My whole life, I knew there was something "off" about my mom, and often felt like a fly that would continuously fly into her web, get emotionally beat up, and subsequently spit back out...only to fly back into that web again. Over dinner with a friend, I found out that Narcissism is an actual psychiatric disorder! To make a long story short, at 50, I discovered my lifelong struggle with my mom had a name...just in time for it to be enormously magnified in conjunction with having to move her into a nursing facility (she had recently been diagnosed with Parkinson's, with mobility issues that caused her to fall frequently). Over the past year, her behavior has become progressively worse...ringing the call button constantly to use the bathroom and then calling the front desk when an aide fails to appear within 30 seconds; stating she is aspirating and/or choking (she has been through extensive swallow evaluations and her diet is appropriate); faking choking and passing out/dying; and most recently deliberately 'falling' out of her wheelchair in front of the nurse and acting 'dead'. She is rude to the aides and can be very oppositional and demeaning. A psychiatrist evaluated her and her doctor prescribed anti psychotic drugs, which did not appear to work. I need to know at what point I look into having her placed in a psychiatric facility for evaluation and medicating. I feel so horrible and guilty at the thought of doing this, but she is driving everyone nuts. It is wearing on me terribly and I feel she has burnt her bridges with everyone and I have no unbiased person with whom to consult.