I was informed by a community geriatric psychiatrist (part of the team which has been visiting mother) that she will be hospitalized with or without her consent. Mother, who has a personality disorder and increasing paranoia, will be certified, stabilized by treatment with meds, then released back to her ALF after a Community Treatment Order has been enacted. I believe that this will take about a month, This (the CTO) enables the team to ensure she takes meds and any other recommended treatments. Mother has mentioned to me thoughts of suicide several times, and I think that combined with her refusal to take the antipsychotic meds prescribed for paranoia is what prompted the community mental health team to take this action. I know this is a drastic step, yet her life has become increasingly filled with fear and bizarre delusions. The cut off point for hospitalization and treatment is when a person becomes dangerous to others and/or to themselves. Mother did take a small dose of the antipsychotic early in the fall for about a month and was much calmer. Now she is adamant that she will not take it. This is consistent with behaviours earlier in her life. She does not want to take anything which affects her mind. Her life was manageable on the antipsychotic, but it is not now. She has delusions and fears of being mutilated, and believes she is being harassed regularly.
Mother does not have dementia but does have age related (she is 101) pretty severe, short memory loss. She passes the cognitive tests well. Fortunately, she has asked me to take over more of her financial business which I am in the process of doing. She is more and more alienating her support system including me. After a lifetime of it, I can only tolerate so much more abuse and some of it now is getting pretty bad.
I have mixed feelings about what is coming. The psychiatrist said it will happen in about another week or so depending on when a bed becomes free. On the one hand, I do not like what will happen and would not wish it upon anyone, and yet mother's disease has progressed to a point where it is endangering her life. The psychiatrist said that with treatment she will be able to live out the rest of her life with dignity. Without a change in her I am about at a point that I have to separate myself completely, as her accusations etc. and too damaging to my emotional health. A girlfriend of over 45 years died just before Christmas and with from 3 to 8 crazy phone calls a day I have not had the space to do the grieving that I need to do. I am letting the calls go to voice mails but do listen to the messages and attend to the very odd one that appears to be a legitimate concern. Most of them are totally off the wall. As well, my ex, who has become a very good friend and is part of my support system, is experiencing serious health problems and may not have long to live. All together it is hitting me pretty hard and makes it easier for me to accept the proposed treatment.
I suspect mother will fight all of this with her considerable energy, intelligence and determination. Once my sister finds out - I have not informed her as she has already back some very cruel accusations towards me - I suspect it all will get much nastier.
Any comments, recommendations are welcome I suspect some of you will be horrified at the thought of enforced drug treatment. I understand.