When Seniors Have Strange Obsessions and OCD

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Bad Behavior #6: Strange Obsessions

Saving tissues, worrying if its time to take their meds, constantly picking at their skin, hypochondria…these types of obsessive behaviors disrupt the daily lives of elderly parents and their caregivers. Obsession is sometimes related to an addictive personality, or a past history of Obsessive Compulsive Disorder (OCD).

What to do:
View your parent's obsessive-compulsive behaviors as a symptom, not a character flaw.

Watch for signs that certain events trigger your parent's obsession. If the obsession seems to be related to a specific event or activity, avoid it as much as possible.

Do not participate in your parent's obsessions. If you have helped with rituals in the past, change this pattern immediately. Family and friends must resist helping with ritual behaviors.

Obsessive behavior can be related to a number of other disorders, including anxiety, depression or dementia. Obsessive disorders can be treated by mental health professionals, so make an appointment on your parent's behalf. Therapy and/or medication may be the answer. Look into therapy groups, outpatient and inpatient programs in your area.

More info:
OCD in the elderly

Join the discussion:
"My mother has an obsession with tissues. She stashes them everywhere."

Bad Behavior #7: Hoarding

When an elderly parent hoards (acquiring and failing to throw out a large number of items), once again the on-set of Alzheimer's or dementia could be at fault. Someone's pre-Alzheimer's personality may trigger hoarding behavior at the onset of the disease.

For example, an elderly parent who was already prone to experiencing anxiety, when faced with aging and the possibility of outliving their resources, may begin to collect and save against the onslaught of feeling overwhelmed by what lies ahead.

Others will hold on to items because they fear their memories will be lost without that tangible evidence of the past.

What to do:
You can try to reason, and even talk about items to throw out and give away. Or create a memory box, a place to keep "special things." With extreme hoarders, medication and family counseling could make a big difference in how you cope and manage.

More info:
How to handle hoarding

What caregivers are saying- Join the discussion:
"My mother hoards spoiled food."

Bad Behavior #8: Refusing to Let Outside Caregivers into Their House

The presence of an outsider suggests to the elder that their family can't (or doesn't want to) take care of their needs. It also magnifies the extent of the elders' care needs and makes them feel vulnerable.

What to do:
Constant reassurance is necessary. Understanding the elder's fear and vulnerability is necessary in order for you to cope with this problem. Have serious talks with them, and realize the first time may not work. It could take several months convince them.

Another strategy is to start small, and ask your parent to "give it a try." Present the idea to your elderly parent as a trial. Have someone come in for one day a week for a few hours, just to vacuum, take out the trash or wash clothes. Experienced senior care agencies know how to handle situations like this, so consult them when necessary. Once they get used to having someone in the house, they may be fine with it.

More info:
When parent won't let home health care workers into their home

What caregivers are saying- Join the discussion:
"Dad won't let outside caregivers into his house"

Bad Behavior #9: Over-Spending or Extreme Frugalness

Some caregivers are pulling out their hair over elderly mother or father's shopaholic habits. Others are going crazy over "frugal," "thrifty," or downright cheap elderly parents.

The ability to handle one's own money is about power and independence. If age or disease takes away some of your independence in other areas, a person is apt to try to make up for this loss in another way.

Spending is one of those ways. Spending (or saving) can help a person feel powerful. Spending (or saving) also can be like a drug to cover up the fear underneath those losses.

What to do:
The parents will insist there is no problem. It's their money and they can spend it as they choose. They do have a right, to an extent, to spend their money as they see fit.

For over-spenders, when their spending habits are draining the last of their finances, or forcing others to cover expenses they should be paying for themselves, it's time to step in. If you can show them the problem in black and white – the total amount spent on shopping, or receipts that others have spent on their care, such as food and medications – it might hit home.

As with so many tricky areas with aging parents, sometimes a third party is best brought in. The key is this person, be it a financial professional, a friend, or a spiritual leader, is not the adult child.

Money hoarders may have these behaviors as a result of having lived through the Great Depression, a down economy, past job loss and countless other situations in which money was virtually non-existent. They feared "going broke" and being able to take care of their family. However, they likely don't want to see a family member go through the financial hardships either. Showing them the out-of-pocket expenses regarding their care that you must pay might help. Bringing in a financial advisor is another route to go.

More info:
"Help! Mom's a shopahaulic"

What caregivers are saying- Join the discussion:
"Thrifty...or Cheap Elderly Relatives."

Bad Behavior #10: Wants All the Caregiver's Time and Attention

Once an adult son or daughter becomes a caregiver, their elderly parent might construe that commitment as a 24-hour full-time job. However, the caregiver has other priorities…work, family, etc. The parent becomes completely dependent on the caregiver for all physical and emotional needs, and therefore are over-demanding of your time. This is a hard transition.

What to do:
This is a time when a caregiver needs to make themselves a priority. Caregiving is stressful but when it turns into a full-time job, with a demanding parent, it is a recipe for caregiver burnout.

Don't get lost in caring for others. Make yourself a priority. Get your parent involved in senior activities or adult day care, depending on their capabilities. They will probably go kicking and screaming, but having others to interact with combats the loneliness and makes them a bit less dependent on you. If your parent is housebound, consider a home companion to visit on a regular basis. Home companions are available through home health care agencies, churches and charitable organizations.

More info:
Burned out caregivers

What caregivers are saying- Join the discussion:
"Mom is emotionally dependent on me."

 
 

Comments

 
  •  Comments 1 to 10 of 29 
 
 

frmeyers

Give a Hug

Apr 1, 2010

When my partner of 39 years lost his sight due to macular degenerations six months ago, we were able to cope. However last month he began to have hallucinations.

When I would take him to medical appointments, he would say that the buildings were moving or that I was driving into a brick wall. He became very fearful (understandable so). Four physicians and eye specialists later, we finally found the cause.

We finally were able to determine the cause is due to the functioning of the brain that interprets sight. THE DIAGNOSIS WAS CHARLES BONNET SYNDROME.

Although first described in the 1760's, it still remains virtually unknown to many/most physicians and eye specialists. Once we found the cause and were able to understand the process, we were able to handle the situation.

The problem generally resolves within a year to eighteen months, however there are several reports of treatments that seem very positive. Unfortunately, these require hospitalization for two or three days, and none of these therapies are recognized by his current insurance. Sigh...

Google, read and print out information about CHARLES BONNET SYNDROME and share it with your caregivers and medical providers.

Hopefully, this post may help others facing similar situations.

 
 

NancyH

Give a Hug

Apr 1, 2010

Does having macular degeneration cause this syndrome? Could he have had only Charles Bonnet syndrome, and not macular? What I mean is, do they go hand in hand or no?

 
 

Missybu

Give a Hug

Apr 7, 2010

I just experienced this at church on Easter Sunday. We were visiting our son's church in another town. An older man in a wheelchair was pushed into the sanctuary by a grown son. The older man let out a profanity and his wife looked around terrified. Thankfully, over the next few minutes, various church and staff members came by and spoke with the older man, welcoming him with kind words. It seemed to calm the older couple and was evidence of God's grace.
Missy Buchanan; Author, Talking with God in Old Age (Upper Room Books)

 
 

Oh boy, I can definitely relate to yelling, screaming and carrying on. I don't take it personally. I just do the best job I can and ignore all the negativity that comes with caregiving. And boy have I experienced impatience! They want everything done NOW.

 
 

igloo572

Give a Hug

Apr 22, 2010

frmeyers - This is just fascinating. Not trying to make light of
what you both went through, but the brain is just amazing.

There is a type of dementia called Lewy Body. It too is one
specific diagnosis, like CBS, that most have not heard of.
yet it is the 2nd biggest cause of dementia.

One of the hallmarks of it is "seeing creatures". Typically it will be a animal, a pet type of animal, not threatening but just
appears and is 100% real. Like CBS, having good lighting
or a change in light (dark to light and vice versa) or shifting
where you are looking (like in CBS) helps the creature go away. Lewy Body dementia seems to be more episodic rather
than constant like Alzheimer's.

My mom is in independent living in her 90's- she is really good maybe 80% of the time (bathes, does her hair, laundry, makes breakfast, know's what's what in current events). Then there
will be an episode usually triggered by not taking her med's.
Twice she has told me that someone's cat (black & white
and silent) has gotten into her apt and once it was a rabbit.
Now they do have pets in her building so I'm thinking that's
the case but then she tells me that it must have come thru
her balcony. Now she in on the 3rd floor and only a bird could
do that if it was clever. It doesn't stay or jump into her lap or
eat or speak, it just is there being a cat or rabbit and then it's gone. It doesn't seem to make her anxious, its just is there.

Anyway, her gerontologist told me about Lewy Body when
she told her the cat story. My mom also for a couple of days
kept seeing cobblestones instead of carpet and cement,
and the trees would have a pattern over them (as if you were looking through a screen or cookie) this was not scary but annoying for her but she found if she looked side to side
or looked up to the sky, it would go away. This is also very CBS according to the gerontologist. CBS and Lewy both involve the same area of the brain.

Her doc suggested things that are critical for the very elderly but still capable: lots of light, and put those suckers on timers
for AM (when the sun starts) & PM (1 hr before sundown);
extra glasses in frames that are all the same; a hearing aid
even if their hearing is still pretty good; open clean lines low
furniture that is at her eyelevel (think Ikea); and no rugs.

We've done this and life is much better.

So are you all thru the CBS episodes? Some people see the
same images over and over, like looking at a painting.
I just find it all so amazing what the brain can do.

 
 

Artemisia

Give a Hug

Apr 26, 2010

My mother had CBS, came from macular degeneration, a cataract on the better eye, and severe hypoglycemia due to an undiagnosed lesion on her pancreas. Removed the cataract and the lesion and she was fine.
Except she has become addicted to peppermint life savers and sits with her audiobook sucking slurping and smacking and I cannot say anything or she will be hurt, sulk, and stay in bed with the covers over her head for a full day. Then she will go back to sucking slurping and smacking.

 
 

My elders have demonstrated nine out of the ten bad behaviors. I am now just waiting for them to start hoarding.

 
 

Davronica

Give a Hug

Feb 18, 2011

Just a thank you to agingcare. This article is exactly what I needed. Unfortunately, I am dealing with several of these behaviors at the same time. You folks are lifesavers: (1) for acknowledging these situations exist, and that we are not alone, and (2) practical coping mechanisms. Many thanks again!

 
 

My elders exemplify 9 out of the 10 bad behaviors. Now, all I'm waiting for is them to start hoarding and then they're be exemplary in demonstrating bad behavior. :-) Tschuss! :-) Wayne

 
 

Cupcake

Give a Hug

May 5, 2011

Dad, who has some dementia, just got a new hobby that he is obsessed with. It's nose picking. I mentioned it to the nursing home and they just shrugged.

 
  •  Comments 1 to 10 of 29 

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