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Atmywits Asked April 2016

What can I do to stop my mom from eating in this obsessive way?

My mom was just diagnosed with Dementia about a month ago after almost a year of going back and forth to a neurologist. She doesn't think that there is anything wrong with her most of the time. She always tells me "I'm not crazy" (especially if I'm trying to add another medicine to her regimen). I am constantly being accused of stealing and hiding things from her. I can't keep enough food in the house. My mom eats constantly. She will eat a half gallon of ice cream in 1 1/2 day. When I say something about it, she doesn't remember that she's just eaten 3 bowls. Now I have tried limiting the amount of food but she has someone take her to the store to buy more.

Atmywits Apr 2016
Thanks everyone for your great advice. I am so happy that I came across this forum. It really helps me to understand this disease and gives me comfort. All of my siblings live far away so everything falls on me. They really have no clue how stressful it becomes sometimes and sometimes I feel blown-off by there comments. I know this is just the beginning..

Bethany678 Apr 2016
From your description, it sounds to me like she is forgetting that she already ate. I'd get a snack fridge such as you might buy for a dorm room. Put a days worth of snacks in there every day. Get that helpful neighbor to do it, if you can't be there everyday. Then, lock up the rest of the snack food. Keep good healthy things in the regular refrigerator. Otherwise, let her eat when she thinks she needs to do so. A lot of dementia patients go the other way and forget to eat at all or refuse to eat. So, unless it's something that's going to kill her in the short term like too much sugar for a diabetic, let her be happy.

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jeannegibbs Apr 2016
I'm pretty much in agreement with Captain's philosophy. Dementia is terminal. A good healthy diet doesn't change that. Well-balanced meals don't change that. Nothing is going to cure her dementia or make her live longer.

My concern would be for her health in the present. If she gains 5 pounds a month for the rest of her life, she might wind up pretty uncomfortable in, say, three years. And it might be much more difficult for in-home care to take care of her if she is 180 pounds heavier than she is now!

So while I wouldn't necessarily insist she eat broccoli instead of ice cream, I guess I would try to prevent the worst consequences of her current eating patterns. I like vstefans medical approach a lot, especially if something medical is contributing to the problem in the first place. Talk to her doctors.

Also keep in mind that this particular pattern may not last, and the weight gain may start tapering off. That is no reason to totally ignore it now, but the "180 pounds in 3 years" is a worst-case scenario and may not come to pass in any event.

If at all possible, don't make food a contest of wills issue. Distraction, redirection, and other activities are better (if they work at least some of the time). Adding exercise is a great option, if your can get it to work. While she is out walking with you or a companion she is not only not eating but she is burning some calories.

Most people with dementia cannot live alone. It sounds like this is the case for your mother. She needs more supervision and interaction if she is getting her neighbors to take her food shopping. My first suggestion would be an adult day health program (adult day care). Generally a bus or van picks participants up, they spend the day with other adults with scheduled activities, are given a hot lunch, and are returned home. She would certainly not have as many opportunities for over-eating in that environment. And she might really enjoy it. Usually it is available for 1 to 5 days a week.

Or if she had a companion with her for several hours a day at home that might give her something else to do besides eat.

As to other aspects of the newly-diagnosed dementia, she is right. She is not "crazy." She is a mature, intelligent, self-directed independent adult who happens to have a disease that makes her brain malfunction sometimes (or all the time, as the case may be.)

I don't need any more pills! How many times to I have to tell you that I am not crazy!
Of course you are not crazy, Mom. You are an intelligent, well-educated woman! You now have a disease that interferes with that intelligence sometimes, and this pill is to help support your intelligence by keeping your brain healthy. (Agree with her as much as you possibly can.)

The accusations of hiding or stealing are very common. It becomes a vicious circle. They can't find something. Their "logical" conclusion is that someone must have taken it. So they hide something else to ensure it isn't stolen too. And when they don't remember hiding it that it reinforces the paranoia. You must absolutely not take that personally. Don't argue about it. Be reassuring and acknowledge her distress.

"Oh mom, those nice sunglasses with the little stars are missing? That is really too bad. I know how much you like those, and I do too. I'm pretty sure your neighbor would not take them or anything else of yours, but it is very sad you can't find them. Let me help you look." This particular phase will pass and you will not be dealing with this forever. The next phase will be a new challenge!

Atmywits Apr 2016
Ice cream has always been her favorite indulgence. Now since the illness, it has become something she must have or she becomes angry and agitated. I just want her to be happy.

anonymous158299 Apr 2016
dementia is a terminal condition . " too much ice cream " will not appear on her death certificate . id let her live her remaining months or years with whatever makes her happy .

vstefans Apr 2016
Have her doctor take a good look at all her medications; some have side effects of increased appetite and maybe they can be counteracted. For example, you can give metformin to someone who has to take risperidone or Seroquel or related antipsychotics. Also, if type 2 diabetic and managed with insulin only, this may aggravate hunger and weight gain and something else should be added. She may have been someone who fought with a big appetite all her life and now can't remember she has eaten, and that's harder...you can try having her fill up on low caloric density things like fruits and vegetables and swap out the full fat ice cream for low- or non-fat frozen yogurt, you can try activities to distract her but the pleasure of eating is almost too reinforcing for that sometimes.

Atmywits Apr 2016
Thanks @freqflyer. I have made the neighbor aware of her dementia but I don't think she wants to say no to her. I buy all types of fruit and nuts and it usually last about 3 days. I also noticed she eats a lot of peppermints. One day i came home and she was looking for peppermints in all of her purses. She even went out to her car 3 times searching for some. She was completely obsessed with it for about 10 minutes until someone came in and distracted her. I know she has gained about 20lbs in 4 months. I appreciate your advice. I will reinforce with the neighbor and make sure she understands.

freqflyer Apr 2016
What caught my eye was when you wrote "she has someone take her to the store", well time to tell the family or neighbors to stop doing that. I assume she still has her own credit card or uses cash.... time to place limits on that.

When there is an eating issue in the house the rest of the family needs to change their way of eating until this phase of dementia passes, sounds like Mom is getting comfort out of eating. No more half gallons of ice cream for awhile, or buy flavors she doesn't like. What other food items that Mom gets into? If she tends to eat easy to eat items, then no more chips, cupcakes, etc. Go for the boring such as apples, pears, grapes, raisins, nuts.

The being accused of stealing and hiding items is yet another phase of dementia, eventually that will pass and something else will take it place. Hang in there, strap on your seat-belt, this is going to be quite some journey.


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