I’ve been primary caregiver for my grandmother for the last 3 months. According to other family, she’s had dementia or psychotic episodes of increasing frequency over the past year, but we moved her to my house 3 months ago and it now the episodes are daily. She is confused during the day, telling me to get ready because we’re going to visit her mom (she’s 94 so obviously her mom passed many years ago) and she will start calling out for her husband and ask where he went (he also died years ago). There is no answer that satisfies her, whether the truth, white lie, or no response at all. Distraction can work for a few moments, but the fixation remains and she knows I’m avoiding or distracting and she gets agitated with that too. Over the last week we’ve had nightly battles where around 5pm she gets this look in her eye and it usually turns into a psychotic episode complete with delusions, fear, anger and general agitation. She knows who we all are but is convinced we’re holding her hostage or abusing her or something and she has faked sick so that we take her to the ER and she tells the doctors she faked sick to get away and go home. She’s pretty much impossible and my mom and I are as educated and as patient as they come. I’m at a loss on what to do to avoid her getting agitated.