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Forensic Psychiatry

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RonGu
RonGu Member Posts: 3
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Neurologist suggests my wife suffers from Anosognosia as well as Alzheimer's. Doc is suggesting testing by a Forensic Psychiatrist with an eye toward legal Guardianship. Anyone with this experience care to chat with me?

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  • harshedbuzz
    harshedbuzz Member Posts: 5,496
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    @RonGu

    I have not done this, but I know of 2 instances where a family member sought, and was awarded, guardianship.

    Some thoughts. If you already have a durable POA for your wife, guardianship may not be needed unless it doesn't allow for decisions you'll need to take in the future on her behalf. She might even be deemed competent to sign a new DPOA by an elder law attorney as the bar for understanding is not that high. Dad was really reluctant to sign, but it was presented to him in such as way (routine estate planning) that he did sign.

    If she won't sign or she has a springing POA, then you may need to obtain guardianship or conservatorship through the courts. In this case, the judge would generally require her to be evaluated for competency. In both situations I know where this was done, the testing was a comprehensive neuropsych evaluation with a clinical psychologist. I don't know that either was a foresic specialist, but both were recommended by the courts and guardian ad litem for the PWD.

    With my aunt this was more of a formality and family supported the sister taking on this task. In the other case, the father with dementia, engaged his own lawyer and fought the guardianship. He had a tremendous amount of cognitive reserve, but testing showed significant deficits in memory, reasoning and executive function so the sons were awarded guardianship.

    HB

  • H1235
    H1235 Member Posts: 1,057
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    edited July 15

    Welcome. This site has a lot of people with great information, experience and understanding. I can’t speak to the guardianship, but from what I have read, I think HB is spot on. I wonder if there is a cost difference worth looking into between the Forensic Psychiatrist and an elder law attorney. It’s my understanding that anosognosia is a common symptom of dementia, rather that being two separate diagnoses. I guess it probably really doesn’t matter. Anosognosia is so difficult. I’m glad you found us.

    Because of the anosognosia, if you do try to get her to sign a DPOA, I would not tell her it is because of the dementia. Pointing out dementia or symptoms tends to upset them. I would suggest that since you are getting older you think it’s a good idea to address legal matters, because it’s good to be prepared. This may go over better with her.

  • ARIL
    ARIL Member Posts: 160
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    Also agree with HB. Unless there is something that would require guardianship, a DPOA is likely sufficient. I have been managing my LO’s affairs for several years, and even with a cross-country move, three facility placements, and some complicated finances, a DPOA has always been enough. Meeting with an elder law attorney sounds like a good next step.

  • weareallunique
    weareallunique Member Posts: 99
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    If you are seeking legal tools to be able to manage your wife's affairs going forward - talk to an elder law attorney - that's their area.

    Take whatever documents you may have created in the past to see if you already have what you need or if you need an update. You will need to update your set at a minimum since you wife can no longer serve as your backup.

    The attorney can also advise re : institutional medicaid , trusts etc. A source for elder law attorneys is https://www.nelf.org/attorney-directory-search. This is a specialized technical field and expert advise at this point will save you in the future.

    Don't want you spending a lot for a medical report when it's legal tools that will give you authority to manage the future. You may need a medical report but the lawyer will know what would be legally most effective .

    Sorry you had to find this website but glad you did- there are many resources here - suggested readings, videos , practical advise and support. Sadly, you aren't alone.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more