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New here... starting to feel lost...

CydS
CydS Member Posts: 9
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Hello, all my new friends :) … My husband was officially diagnosed almost two years ago, but it's been apparent to those close to him for quite a few years that there were some issues with his memory. He's 75 and I'm 62 and still working full time a job that I LOVE and the insurance at this point is invaluable since he also has CHF, ATTR-CM, and prostate cancer. We caught all of it early, and he responds to treatment well. You'd never know he was as sick as he is. We still go on miles-long hikes, he can walk up multiple flights of stairs carrying a backpack. He responded well to the low dose of Aricept but when we upped the dose, he started having serious digestive issues, so we went back down. He passed his driving test and is actually a better driver than most on the road.

I've had it all under control for a couple of years now, but feel like I'm losing ground as the Alzheimer's progresses, and it definitely is. I wonder if he'll pass his driver test this year - and I'm not looking forward to him losing that freedom.

What has me coming to this forum is I'm looking for the correct support group(s) to join. I'd like to look at ones we can do separately as well as together. We have a strong marriage, but for the past couple of years, when he gets into a funk (don't know what else to call it), he believes I don't want to be here with him. I respond emphatically that I am where I want to be and with who I want to be with. It goes back and forth, sometimes all night long. These episodes usually start late at night when we're getting ready to go to sleep. Sunday night was particularly difficult. He really believed that I have found someplace else to be. He has no memory of that part of the discussion, however. I'll be looking at what is offered here, but am looking for some guidance to help narrow down the choices.

I am also looking for therapists for my husband. I have one and he has mentioned he might want to talk to someone as well. He mentioned couples therapy, but I'm not sure that will help us at this point.

I do look forward to responses.

Warmly, CydS

Comments

  • sfrsythe
    sfrsythe Member Posts: 20
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    the evening rants are known as Sundowners that happens to those with dementia. My husband and I are in our 60’s and making us have a mutual meeting with our psychiatrist cemented that. He put him on some medication and it has pretty much stopped. It does throw me off guard when every now and then it rears its head then we adjust meds some and we back holding steady for a little while.

    I have learned so much from this group. I usually don’t talk too much but boy do I get answers and ideas to ‘survive’. I wish you the best !!!!!!!

  • donnabeams
    donnabeams Member Posts: 2
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    I a new here and my husband was diagnosed over a year ago. I miss the way we used to talk and he can not give me person, place ir thing when he talks, it's only general connection words that don't make sense alone. I am craving male friendship. Is that normal?

  • Biggles
    Biggles Member Posts: 529
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    Forgot look on this forum for ‘The Cavalry’s Not Coming’ the most empowering article to read. It gave me strength and courage to carry on. Again good luck.

  • harshedbuzz
    harshedbuzz Member Posts: 5,823
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    @CydS

    Hi and welcome. I am sorry for your reason to be here, but pleased you found this place.

    You've gotten some excellent advice so far. A couple of things struck me-

    Driving. This is a dicey decision. PWD are OK to drive until they aren't. And you might not recognize it's time to stop until someone's been hurt or killed. Dementia impacts reaction time and visual/spatial processing fairly early on in the disease progression. It might be time to consider a ride sharing service like Uber, Lyft Silver or GoGoGrandparent.

    Have you actually spoken with your agent regarding his coverage with a dementia diagnosis in his medical record? When dad was initially diagnosed, our agent informed me that his policy would not cover him in an accident with a medical history of dementia. The other piece is that should your DH have an accident and find himself in a civil lawsuit, considerable time will pass between the accident and his deposition and court date. With a progressive disease like dementia, the man on the stand will not be the same man who was driving.

    My mom (no dementia) was sued after an accident. The notification of the suit came almost a year after and the deposition a few months later. The trial was rescheduled several times and was finally scheduled 2 1/2 years after the accident. She seemed so much older and frailer than she had been at the time of the accident.

    There tend to be 2 kinds of support groups. The are those for caregivers which are similar to this one— participants seek solutions to issues they're having, vent and seek support of others who get it. Before dad died, mom and I attended an IRL support group which was really well moderated and useful for local resources like day programs, dentists who "got" PWD and which MCFs were best. The other kind of group is most often called something like a Memory Cafe. These might be found as part of a hospital community programming for elders or at a CCRC IME. Sometimes the meeting is split with a short breakout that allows caregivers to vent, etc, but not always.

    The behavior you are describing is very common in PWD. My dad was similar in the middle-stages of his disease. I think his belief that mom was unhappy, leaving him or cheating with someone when she ran errands came from 2 places. The first is that he was feeling anxious and vulnerable. The second was that mom's general unhappiness around the changes in dad was palpable. While this was understandable, PWD maintain their emotional intelligence well into the later stages of the disease and are able to parse not only changes in their spouse's mood but also subtle changes in the dynamic of the relationship from equal partners towards caregiver & patient. A combination of mom putting on her best game-face of sunny cheerfulness and medication for both helped a lot. Instead of a couple's therapist, I'd consider taking DH to a geriatric psychiatrist for medication to relieve the anxiety that's likely at the root of his behavior. I thought dad would bristle at "a shrink" as he called them, but he enjoyed the appointments and thought the world of the doctor.

    Talk therapy for PWD isn't generally suggested. By the time a person has the diagnosis, they are unable to change with therapy. PWD have losses around empathy, learning new ways of thinking and recognizing when to apply those new tools.

    HB

  • harshedbuzz
    harshedbuzz Member Posts: 5,823
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    Hi and welcome. I am sorry for your reason to be here but pleased you found this place.

    One of the biggest losses for spouses of a PWD is the loss of consortium and intimacy. This isn't limited to sexual intimacy; companionship, a shared history that can be referenced without explanation; someone trusted to bounce ideas off and even inside jokes.

    When mom was dad's caregiver, she very much missed male companionship and being special to a partner. If you're feeling that, too, it's your normal and OK.

    HB

  • CydS
    CydS Member Posts: 9
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    Attitude is everything - thank you for reminding me of that.

    I love your approach, and is similar to ours. We find joy most of the time. His general attitude about having Alzheimer's is pretty great, I think, and helps a great deal. He's a vocalist and is still performing and when he let's the audience know that he has Alzheimer's, and he's so happy to be performing for them, the response is always so warm. Music has kept us sane, and kept him vital. Funny thing, he asks me multiple times a day what day it is, but he not only remembers lyrics, he's learning new ones. It's incredible - you can't have so much good music in our life and not have it be incredible.

    I realized about a year ago, when I was truly unhappy - about me, about him, and about our marriage - I was really worried we weren't going to make it. Then there was the guilt of abandoning a sick loved-one. I got help - meds, therapy. I can't fix him, but I can and did make the adjustments. I am happier and more committed now than ever in our marriage. In fact, I'd say this is the best we've ever been and I will look back on this time with fondness.

  • Timmyd
    Timmyd Member Posts: 225
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    In the early and middle stages, DW was compliant, cooperative, and maintained a positive attitude. We had several really good years during those early and middle stages. We were moving forward together. Eventually ALZ progressed to a point where I there has to be eyes on DW 24x7. We are now at point where it is clear we are no longer moving forward together. We are on much different paths. I am having to carve out a new life in which DW provides no meaningful social component. There are still moments of joy and laughter, but it is different.

  • CydS
    CydS Member Posts: 9
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    This is great advice, and great direction to head. After his neurologist reported him to the State, he had to go through a cognitive interview, and take the written and driving test. He passed all last summer and I hope he does next time as well. I am looking very closely at his driving and planned on addressing his relinquishing his license sooner rather than later. I had not thought about insurance… that may be the game changer. Selfishly, I am not looking forward to him losing this freedom - my schedule will be dramatically impacted… but we will adjust (fingers crossed).

  • l7pla1w2
    l7pla1w2 Member Posts: 363
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    With respect to driving, your DH may be a ticking time bomb. If your DH has dementia in his medical record, you could face tremendous liability if he were to get into a serious accident. Maybe he successfully passed tests last summer, but you know his condition will gradually deteriorate. His memory, judgment, and reaction times will get worse.

    Imagine that DH's driving is okay today, but you realize tomorrow that it isn't. How are you going to step in to stop his driving? He will resist and push back. "I drove to the store yesterday without problems."

    I completely understand your remark about schedules and freedom. I eventually couldn't leave DW alone at home, so I had to take her with me wherever I needed to go, even doctor's appointments. Obviously I could no longer depend on her to run errands for us. It's around this time that you will realize you're no longer your DH's partner, you're his caregiver. It will be quite a mental reset for you.

  • Melrob1
    Melrob1 Member Posts: 9
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    I'm new here, too. It's been wonderful. A place to vent, to cry, to ask questions, to not feel judged, to try not to judge yourself, which is really hard. I'm sorry you had to join us, but, I'm glad you're here.

  • CydS
    CydS Member Posts: 9
    Fourth Anniversary 5 Care Reactions First Comment
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    Well, I started the discussion this morning. I mentioned yesterday that this weekend we needed to have a serious discussion. The time wasn't right last night, but I found the moment this morning. As expected, he resisted, but saw my point - just that it doesn't matter since he's not there yet. I warned that we will have this talk regularly until we must move on it.

    Now I start looking for a support group that can help bring this home for him. Thank you all for the nudge…

  • Michele P
    Michele P Member Posts: 143
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    A few suggestions: Have your husband’s neurologist have the driving discussion with your husband. Sometimes it helps if the doctor tells them that they shouldn’t be driving. Call your car insurance company and ask if an accident will be covered with his diagnosis. His reasoning is broken. He can’t understand the risk involved with driving.

  • tboard
    tboard Member Posts: 158
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    Welcome aboard. I have learned to do everything that I can to not participate in any kind of argument with my DH who has mixed dementia. I like to think of it as having a conversation or an argument with a disease. There really isn't any point in having a discussion with a disease. Find a way to end the conversation or change it to something more pleasant. This is hard to learn for those of us who have been married forever. :)

  • H1235
    H1235 Member Posts: 1,252
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    Welcome. Obviously dementia is progressive. If he is tested only once a year then there is the potential that he could be driving for months before his defects are detected in a test. Being that driving while impaired by dementia could be a matter of life and death, in my opinion a pwd should stop driving before there is a problem. People with dementia have trouble understanding reason. Life is full of complex decisions requiring consideration of many factors. A person with dementia is going to struggle making informed decisions that consider other points of view. As others have said a lack of empathy is also common. I would think it will be very hard to find a support group for your husband. I have attached a couple of general resources that you may find interesting and helpful.

  • l7pla1w2
    l7pla1w2 Member Posts: 363
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    We don't appreciate how large a cognitive load driving is, how many little decisions we make along the way. That's the reason talking on a cellphone while driving is problematic, and it has nothing to do with whether you're holding the phone. A person with even moderate cognitive impairment will start to have trouble processing all those little decisions. If one of those failures happens to be stopping in time or not noticing a red light, well, you can see the outcome could be disastrous.

  • Biggles
    Biggles Member Posts: 529
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    it was lovely to read your response, music is so important in our life, in everything I hear a song. If I can’t remember the name of a tune I type in a few words and bingo up pops the song 🎵 that is in my head. We dance, hum, sing, enjoy the moment. It also helps to change the flow of conversation from argument to ‘she’ll be right’ and ‘who cares anyway’. Being old sailors (me 75 DH 77) we go to Sailability every week, I skipper and take my DH and others sailing in one of the 16’ dinghies. It provides physical activity plus social activities with a wonderfully kind and understanding group. My approach is that I still want to have a close relationship with my DH together we have had such an adventurous life loosing it breaks my heart.

  • CydS
    CydS Member Posts: 9
    Fourth Anniversary 5 Care Reactions First Comment
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    Thank you H1235! I will read the article as I have time, but the checklist is a tangible artifact that I have been looking for as well.

    —CydS

  • djtcoll
    djtcoll Member Posts: 9
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    Hello, I, too am fairly new but there is so much good support and advice from fellow caregivers. My DH and I attend a bi-monthly support group that we meet for about 10 minutes together as a group and then the caregivers meet in one room and the persons affected meet in another for an hour and a bit. It has been wonderful and a great source of support. I got the information for this group by calling the 1-800 helpline number found on the Alzheimer's Association webpage. Our facilitators are both volunteers with the Alzheimer's Association and they have brought in guest speakers to address various aspects of dementia but the best part is just being with others who are experiencing many of the same things I am. Best of luck and ask anything at any time.

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