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Won't see a dr. Gets defensive, and says no locks or alarms can keep them out. Troublel seeing now (even more) Trouble driving. Accuses church members too of stealing. She refuses to see a doctor. Gets VERY defensive if you try and reason with her. (79yo)

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This is *very* real to your mom. In her mind, it's happening and can't be stopped. My own grandmother suffered from severe dementia for years before being placed in a nursing home. She would tell us these elaborate stories about someone putting a ladder on the roof of the porch and getting in through the attic window (no ladder could reach that high and she had nailed all the windows in the house shut - no kidding), then they were coming down the attic stairs and through the attic door (locked and had a 100+ lb. steamer trunk pushed against it), then going downstairs and opening the (locked) freezer, taking out food, cooking it, washing the dishes they used and then leaving the house. The reason for the elaborate story? She had misplaced her favorite skillet and couldn't find it - so therefore, in her mind, someone must be breaking into the house, using the skillet and then putting it where she couldn't find it. She also thought she was a CIA / FBI agent, working for the president, etc.

As the others have mentioned, you need to get her to a doctor ASAP - do whatever it takes to get her there. Your mom needs the help of a doctor to be able to deal with this. It's only going to get worse.
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Is your mom under a Dr.'s care at all? For anything?

I've seen suggestions here where you tell your elderly parent that they have to see the Dr. for insurance purposes, that it's just a checkup. You might try that.

It's futile to try to reason with someone with dementia because they have lost the ability to reason. It might only agitate your mom more if you try to tell her that what she believes, that people are stealing from her, is not true. In her world, in her mind, it's very true. That's her reality. It's probably very scary for her.

Instead of trying to reason with her try comforting her. Let her know that you're not going to let anyone hurt her or steal her things, that you keep the house locked up tighter than a drum. Reach into your bag of therapeutic fibs and tell her that the police are doing extra patrols on your street and that you won't let anyone touch her things. Reassure her.

And if you can get her to a Dr. see if he will prescribe an anti-anxiety medication.
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As per your profile, you wrote your Mom has Alzheimer's/Dementia thus what she is doing is very normal, and there is very little you can do about it. When you get a chance read these articles written by Aging Care regarding Alzheimer's/Dementia to give you a better idea of what is going on. https://www.agingcare.com/Alzheimers-Dementia and scroll down to the articles.
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