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My older sister is 65. Five years older than I am. She is a "recovered" drug addict. Used drugs all her life. Possibly the use of Xanax for 20 years contributed to her present problems with her mind. She keeps asking me to help her. But, she will not go to her Dr. appointments and she will not do anything I suggest. The more I do to help her the less she does to help herself. She has always been this way. It's just more magnified now.

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This is probably not a popular answer...but in my situation with same stubborn, in denial family members..I step back and have to wait for something really bad to happen, because that is when they will do something. I was stressing myself out, worrying and trying to help, but could not. People have to make their own decisions and own the consequences. YOU have to realize that you are doing the best you can and not own any guilt, ok? Best wishes.
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anonymous944475 Aug 2019
Thank you. That makes alot of sense. I am really going to try that.
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You say that the more you do to help her, the less she does for herself. I think that you do see the pattern quite clearly. So then the answer is not to do so much for her, because thereby you are actually harming her. Stay away for a while. When she calls ask her what she is doing for herself and what progress she is making. I would make it clear to her that she is responsible for herself. She is still relatively young. You are not specific about what you seem to feel are some failings of the mind, but this could just be a sort of learned helplessness going on. Time to let her do things for herself; encourage independence. We will all go toward dependence should we have to live so long; but while able we should be encouraged. It truly is, as we age, a matter of use it or lose it.
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anonymous944475 Aug 2019
Thank you for responding. K feel She may have dementia because she can't remember what she has done even 30 minutes after doing it. She will ask me the same question over and over. She can't focus long enough to do anything. And when she gets something in her head there is no changing her mind no matter how many times I show her that what she is thinking isn't correct. For instance thinking someone stole her money from her debit card. Even if I love to her that it didn't happen and logically it couldn't have happened.
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Tell her to be her own doctor. Research nutrition, lifestyle, and alternate forms of healing. Then leave her be, since she won't listen to you.
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RayLinStephens Aug 2019
Awesome reply!
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You've gotten good advice as i see it....and reminds me of a saying i heard many years ago....
"Lack of planning on your part does not mean an emergency on my part." So another's lack of action does NOT mean it has to become my problem/emergency. And it's not that one does not care about the other person. Encouraging a person to take control & responsibility for themself is a caring thing to do.
I acknowledge that it is personally painful to watch the other needy person struggle, but that is how that person can grow.
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jacobsonbob Aug 2019
I believe the old saying that "you can lead a horse to water, but...." also applies here.
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I suggest you go to a Co-dependency support program for friends/family of alcoholics/drug abusers. Just because your sister is "clean" does not mean that her thinking is. You need strategies for "helping her" that do not lead to resentment or co-dependency.

Feel free to give her doctor contact information and let her make her own appointments. When she brings up how ________ prevents her from doing so, remind her that she is responsible for her own life choices and their consequences.

If you are a person of faith, offer to pray for her.... then do so, on the spot.
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Bellini, try this just as an exercise to see how it makes you feel.

What about: what if I stop trying to deal with this person?

I'm assuming this is your sister that's worrying you. You have tried and tried and tried, and it has made no difference to her wellbeing.

Or rather, it's made no improvement: it may possibly even be that the attention she gets from your constant efforts reinforces her habit of self-sabotage.

Stop, and see what happens. You can always intervene if it's anything worse.
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anonymous944475 Aug 2019
Thank you. Yes, you are so right. The more I do for her the less she does. She just acts more incapable. I KNOW she is capable of doing so much more. I am going to stop and see what happens.
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I'll double down on the "wait for something to happen" . .Again, in my case.
I should've NOT helped my mom move back into her home after her hospital/rehab stay: installing grab bars, removing rugs, auto-lights (for night-time), making the downstairs livable as one unit . .. and a myriad of other things I did for her in her house. No to mention I made seven 600 mile round trips in 2 months, and spent some of my $$ to get her back home. Looking back. BIG MISTAKE.

At first, she was extremely thankful and so happy to be back in her home! But then when she realized all the changes, OMG, the rath I got from her! Even her friends (the two she has left) are in shock at how she badmouth's me after seeing all that I did for her. Actually, I'm not sure she has those friends anymore, although I am in contact with them.

Cripes. Now, I can't even get near her. She's changed all the locks - yeah . can you believe that?? So, I'm just waiting for that phone call .

It hurts, but what else can I do?

I tried to get her to go to the doctor to get her brain evaluated. That failed. She hates doctors. Yet her distain for doctors is what made her end up with a $10K hospital bill and a $12k bill for in-home care. Medicare turned down her pay because her hospital episode was totally preventable. It was.

So, now I just wait. But everyday now is torture for me in a way. So, I feel your pain. But really, all you can do is sit back and wait for something to happen.

Next time my mom gets admitted to the hospital, I will make sure she won't be able to return to her unsafe home and way of life in her elderly stage of life.
She will have earned it.
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busymom Aug 2019
I’m so sorry that you are having to endure this! Many of us have experienced similar situations, and you’re right that likely an emergency will put her in the hospital and the kindest, wisest way to handle that is to let the hospital “Case Manager” (I think they’re sometimes called “Social Workers” in some hospitals) know that she cannot under any circumstances return to her home, that a place will have to be found for her to go to—and it won’t be your home! It sounds like you live far enough anyway. They may have to get her on Medicaid if her money has run out, but put the responsibility back on them.

If you don’t want to wait for an emergency, you can have Social Services look into your mom’s situation. We had this happen to my 90 something aunt and uncle 2 years ago. It wasn’t fun and it wasn’t easy, but they ended up in a place where they could get meals (3 a day, plus snacks), their medicines, a bed and a non-leaking roof over their heads. The first placement was a horrible Assisted Living facility, but once their family complained and DSS found out there was still some savings in a savings account, they moved them to a nicer facility.

Many things in life are unexplainable, painful, and highly stressful. We can’t fix it all, but we can learn from it and we can make plans for our own care while we still have the “smarts” to do it!

Please take care of yourself. Go to bed at night, knowing you’ve done everything you could possibly do for your mom. It is her problem(s) now, and not yours. It’s tough, but sometimes love is tough.
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Does she throw a tantrum when you won't help her? Because this is how they get their way. Also I agree with the learned helplessness thing. Be strong, and in turn you will help her to be strong. Good luck.
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anonymous944475 Aug 2019
No, she doesn't throw a tantrum. She just continuously tells me that she is sorry and She promises to do better. And tells me how much she loves me and appreciates me. Sometimes I feel like it's a form of manipulation. Saying all of that doesn't mean a thing to me. It actually frustrates me more for her to say I am so sorry and continue the same behavior. But, she has ALWAYS done that. Thanks for listening
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Your sister I probably afraid of going to doctors b/c they might find things medically wrong with her or give her advice she doesn't want to follow. What is she asking you to help her with? Day to day chores and errands or medical symptoms?

If she complains repeatedly about "medical" symptoms but doesn't follow through with a doctor, tell her to "Either stop complaining or do something about it." That something meaning see a doctor.

I confess I have to tell MYSELF that sometimes.
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Beatty Aug 2019
RedVan, you have very good insight I think: "Your sister I probably afraid of going to doctors b/c they might find things medically wrong with her or give her advice she doesn't want to follow."

This is MY sister EXACTLY. She has diagnosed cognitive problems.

Her "magical thinking", problems with planning, recall problems result in avoiding Doctor visits. Doesn't like what Doctor advices, can't plan what next steps to take, can't recall advice properly later.
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"The more I do to help her the less she does to help herself."

Tell THAT to every health professional that is involved, Doctor, hospital social worker, area of aging etc.

You have seen & lived it & you got it!

It took me a while to come to this realisation with MY sister - but that is exactly it! Now my eyes are open & while HER situation has not improved, I am doing so much better as the guilt is dissolving. I am no longer thinking "I have to do it all for her"... buy groceroes, drive where she needs to go, make her attend appointments - all the endless needs.

Now I am thinking "I will be her advocate" to speak up for her when her life crumbles ie boat starts sinking. Better for both of us if I am off the sinking boat. I can be on shore waving for help.
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