Hallucinations Delusions that won’t stop

SteveAndy

Hi

My Mother in Law was diagnosed with Alzheimer’s 6 years ago and has been experiencing auditory hallucinations for the last 2 years. In the past 6 months they’ve turned into full on delusions that are continuous and is afraid. She asked to be with us for the last 2 weeks because “they” (an 85 yo upstairs neighbor) developed a taser and it will kill her. So every day for the last 2 weeks she listens to constant deprecating talk and can’t sleep at night.
She’s only on 50mg at night quantipine

She needs some relief now…would a psychiatric in patient situation help stabilize and get meds sorted out quickly?

I’m not convinced her neurologist is the best

M1

Quetiapine (Seroquel) is appropriate but she certainly might need a dose increase. To give you some context, doses of up to 800 mg per day are used in schizophrenia so there's plenty of room to go up. Is she on any other meds? Aricept, namenda, rivastigmine could make this worse and if on any of those i would discontinue them. No need to taper. So sorry she's in distress

easy23

My DH's Geripsych increases the dosage for delusions and hallucinations during a regular telehealth appointment. He does not require an inpatient visit.

mrsabaldwin

From my own experience with my mom and what her doctor has told me, the delusions and hallucinations only get worse until they are stage 7. An uptick in meds will help but there is no cure for ALZ so there is no cure for the hallucinations and delusions. Only meds to help lesson the frequency. My moms doc told me to keep her safe and treat my own mental health.