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I am new to the forum. My wife's mental health has been declining over the past ten plus years following a series of small strokes. She has a family history of dementia in her mother and grandmother. We now live in an independent living community which she requested. She is exhibiting greater loss of short term memory and becoming increasingly belligerent. She is increasingly delusional and angry but cant identify what I can do to make her happy. Are there any memory medications that could help? Can anyone offer advice / help in how to handle her?

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You are putting the cart before the horses. Time to get a good solid diagnosis now.
This is for your wife's medical team. If she will not see her physician it is time for you to speak with him about the ways in which you can get her in for testing. You need to know if this is depression due to her strokes or if she is having dementia from her strokes. If so, independent living may not be good enough soon. So you need to know, in short, what you are dealing with.
I am glad you are here and welcome you to the Forum. I wish it was under happier circumstances.
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There is nothing that you can do to "make her happy"
Even if she knew or you knew what she wanted there would still be the delusions, the anger, frustration.
Part of it might be her "knowing" that something is wrong and there is nothing that can be done.

There are medications that can (or should) help slow down the progression of dementia.
With Vascular dementia the damage will keep occurring with each mini stroke she has. And you may not know when she has one. It might be that one day she can zipper a jacket and the next day she can't. One day she can walk, the next day she can't.

There are medications that can help with the anger, delusions, frustration, anxiety but as with all medications there are risks. She may become more of a fall risk.

If your Independent Living Community also has Assisted Living AND memory Care you might want to begin exploring those 2 stages of living.
You may not need AL but you may need the help that AL can provide when you are trying to care for her.
And knowing when you can no longer care for her safely even with the help of the AL staff that is when you need to consider Memory Care.
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I can only guess that your wife is angry because she is more than aware that she is losing her mind just like her mother and grandmother did, and that has to be quite scary for her. So I wouldn't take her anger personal.
And there really isn't anything you can do "to make her happy" as her brain is now permanently broken, other than perhaps have her doctor put her on a antidepressant.
There is no medication to help with her memory(sadly) and any of the so called dementia medications, if they do work, work only for about 6 months or so to help slow the progression.
The fact that your wife has had several strokes means that sadly she is at a very high risk for dementia, and often it's vascular dementia. And obviously your wife is already showing many of the signs of dementia, which could go on for quite a while yet, although if she has vascular dementia which is the most aggressive of all the dementias the life expectancy is only 5 years, unlike Alzheimer's which can go on for 20+ years.
I wish you well as you travel this very difficult journey with your wife.
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A mild anti-anxiety med could do wonders for her. It’s very feasible to calm her down a bit without drowsiness. As I often say on here, the goal is “soothe, not sedate’.
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When was the last time she had an annual physical? If not yet this year, and she is on Medicare, then she is eligible for a free annual wellness check-up with her primary doctor through Medicare. At this exam, go with her and ask for the HIPAA Medical Representative form. She writes in your name and signs it and this gives her medical team the legal ability to discuss her private information and diagnosis, medications, etc, without her having to give further consent or be present during that discussion. She needs to fill out this form at every clinic she where she gets medical care. Then, make sure to be in the exam room the entire time. Make sure she is given the cognitive test (draw clock face with a certain time; remember 3 or 4 words after 10 minutes). She can't be prescribed any medication without first being seen by her primary, usually it needs to be within the last 3 or 6 months. There are many types of dementia and many other medical conditions that can mimic dementia symptoms but are treatable. These should all get discounted before assuming she has dementia. Most common is a UTI, which are astonishingly frequent and common among older women due to changes in their pH, hormones and physiology, not just a hygiene issue. If her behavior is out of control and you cannot get her to the doctor you will need to call 911 and tell them you think she has an untreated UTI and is refusing care. This is considered a medical emergency so they will do their best to take her. But, they do NOT diagnose dementia in the ER, they will just discount other causes for her behavior after giving her whatever tests are appropriate. I'm hoping you, or someone, is her PoA. If not, she needs to do this. The certified elder law attorney will take her aside privately and assess her for capacity and make sure she isn't being coerced. The bar for capacity is very low, so take her even if you think she is too impaired. There are medications that can help someone with dementia: for depression, agitation, anxiety, etc. But first she needs an accurate diagnosis and hopefully a PoA assigned.
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John, I would encourage you to speak with her doctor, perhaps they can medicate her anger and delusions. As far as meds for memory, I think those have a window of effectiveness and then the situation is just what it is. Her doctor can guide you.
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