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My father with dementia is becoming a nightmare to live with and care for. I guess I’m preaching to the choir to say that I do more for him than I do for myself, and I’ve limited my own life to try to make him happy and more comfortable. My reasoning is based on the fact that my parents went out of their way to make me happy and successful as a youth and I wanted to repay their generosity.
My dad is currently in an ordering around phase. An example: “I’m hot”, so I turn on the A/C. 2 minutes later, “Who’s in control of that thing, I’m f*%#*ng cold!!!!”, so I get up and turn it off. 3 minutes later, “ I’m f*%#%ng hot”, and the circle continues all day. I let him know what I’m doing every time I go to change the settings.He doesn’t get up once to change them himself. I wonder if he knows he’s working me or if he really feels helpless or if he’s getting off on bossing me around.
I don’t say a word in situations like this. I don’t argue because I know it’s a losing proposition every time I do. I used to argue with him or try to reason in it got me nowhere but angry and frustrated and on his bad side for a couple days, which was not worth the argument or standing up for myself. I found that it’s easier to just give in and just not argue. But when I don’t stand up for myself, my self– esteem suffers. My self– respect suffers. I just feel like I’m being ground down to a nub.
Today he intentionally said something very personally hurtful to me. He said it was one of those things you think about which you never bring up in the open. And he said it with a smile. It was like he completely lost it, like he was taken over by an alien. Then two minutes later, he raises his hand out to me to have me help him walk over to the other side of the room, completely depending on me, the person who he spewed venom at and apparently has no respect for. It was mind blowing how disconnected he must’ve been.
I guess my question is, how do you swallow your pride over and over again and take bad treatment with a smile, and seemingly let it roll off your back for more of the same tomorrow. I’m dreading tomorrow morning because means it’s another day of having to spend it with him and his antics. Thanks.
PS - he lost his driver’s license a few months ago, which seems to have changed everything in his life. Although he’s not mentioned it much, I think it hit him really hard. I think he might be jealous that I still have one. He’s become very me me me and my my my.

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After reading some of the other answers, I wanted to tell you about my mom because it helps me quite a lot with the guilt feelings of not taking care of her myself. Mom is somewhere in stages 5-7 of Alz on any given day. She has absolutely no concept of time any longer which has helped tremendously. Her memory of activities lasts only a few minutes and that, too, has turned out to be a blessing. Mom would never have agreed to long term care so I asked her to do "rehab" for her walking difficulties for about 2-3 weeks. She agreed to that. She has been in care for nearly 2 years and believes she is going home in a few days. Just before she went to memory care, she was lucid for a few conversations and I told her my real plans (to go to memory care permanently). She agreed and I told her (truthfully) that I had selected a place that was next to where her best friend of 50 years was living in assisted living making it possible for her to visit with her friend frequently. In fact, real often, the MC patients are taken to the AL side for activities so they can be together then too. After moving in, she immediately forgot who drove her to the facility, believing that she took a bus or other means of transportation. So, she doesn't get angry with me for doing it. Real often she will ask me how I knew where she is and I just say, I called. That is enough for her. She participates in most of the activities and sleeps quite a lot. She keeps everything packed and ready to go (unfortunately) because there is always someone (not me) coming to get her later that day or the next morning.

It was hard making this decision, but my mother was not safe because her nighttime wandering and pulling things down off of high shelves, etc. made me fear that she would get hurt at night and I would not find her for hours. Even though she relied heavily on a walker during the day, at night she seemed to have the ability to stand up and walk all over the house. I am glad I decided to do it because I can just be her daughter and enjoy our time together. Being a caretaker is not in my nature and it was making me behave in ways I was not proud of and it was taking my life from me, which she would never want!
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laura9574 Sep 16, 2025
is it absolutely wrong for me to feel like I cannot wait until my LO is in that stage? I feel such guilt for saying it but I think it will make things much easier on both of us when he gets to that point.
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Unless dad is so out of it that he's drooling, he knows EXACTLY what he's doing. It's a fallacy that folks with dementia "have utterly no control over their actions." My mother knew that her words were stabbing me like a knife.....she CHOSE to say them. She wanted to punish me. She was always mean spirited and dementia made her MORE mean spirited. So she took it out on the person she could hurt most, her only child. Except I could leave her presence when her toxicity ramped up, bc she lived in Memory Care. Your father has a captive audience. He will continue to erode your soul until there's nothing left of you but a bitter, burned out shell of your former self. His needs will get greater and greater until you're running yourself ragged and for WHAT? To ruin what's left of your father son relationship? My suggestion is to preserve it by placing him in Memory Care Assisted Living or hiring in home help on his dime so you can back AWAY from being his person care slave. He delights in treating you like that, but wouldn't dare do it to a paid caregiver.

You owe dad nothing but a smile and checking in on his welfare sometimes. We don't have children so they can jump to our every command in old age. Rid yourself of that notion and stop accepting abuse.

Best of luck to you.
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MiaMoor Sep 15, 2025
It's a fallacy that folks with dementia "have utterly no control over their actions."

Yes and no. Yes, they may be saying what hurts in order to hurt, which says they have agency.

However, the part of our brain that controls such urges and polices our actions invariably becomes damaged in people with dementia. That's why they lose control and display such mean behaviour.

This is also why some people seem stronger when they have dementia or other condition that affects their brain - that area also puts a check on how much force we use if we lose it and lash out.
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Trying to make a person with dementia happy is like a dog chasing its tail, fruitless and endlessly frustrating. You will never achieve this. Your dad’s brain is irretrievably broken, and sadly, will only worsen. Giving up your mental health for this is a high price, the daily hurt you’re experiencing is costing you too much. Parents have children for the joy of raising them to be independent and successful, not to be their caretakers. At least that’s how it works in a healthy family dynamic. I certainly helped my parents, but not to the degree of losing my mental health or stability, they never would have wanted or allowed such. So how do you keep swallowing it? You simply cannot, not without great cost. You’re not repaying dad, your good intentions are punishing you. I hope you’ll consider another plan, one that protects and cares for you both
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SnoopyLove Sep 13, 2025
“You’re not repaying dad, your good intentions are punishing you.”

Yes! 👏
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Your words really hit home — what you’re describing is the raw reality so many caregivers silently live with, and you’ve put it into words so honestly. It’s incredibly hard to give so much of yourself, only to be met with anger, demands, or even hurtful remarks from the very person you’re sacrificing for. That cycle you describe — adjusting the thermostat every few minutes, being ordered around, taking the brunt of his frustration — it’s draining not just physically, but emotionally, because it chips away at your sense of self and respect.

It may help to remind yourself (over and over if needed) that the rudeness and venom you’re seeing is not the father you grew up with — it’s the disease talking. Dementia often strips away filters, impulse control, and empathy, and unfortunately, the caregiver becomes the safe target for all that anger and confusion. He lashes out because he can, not because you deserve it. That doesn’t make it hurt less, but it helps to see it for what it is: illness, not truth.

Practically, you can protect your self-respect in small but powerful ways. Some caregivers find it helps to step away for a breather when the cycle starts instead of rushing to fix things every single time — even just saying, ‘I’ll adjust it in a few minutes,’ can give you space and remind you that you have agency too. If possible, set boundaries where you can: maybe a cooling fan he can control himself, or a blanket within reach so he has some power back. And don’t underestimate the power of respite, even short breaks — your sanity matters as much as his comfort.

And please know: you’re not weak or failing when you feel ground down. You’re carrying an impossible load with grace, even if you can’t always see it. Your self-respect doesn’t come from how he treats you now, but from the courage it takes to keep showing up in love despite the cruelty of this disease. You deserve support, breaks, and compassion every bit as much as he does
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Reply to TenderStrength5
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As I found with my narcissistic mother (selfish,not yet dementia), you have to step back.
Stop swallowing your pride and start thinking of yourself first. You cannot make him happy no matter what you do as his brain is broken. He no longer has our rational thoughts processes and most likely doesn't even remember being absolutely horrible to you.
He needs an assessment as to whether he can continue to live alone whether you need external support to enable this or if he now needs AL. There is no shame in you no longer being able to cope, there was a comment on here a a while back from a doctor to his patient "it's either you or them". If trying to cope breaks you, then your father's attitude will most likely be "oh dear,what a shame, never mind, now who is going to be my slave".
Mentally, continuing this cycle will destroy you first. Seek whatever advice you can find which is recommended here. I wish you good luck.
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I was a homecare worker for 25 years before going into the business and was a caregiver to my narcissistic mother. I'm going to tell you how to handle the demands and rude treatment.

You DO NOT cater to them or humor them. You make them wait for things. I don't mean make them wait all day for food or their medication. No. I mean if you are the only person who shows up to do for them, they live on YOUR schedule. Not the other way around.

You NEVER take the bad treatment with a smile. Never. When he's acting up, totally ignore him. If he's really going at you, give it right back. Tell him to shut the hell up because no one cares what he thinks. Then walk away and pay him no attention whatsoever. Let him bark demands and orders until he wears himself out.

Some years ago I worked in a nice AL facility as a staff supervisor. Every time I walked by a certain resident who supposedly had dementia, she would always say snidely, 'There goes that fat b*tch'. I let this go on for some time and ignored it. One day I just stopped in my tracks, got her backed up against the wall (I did not put my hands on her), got about an inch from her face, staring her right in the eyes and said, "What did you say to me?" Of course, she wouldn't repeat it but instead got very flustered and pretended she had no clue what I was saying. Then rather loudly I said in her face mind you, "That's what I thought". She never said a word to me ever again and I worked there for about another two years or so. DO NOT tolerate your father behaving verbally abusive to you.

Start looking into memory care facilities to put him in. No one has to tolerate or live with abuse even when the abuser has dementia. Dementia is an explanation from bad and abusive behavior. It does not excuse it or make it acceptable. For your own sake, put him in memory care.
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Seekerone Sep 23, 2025
As a health care professional, you can never and should never react to a patient/resident in the ways that you have described and suggested.
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Quit jumping at his every request. If he's hot turn on the air to a comfortable temperature and if he's cold bring him a sweater to put on. And if doesn't like that, too bad. He'll just have to remain cold then.
We teach people how to treat us, and you're teaching your father that he can treat you like a dog in most instances. So only you can change this dysfunctional situation that you're in with him, by standing your ground and not tolerating his verbal abuse.
When he gets angry and says hurtful things, you must learn to walk away and tell him that you will return when he can speak more respectfully to you.
And if that doesn't work then you must tell him that you will no longer be his caregiver and that he will have to hire in-home help with his own money, as caregiving only works when it works for all parties involved, and right now it sure doesn't sound like it's working for you.
So time to start speaking up for yourself and quit taking your fathers abuse.
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I would say best way this is handled is with self-education so as to understand that the person suffering from dementia has utterly no control over his/her own actions.

Secondly, if your own mental health is fragile enough to suffer to the extent you lose self-esteem due to the mental meanderings of someone in the throes of dementia it is time to explore this with a good cognitive therapist. None of that silly online therapy in which the therapist isn't paid much and is deserving of less.

Finally your loving decision needs to be explored. Caring for someone such as your dad, who now needs the care of a TEAM of caregivers working several shifts isn't always sustainable. You have a duty and obligation to live your own one-and-only life. It is what your parents would have wanted for you when they had capacity.
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mom2mepil Sep 19, 2025
Three things in response to Alva’s comment. (Alva. You give such sound advice day in and day out! This time, I do disagree on two points.)

1. In many cases it is not true that a person suffering from dementia has no control over his/her own actions. My mother is in memory care, and I am the daughter who oversees her care and manages everything for her. She definitely can and does control her behavior, words, tone, and actions, according to whom she is with at any given time. I regularly see her change on a dime when specific people enter or leave the room (including me). She chooses those words and behaviors. They are still very much in her control, even though she is in stage 5 of her dementia journey.

2. Therapy has been a godsend for me as a caregiver. There are fantastic online therapists, just like there are fantastic therapists you can meet with in person. Please don’t assume that online therapy is bad therapy. Most of the online therapists have in-person practices, too. Resources like BetterHelp.com are excellent, and if you don’t mesh with the first therapist you talk to, you can request a different one with the click of a button.

3. I wholeheartedly agree that a team of caregivers is needed when things get to the stage that OP’s father has reached. My mom regularly ripped me to shreds, like his father is doing. It is necessary to protect oneself and seek placement for the loved one when your mental health is on the line. It really does not matter WHY the abusive communication is happening (i.e. is Dad doing it on purpose or not?). The fact THAT it is happening is all that matters, and no one should stay in an abusive situation.
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Another tactic that I found to be helpful for both Mom and myself was to acknowledge her feelings.

When she started to get a little testy because she was frustrated with something, I would say something like, "I can only imagine how frustrated you must feel right now. Can I help with (whatever it was)?"

Or I would let her know that it was normal to feel (angry/scared/whatever), because getting old is hard, and it's not for sissies.

Whenever I could, I would somehow make a joke or lighthearted remark that would change the tenor of the interaction.

Sometimes, after I was finally able to internalize not taking things she said personally (THAT took a monumental effort!), her "antics" would seem so ludicrous it would be all I could do to contain my laughter at the absurdity of it all until I was out of earshot of her.

In their lucid moments (which can sometimes be few and far between), they know something's wrong, even if they don't know what it is.

Sometimes just being present in the moment with them, being part of whatever "their" reality is and letting them know you care and understand, can help reduce the temperature.

Of course, not always. It's definitely a matter of on-the-job training. You learn what works as you go. Until it stops working... because their brain takes them on a new path. So you pivot and try something else.

My mom would many times say what would normally be hurtful, out of her own anger at not being able to do things for herself anymore. I would tell her, "that was a mean thing to say," and then just go on doing what needed to be done for her at the moment.

In her final year or so, she would often tell me I took such good care of her that she would live to be 100, and I would smile and say "Maybe so!" all the while thinking, "Dear God, please no!" She would also say she didn't know what she would do without me. I would respond, "I don't know. Let's not find out, shall we?" For some reason, that always tickled her.

I was one of the lucky ones. My efforts eventually paid off, and we had a good relationship at the end of her life. She stopped being able to speak at all about 24 hours before she passed. The last words she ever spoke were, "I love you."

I suspect most family caregivers don't get that at the end. Nevertheless, I wish it for everyone on this forum.
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Went thru this myself. My mother has always been a narcissist but she got a lot worse as she aged. She is now 99. Horribly cruel. I would tell her I am trying to help her because I love her. She would just freeze. No appropriate. response back. Everything I did and said was wrong or not true. I was trying to be a good daughter despite all she did to me through the years and now its like she is demonically possessed. I have two older siblings who have never lifted a finger. One is an alcoholic who had a liver transplant. He cant walk drive or do anything. He is only 70. Sister is also a malignant narc and alcoholic 78 yrs old. Husband is an alcoholic 80 plus years old. They live on the east coast and are rarely here. Sister and her husband convinced my mother she was being physically and mental abused by me. Brother and sister got POA without anyone's knowledge. Why? Big farm worth millions. Only found out by accident later. They kicked me off the farm. Told me if I ever went near my mom again they would call law enforcement. Put my mother in a condo in town. She isn't capable of taking care of herself. Has sundowners, cognitive decline and a huge fall risk. Yes I called Social Services, aging agencies, law enforcement everything. She will end of dead from neglect. YOUR FATHER IS READY TO GO TO THE NURSING HOME. TAKING CARE OF PARENTS IS ONE THING BEING ABUSED NIGHT AND DAY BECAUSE THEY THINK THEY CAN GET AWAY WITH IT IS ANOTHER. I MADE THE MISTAKE BELIEVING IF I WAS JUST A GOOD DAUGHTER AND DO THE RIGHT THING NO MATTER HOW AWFUL THE REST OF THE FAMILY IS I WILL HAVE DONE MY DUTY. IT COST ME THOUSANDS IN LEGAL FEES. MY MENTAL AND PHYSICAL HEALTH. YOU TAKE CARE OF YOURSELF FORGET YOUR FATHER. I DO NOT DRINK, NEVER SMOKED, NEVER HAD THE PROBLEMS MY TWO LIVE AND TWO DEAD SIBLINGS HAD THROUGHOUT THEIR LIVES. YET I WAS BLAMED FOR EVERYHING THAT WENT WRONG IN THEIR LIVES. TAKE CARE OF YOURSELF FIRST. PUT YOUR NEEDS FIRST. YOUR FATHER DOESN'T CARE ABOUT WHAT HE IS DONIG TO YOU. WHETHER HE UNDERSTAND WHAT HE IS DONIG OR NOT YOU ARE NOT OBLIGATED TO BE ABUSED. AND THERE ARE MANY CARETAKERS BEING ABUSED. THE FOCUS HAS ALWAYS BEEN ON THE ELDERLY. NO BODY LOOKS AT THE ABUSED CARETAKER.
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JeanLouise Sep 23, 2025
Well said.
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