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She is very angry about changes in health care because of ACA. She's depressed, cries a lot, is losing her vision, control of bladder, is very fearful (thinks someone is going to come to her home and shoot her),etc. She will not see a counselor. She makes life very hard for my step-dad and half-brother who live with her in their own home - they often leave her alone because she is so cantankerous. I am concerned about her mental health and safety.

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Talk to the MD about medications to control outbursts. Some patients do better with Ativan before an MD visit. He can also refer her to a Neurologist for diagnosis. She may have Alzheimer's and she poses a risk to the public.
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