Hitting and imaginary person

I am so very sorry. I would reach out to his primary care and ask for meds. Our PC has done a wonderful job of helping me manage the behaviors. You have to have a doctor available that is going to be responsive to your needs because things can flair up quickly.

Self-harm is considered a reason for admission to a geri psych unit via an ER admission. That might bring him relief from this behavior sooner than your appointment.

HB

@MarDel0917

Two thoughts—

When a physician is reluctant to prescribe or increase medication based on in-office presentation, sometimes it's helpful to make a recording of the behavior and sending it to the doctor via the patient portal. Dad showtimed like a champ and I got the impression he thought mom and I just wanted to sedate him for our convenience. I sent him a clip of dad when dad was agitated and threatening which got me the 25mg bump in Seroquel I was after.

My other concern with this is that by virtue his cognitive impairment, he is considered a vulnerable adult at risk of abuse. I would address this behavior proactively asap lest some well-meaning mandatory reporter alert APS. Trust me, you do not want this.

My high functioning adult son once indulged in a rare bit of self-injury in 9th grade; a teacher reported to the school nurse and together they contacted CPS. DS had pinched and bruised his jawline in a fit of frustration. The injury matched a woman's (and DS's) hand-size at the time. When CPS interviewed DS he refused to tell them how he was injured out of embarrassment which escalated the situation. DH, DS's pediatrician and his psychologist were able to vouch for my past behavior and DS did admit to doing it. I came very close to needing to move out of my home and only have supervised and limited visits. Given your description of your BF, I could see you at a real risk of a similar scenario with less legal standing than I had.

HB