She refuses to take meds -Lexapro-prescribed by a psychiatrist, refuses to increase the Xanax she has been on for over 20 yrs.Takes only 1/4 tablet 2 times a day, refuses to take generic Xanax. Has increasing panic episodes, claims she is dying. Digs fingernails into hands to prove to herself she is alive. Gone so far as to run downstairs from her upstairs apt. running down sidewalk screaming she is dying! Takes no meds for any health problem .Prior to that she would get in car in middle of night & drive to daughters house insist on staying all night & most of the day. We have tried to get her on Medicaid to allow us to have her go live in an assisted living facility in north Texas. Been turned down once, but intend to keep on trying. She is OCD-has had 2 previous breakdowns in 60's & 70's. Always been "nervous" has had many phobias, under Dr. care back in 1990's but quit treatment, refused to take med-ordered by DR.s-she went from one Dr. after another and when more med or a different was suggested she just refused to go back or to take the med. Why she finally decided to take Xanax is a mystery, but this small dose has done nothing in all these years & would not expect it to. Her condition has gotten worse every year and now it is out of hand. She demands that she only feels safe with one daughter-who has to work--she calls & talks 2 to 3 hrs at a time other kids, or sister. We are out of options.-driving all of us crazy.She has eliminated all people who might want to socialize with her--even gone so far as to change her phone number. Then bemoans the fact she has no friends. She even says she doesn't want to hear her sister talk about the stress she is under in caring for her elderly husband.Has no empathy or sympathy for anyone but herself, has been married 4 times, divorced & widowed. Has no money lives on social security, lives in a rent subsidized apartment. We children help out &,have provided her with car & paid car insurance since she retired in 1980's. never thought to save for retirement.I've been paying her life insurance for over 25 yrs.she kept borrowing from plan finally it changed where she couldn't do that. She has lost nearly all her teeth, refuses dental surgery to cut out roots left. Refuses to get dentures.Only able to eat liquid or soft food.Has lost weight.Has no relationship with grandchildren or great grandchildren. Has refused opportunity to live anywhere but where she lives now. I think she needs to be in a mental facility to get her right med & counseling so she will take med. Stays up all night-then sleeps little during day, afraid to go to sleep/die alone. Out of options? next step?