Is denial a thing
My DH was diagnosed initially by a neuropsychologist as severely impaired in the MOCA test in several areas cognitively which led us to further neurological testing. He was then diagnosed at 61 to be in the moderate stage, unsure of the day of the week, place and regularly forgetting our address. He refused to admit to me that anything was wrong. The neuropsychologist told me denial is part of the disease. I begged him to see a doctor for a long time, it wasn’t until family and friends confronted him that he finally did see his primary care physician and then got the referral to the neuropsychologist which subsequently led to the neurologist referral and the Alzheimer’s diagnosis. During this timeframe he lost his job due to his impairment, which I was clearly unaware of until after his diagnosis. Do people with Alzheimer’s know they have it? Today he couldn’t remember that he has Alzheimer’s when he was talking to his therapist and it made me wonder if he even understands his condition. I miss my best friend…most nights I just wonder how and why this happened to us and cry myself to sleep.
Comments
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It’s fairly common for dementia patients to think they have nothing wrong with them. The name for this is Anosognosia. There’s no point in trying to make them agree that they have dementia. It’s best to not even say the word to them. I stuck with ‘memory loss’ when discussing things with mom, even saying it was due to age. You just have to develop work arounds, using fiblets or redirecting the conversation
There’s lots of good advice on this forum.2 -
Hi Joanne, Welcome aboard! I'm sorry you have to be here, but so glad you found us. This site is incredibly helpful.
It's hard with Alz, because the brain they use to understand what the problem is, is the brain that's not working. The official term is anosognosia, but it means not realizing that there is a problem. I'm so sorry to hear that he lost his job.
My spouse was close to the same age when he was diagnosed. At first he knew he had Alz, but within a few weeks he no longer did. Later when he heard someone say that's what he had, he was very upset. After that I made sure no one said anything about it when he was around.
This is so unfair, and crying can help sometimes. Make sure you get to a lawyer ASAP for three things. Don't tell him it's because he has any problems, but just because "we're getting older," but you need a Durable Power of Attorney (DPOA). Make sure it's not "springing," but goes into effect right away. You also need a Medical Power of Attorney and…something else. Someone here will remember the other one. But the key is to get these done ASAP, while he can still understand well enough to sign—and early onset can move fast.
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Before anything, now is the time to make sure all of the necessary legal documents are in place while your DH can still sign them. Most important is a DPOA (Durable Power of Attorney), this is very important. Some financial institutions require their own version of a DPOA even if you already have a general one.
A HIPPA release gives you permission to get information from his doctors, otherwise they can’t really consult with you. Then an Advanced Directive (aka living will, Physician Orders for Life-Sustaining Treatment (POLST)) states your DH’s treatment wishes (such as do not resuscitate), and should designate you to allow you to make medical decisions for his care, which technically you can do with a DPOA, but a POLST is commonly recognized for this in the medical world. Others to consider are Trusts, wills, social security representative payee designation (allows you to manage his SS account), beneficiary designations, etc.
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Welcome. My mom looked at the paperwork from the doctor and said they made a mistake and couldn’t be trusted. There is just no way for them to understand/comprehend and it’s not advisable to even try. It’s not just the diagnosis and symptoms it’s their limitations. Mom thought she could mow the lawn (she needed a walker at the time), reupholster her couch, power wash the swing in the back yard, thinks she can manage her own money ….. I think anosognosia is much more dangerous and difficult to deal with than it might at first seem. It causes them to to be resentful and angry with anyone who is trying to protect them from themselves.
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I can see myself in your post. My DH was also diagnosed in the moderate stage because it was like pulling teeth to get him to see a doctor about his memory loss - like your DH, couldn’t remember days, our address, our phone number, trouble telling time. But after all that I don’t think I ever told him he had Alzheimer’s. Sometimes he knew he had something wrong so if he asked me I just said you have a problem with your memory sometimes. I also said “but you have me here to help when you need it”.
You have good advice here about getting your legal affairs in order while he is still capable of signing documents (if you have not done that yet). Make sure you find a Certified Elder Law Attorney (CELA). They are better equipped for situations like this.I’m so sorry you’re going through this, especially at such a young age. My DH was my best friend also and it was very hard losing that along with many other things about him I loved. But with that deep love comes the strength to help him through it. Keep coming back here anytime for advice or a shoulder to cry on.
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Welcome. You have been given good advice here. I would add that based on your husband’s age, apply for SSDI with an SSDI attorney. The attorney should not charge you upfront. They take a flat fee when SSDI is awarded off the back pay that is awarded. As others have advised, consult an Elder Law attorney immediately while you husband can sign documents. If he is still driving, take his keys. With this diagnosis, your car insurance company will not cover an accident leaving you open to get sued for everything you own. Buy the book The 36 Hour Day. It will help you prepare for what is coming. Come back here for help and support. The people here are extremely supportive and knowledgeable.
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Denial is not always a straight forward thing. My DH with ALZ knew there was something wrong several years before he was tested. I had just chalked it up to aging brain. Now he is in the middle stages. If we are home alone there are times when he will refer to his brain not working well, while at the same time attempting to be the man who knows everything about our finances. On the other hand, if we have company or we are at the doctor's office, he will pretty much be in total denial. There is no straight line anything in ALZ.
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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
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