emotional dysregulation and cognitive impairment due to an overdose of a Parkinson's medication. Reducing it makes Parkinson's symptoms re-appear, so it's very hard to get the right dose, the one that gives the least negative symptoms overall! You need to consult with all her doctors to examine which medication might be having that effect, and by how much you can reduce it. If there's cognitive impairment, it can be various forms of dementia, UTIs, or the effect of certain medications. Most forms of dementia present as memory loss and anxiety, so dementia could absolutely contribute to her anxiety and panic. I suppose at her age, there's not much chance she could have an overactive thyroid, but maybe bloodwork is in order, just to check (perhaps she was put on thyroid replacement hormones long ago, and they've never been adjusted - usually with age patients need to decrease their dose). My parents are entirely co-dependent on each other, so I hear you on that front. I'm sorry. It's very hard. [/quote] thx pp. where are they living and how are you managing it? my kids are still pretty young so it's hard for me to be super involved...[/quote] I am minimally involved, for now. We are expats and live a continent away from our parents. My MIL has a rotating cast of aides that come to her house to cook/clean/bathe/give meds/converse with her, plus nurse visits and physical therapy visits for her Parkinson's. Her local adult kids visit frequently and accompany her to doctors' appointments. My husband manages her finances from afar. My father is independent for now, but my mother is increasingly bearing the brunt of his confusion and anxiety, so it's not going to be feasible for long. I'm an only child and can't just hop over an ocean whenever. It's going to be a nightmare soon enough. I want my parents to create a sheet of paper with their accounts and passwords and give me power of attorney, but my father is very resistant to that, and my mother hasn't been involved in their finances in years. I need to know what they can afford in terms of home aides, etc. At some point, my father might have to go into a home, so I need to research that too. Right now I spend my time calling my father to persuade him to make medical appointments so he can get a diagnosis and possible treatment - I suspect vascular dementia, and need him to try anxiety meds. [/quote]
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