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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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This question touches me deeply. My mom and I never truly got along until I turned 30, when I finally learned how to express how her words and actions affected me. Those years that followed were a gift — we had a connection I had always hoped for.
Now, with moderate dementia, it feels as if she’s slipped back into old patterns of emotional abuse. She becomes furious when I advocate for her at doctor’s appointments, especially when she can’t remember what’s being discussed. If I have to tell her “no” to something, it feels to her like the end of the world. Too often, I’ve been her emotional whipping post.

I reached a breaking point when my brother responded to me the same way as I tried to talk with him about Mom’s care. In that conversation, he told me he was handling her well-being and not question him. So, despite living just five blocks away from Mom, I stepped back. I stopped trying to do it all for her and chose instead to focus on protecting my own well-being.

This journey is incredibly hard, and no two experiences are alike. My hope for you is that, in your own way, you find moments of peace along this longest journey.
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BurntCaregiver Sep 19, 2025
@MychelleJ

You did the right thing. This is what I had to do as well with my mother. I will not tolerate any abusive behavior from anyone. I put up with that for too long. I don't care if someone has dementia or mental illness or anything else. No one has to tolerate abuse or live with it. Dementia or mental illness can be an explanation for abusive behavior but it does not excuse it.

You did right stepping back.
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I feel the same way with my father, my father is in memory care, so I have it easier, but my father calls me almost daily with mean things to say. I go to see him twice a week I take him out or bring him things and most of the time he's hateful to me. I try to use the tools I have been taught. Try to change the subject get him to play game or look at picture but he mostly just wants to mock me or put me down :(
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BurntCaregiver Sep 19, 2025
@Brandyrae

Stop visiting him then. Or cut down your visits to once or twice a month and don't take him anywhere.

If he can't be distracted and can't enjoy anything with you because all he can do it mock you or put you down, stop visiting him. Let the administration staff of the facility keep you updated on him. Why put yourself through it?
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You don’t have to live this way. As many others on here have said, I also believe they know just what to say when they want to hurt you. I also believe loss of control is at the core of the behavior. You are in charge, despite what your Dad thinks. I had to make that blatantly clear to my Mom, who thinks at 93 with dementia that’s she’s in charge. I don’t argue with her, it’s pointless, but I don’t take her crap and disrespect anymore. As my personal health began to suffer, 24/7 care was put in place which allowed me to go home and address my issues and live my life. You need to consider it as well before he kills you with his unacceptable behavior. You deserve better.
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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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Look how many caretaking adult kids have written about how they were abused by their parents and family. It's time for caretakers to have rights. It's time we are taken seriously instead of being pushed aside by family, Government Agencies and law enforcement.
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JeanLouise Sep 23, 2025
Yep; call 911 and have him removed for mental health evaluation. He’s threatening her.
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Try this strategy. When he says he’s cold, walk to the thermostat and do nothing. Often that will satisfy him. Being hot or cold, hungry or thirsty is a sign of an underlying discomfort with his life situation. Try to identify what the underlying discomfort is. Also in late stage dementia temperature control does go haywire.
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I can't add anything to the answers you have already been given, but you have my sympathy. Don't let the way you view yourself come from a person that you know is crazy. Be more than satisfied with yourself for caring for a loved one in need, and overlooking his faults. Don't feel bad if you assert yourself. You can look him in the eye and suggest he get himself a blanket if he is so cold.
God Bless you.
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OUCH! You are in a hard situation. What can you do?
Can you change your father? NO
Can you change? YES
But you ask how? Any thoughts?
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Dave1272375: Do not tolerate acrimonious behavior.
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Dave1272375.
I was waiting for any response to my question about any ideas how a person can change in a difficult situation like you are in.
I assume most of us has heard about BOUNDARIES. I didn't understand it well at first, thinking it was putting a boundary on someone else but it is really about me setting up my own boundaries. What can you do when your Dad talks to you in a rude and disrespectful way?

Would this be a possible scenario? "Dad when you talk to be like that I feel hurt and disrespected. If you continue talking that way I'm leaving the room."
Or just simply say, "I don't like how you are talking to me." Then leave the room.

Please take care of yourself and teach your Dad how you want to be to treated. You are important part of his life but it does not need to be abusive.
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I’m sorry you have to go through that. It’s so unfair. I totally understand how you feel. Honestly, my self-esteem is as low as it’s ever been due to the fact of what my husband says to me. I constantly tell myself this isn’t my husband. This is an illness that’s talking to me. My husband would never treat me like that. I named the mean person. This illness basically without encouragement from others will destroy the loved who cares for them. Got to pray a lot.
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JeanLouise Sep 23, 2025
“Will destroy the loved who cares for them”. Please, don’t put yourself through that. You matter. Explore placement. You’ve done enough.
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Here is an excerpt from my book "Dementia Care Companion" which I hope it helps.

Suspicion and Delusion
A person with dementia may suspect or accuse others of theft, infidelity, or other impropriety. This can make for some awkward situations at family gatherings, where the patient may openly accuse someone in front of others. Unfounded suspicion, and more broadly delusion, can take many forms, including believing that someone is following or spying on them, that family members betray or steal from them, that the words and actions of public figures are directed at them personally, or that the events depicted in books, poems, newspapers, and movies are about them. While such beliefs have no basis in reality, the patient nevertheless believes them to be true. Delusional thinking usually occurs early in the course of dementia progression and may persist for a long time.

Help Others Respond Appropriately
·      Make sure everyone understands that the patient’s behavior is not malicious and that it is dementia that is at the root of it.
·      Give the accused party a heads-up so they are not taken by surprise in the event that the patient openly accuses them in the presence of others.
·      Do not take accusations at face value, and do not take offense, respond defensively, or try to fight the accusations.
·      Deal with the patient with understanding and compassion. Stay cordial. Be more of a listener than a speaker. Keep in mind that these beliefs are quite real to the patient.
·      If the patient has gifted an item and now believes the item has been stolen, ask the recipient not to wear the item in front of the patient, or better yet, return the item.

 Dealing With Delusion
·      Do not try to convince the patient that they are mistaken. Remember that their judgment is impaired and they are not able to follow your reasoning. Trying to convince them may even lead to aggression.
·      Try instead to find the reasons behind the suspicion and, if possible, eliminate them.
·      If the patient believes something has been stolen, help them find the missing item or replace it with a new one. If they have gifted an item, ask the recipient to return the item.
·      Be mindful of your demeanor. Speak in a calm and reassuring tone. Stay relaxed and help the patient calm down.
·      Do not endorse suspicions and do not try to refute them. Instead, try to distract the patient with something else.
·      Use relaxing and easy activities, like a walk outside, to divert the patient’s attention to something else.
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BurntCaregiver Sep 24, 2025
@Samad

Stop plugging your book. This is not a promotional website to boost your book sales. Tell your literary agent (if you have one) to arrange a book tour and signing if you need to boost sales.

Also, with all due respect to you the advice from your book is no different than any other fluff and crap every other "expert" on dysfunctional senior dementia behavior hasn't been pushing for the last 60 years. If it worked, there would be no need for support groups and forums like this would there?

Unless you know what it's like to be bullied, berated, belittled, lied about, accused of horrific crimes like you're the very devil, disrespected, and treated like you're less than garbage while at the same time having to live as a slave to someone's every need on a daily basis - you really should not be giving advice.

There are reasons why elder abuse happens and so many times both the elder and the caregiver are victims. That reason is because a person can't live in abuse without becoming abusive themselves. Sometimes they abuse themselves with alcohol, drugs, food, smoking, physically hurting themselves, or engaging in dangerous and risky behaviors.

I have lived with an abusive senior. I have been a caregiver to abusive elders with dementia and have seen what they can do to a family member when everyone is living in one house and even when they aren't living together.

You sound very much like Teepa Snow, Samad. Like Teepa Snow, your advice sounds good and works in theory but not in practice. It may be useful if the senior with dementia had a staff of round-the-clock caregivers. It will not work when there's one caregiver and maybe a homecare aide coming in. No one has unlimited patience.

It's obvious you have never actually been a caregiver living with an abusive, demented elder. Neither has Teepa Snow. If either of you have, you's be giving very different advice.

Also, I would not say this if I have not seen and heard it many times with my own ears. People with dementia controlling their abusive behavior around certain people and in certain situations. This is often referred to as 'Showtiming'. If a person still possesses this level of control, there should be some type of consequence for their abusive behavior. Like being ignored, or appropriately told off, or a bit of shaming.
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You do not let their behavior have any bearing on your self esteem or who you are. You start by realizing you are not dealing with a person who is capable of understanding what they are doing or saying. You put their behavior aside and ignore the bad stuff and just do the thankless job of making sure they are safe, fed, hydrated, and their hygiene and medical needs are met. You do not take their insults to heart or let them affect your self esteem in any way because you know you are dealing with a mentally challenged person. They are not who they were. But, if they were always like that OR if you just can’t deal with what they have become, you place them in institutional care and don’t feel one iota of guilt for doing so. It is not your fault they lived so long or that they developed dementia. It is not their fault either. It is life. Do what you can - not what you can’t and go on with YOUR life.
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MargaretMcKen Sep 20, 2025
There are different views on “they are not who they were”. One view is that they have turned into a different person who has no idea what they are doing or saying. Another is that they are the same nasty person they always were, but their ‘good behavior filters’ have gone. And the last view is that they know quite well what they are doing or saying, but believe that age has given them permission to behave badly, because they can get away with it. The challenge is to work out which is true at any point in time.
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