My mother is 65, an alcoholic (half a gallon of tequila and a fifth of vodka every few days) and she's always been very quirky, I guess, but now she is downright crazy. She had a stroke a few years back, and a few years after that she was diagnosed with narcolepsy (I think it's more like early onset alcohol-induced dementia, with some kind of neurological disorder that doesn't allow her to sleep well at night, so she falls asleep whenever she sits down during the day.) She takes a prescription methamphetamine to keep her awake, but she doesn't take it like she's supposed to (7 am and no driving after 4 pm.) She takes it late in the day, then is up all night long, banging around, cooking, cleaning, moving furniture, with no regard for the rest of us who are trying to sleep, or worse--she will leave the house. It also keeps her awake and drinking and drinking, when without it, she would be long passed out. I have wanted to leave so many times, but if I do, she will be alone and there's no telling what will happen. She has a really bad habit of taking in stray people who take advantage of her, steal from her, put her in dangerous positions, and just use and abuse her. What I don't understand at all is why she is so kind and giving and compassionate with total strangers who always turn out to be horrible people, while she does her best to push away anyone who is good and really cares about her. At home, she is crass, inconsiderate, selfish, and sometimes really mean and nasty. She has outbursts and meltdowns, and screams and cries. Usually over something like a glass left on an end table too long for her liking. She makes very poor decisions, and she's gotten herself in a lot of hot water financially (and says that it's okay, because her children can take care of it when she's dead.) She has osteoporosis, arthritis, tendinitis, and osteonecrosis of the femoral head in both hips. She is about to have two total hip replacements, and I will be expected to be her sole caregiver after the surgeries. I'm afraid it's just going to be too much. I have three small children. I am hoping that the doctor will see that she needs rehab for the drinking and just send her somewhere. I'm sure that's just wishful thinking, though. I know that she doesn't tell her doctors everything. Should I start telling her doctors everything? I'm afraid she would find out and hate me. What to do? How bad does it have to get before I can call for reinforcements? How do I know when to use the power of attorney and start making decisions for her? She is still her own person, free to be as crazy as she wants and make all the bad decisions she wants, and I just feel very uncomfortable with the whole situation. I know I will have to do something, but I don't know what I'm doing. I want to just run away. Please give me some good advice. Thank you so much.