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It never ceases to amaze me how shockingly ungrateful, even abusive, elderly parents can be even after they become dependent upon us for help. Talk about biting the hand that feeds you! I'm angry and offended on your behalf!

As others have said above, don't quit your job. Quit your mother if you need to, but not your job, not anything that is a source of enjoyment and sustenance for you. Needless to say, you mother does not have your best interests at heart. Maybe she's too disturbed to even think about anyone's interests but her own. Nonetheless, you have the right and obligation to take care of your own needs first and hers second, if at all. If you can continue to assist her without it being toxic for you, then by all means do so. But don't let her bully and manipulate you into acting against your own interests. It's your life, first and foremost. You don't owe this to her.
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Hi SueGeo 8 weeks ago today I was yelled out of my parents home by my Dad in front of my husband & mother. After helping them both 3/4/5/6 times a week, taking them to appts, shopping etc. They'd been having my help for a year or so. I've seen them 3 times now in 8 weeks - to take my kids/dog to visit them for an hour at the weekend. My Dad gives us all the silent treatment at these visits, yet when my husband now takes him to appts he's pleasantness personified! I'm the cause of the silent treatment - had it many times through my life. But now I couldn't careless. 8 weeks ago I was hurting but now after much soul searching/research & this great forum I've realised he is a narcissist. & I "think" my Mum is co-dependent?? Never goes against him & never sticks up for me & my brother, we grew up that way. In all those 8 weeks Mum has not called me once, I've called them a couple of times to say hello etc but it's been awkward, so I don't bother to call now. Like a lot of people here I'm just waiting for that phone call to say a "crisis" has happened. Being on this forum is also like having a little therapy session.
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I agree, wait till she ends up in the hospital again. Have her evaluated. There r some places that can keep them for 72hrs for observation. Write down how she lives. Maybe have your Office of Aging document this for you. Explain, that you are unable to care for her. If they feel she can't be alone, have them see if they can help u find a facility. If Mom has no money, the facility can help u with Medicaid. My Mom is in a NH and alot of my stress is gone. Just getting ready to allow them to wash Moms clothes. I have been doing it. Once Medicaid approved the facility has handled setting her up for hospitalization, dental, vision, ect. No more worrying about meds or buying personnal products. No doctor appts., they r onsite. She is fed and clean. There r meds the doctor can prescribe if Mom gets agitated. Then all u need to do is visit...when u want. I go everyother day. If Ur Mom gets abusive, walk out. Just say "Mom, I don't need to take this abuse" Don't allow her a phone. Tell the nurse ur only to be called if an emergency.
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SueGeo, please search on this website for "daughters of narcissists". Read any one of the threads you wish. You are not alone. Please feel free to join us on the Dysfunctional discussion thread. You are not alone. Your mother needs help, but it is not required that help be given by you and only you at levels that will destroy you in the end. My MIL is finally going to assisted living because her 24/7 care without allowing any home health assistance was killing her husband/my FIL. She wanted her daughters in law to volunteer to care for her in ways she never cared for her own parents or in-laws. Not as bad as yours, but fully convinced that her own needs trump my autistic son's, my husband's job, my husband's own health needs, me as 2 time breast cancer survivor, BIL with sarcoidisis or her husband with end stage COPD and stroke survivor. One of my fave examples is MIL insisting that FIL drive them home when he was obviously having some neurological event with unable to see WHILE DRIVING, not talk, running stop signs, because MIL didn't want to drive FIL's truck. Or call EMT's. She had him drive home, get in her car, and drove him to hospital she liked (not the stroke certified one farther away) rather than stop and call ambulance and pay the charge. And both hubs and his brother refused to see cognitive impairment to this day. Narcissists won't change - they don't see a reason to. And mental illness untreated will consume you. If you do want to help, you could report her to APS as a vulnerable adult; but it's possible that they will leave her to her own bad decisions as long as she is competent. Sorry you too are going through this.
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When she has these... episodes, I suppose, you'd call them? How long do they usually take to burn themselves out?
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Sue, reading about dysfunctional families like yours makes me very sad. I want to repeat what others have said: This is Not Your Fault. The guilt that you feel today is unearned.

Your mother is mentally ill, and probably has been all of her adult life. Your mother's treatment of you (and your sister) was/is abusive. I have a lot of sympathy for people with mental illness, but I also firmly believe that no adult should put up with abuse. Enabling abuse by accepting it is harmful to both the abuser and the abused.

Therapist Pauline Boss, a very insightful author, has this to say about the subject:

"If there was incest, abuse, or abandonment, you may want to give up on the relationship altogether.

Taking care of someone who years before was abusive or neglectful of you is beyond what is expected of you. Caring for a family member who was or is physically or psychologically abusive in dangerous. Feeling as if you want to retaliate is also dangerous. These are justifiable reasons for NOT being a caregiver."

Dr. Boss goes on to say that it might make you feel better if instead of totally abandoning the family member you arrange for his care by other people, such as in a care center. You have tried very hard to arrange care for your abusive parent, Sue. I think you've done all you can do.

Perhaps someday it will make sense for you to have limited involvement in your mother's life -- visiting her at a care center, for example. But for right now I think it best that you do as she claims she wants -- leave her alone.
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SueGeo, you are on the right path now. Stay away from your mother, as you have been ordered to do.

My mother is like yours, in some ways. Perhaps not as bad. But I spend as little time around her as possible. She demeans me. My mother is getting to the point where she can't live alone, but never gets around to even hiring a cleaning service. I am her taxi service (to church, medical appts. and ONE shopping trip/week). She squawked about my one-shopping-trip/week rule at first.

I know her feelings about me, and have to say that they have determined my feelings towards her. We don't have a good relationship, and I really wish (magical thinking) that she would live near one of my brothers instead of 2 miles from me.
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Dear Sue; Thanks for the background information on your mother's history.

You do realize that this is mental illness, don't you?

Arranging care for elders is NEVER easy (I have a sweetheart of a mom, and the last 5 years or so have been H*LL; there's always a crisis brewing somewhere).

But the situation with your mom is different. She has a lifetime of mental dysfunction. And perhaps some dementia atop that. Neither of these things is your fault or hers, but it does make the whole scenario more fraught.

You're right, there will be a crisis; mom will end up in the hospital and then possibly in an inpatient psych facility to get her stable on meds. And then to either a NH or AL, depending upon her level of need.
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Thank you both so much for your responses...needless to say I'm wallowing in guilt today because of yesterday's events. It's hard to just decide suddenly that I'm not going to call her...but we've been down this road before. She did this same thing several years back - screaming and yelling - and telling me never to come back (that's been about 35 years ago...now that I think about it)...she always forgets how rude and nasty she was to me over the years - (she moved to another state and I went down there and moved her back to within 3 miles of my home, so I could look after her) and now I'm supposed to be the devoted daughter and run over there and clean and care for her at least 8-10 hours a day -every day - handling her every need.

I think my mistake was six years ago she lived in another state - was taken to the hospital for congestive heart failure and they called me - the only child (my sister, as mentioned is schiziophrenic and lives in a group home - after many years of living with my mother (personally I think my sister was abused - as you could hear the screaming and dictates from outside their home)...you didn't get this food off the dishes!! You are an idiot! You're stupid! Why can't you do as you're told! (this is my mother's m.o. for years - running anyone who's trying to do anything down - abusive and insulting - always superior herself but wouldn't lift a finger to help clean anything - she would cook - but resentfully and reluctantly...but her home was always a mess (I remember from my childhood - when every dish was dirty - the table was filled with dirty dishes, food, the place was always a mess...and nothing has changed in 60 years - she's still a mess - doesn't wash dishes until there are no dishes to use...leaves food all over her apartment - banana peels that are black - eggshells - coffeecups half full of milky coffee - just a mess! And then she says she's so ashamed of the way the place looks - but fires everyone I've sent her way to help. She even had a lady from church last year coming in FOR FREE who cleaned and took her shopping - and my mother picked her apart - criticized her for everything that she did - finally got mad at her because she was 'rushing' her in the grocery store - and told her not to come back!

Sound familiar? So back to expecting me to do it all...and we've ended up the same way - she's very critical of me - You've gained weight! Why don't you wear your hair the same way you used to THEN (a photo of me 30 years ago with 'big hair' ) and more and more insulting - yelling at me to SHUT UP! In front of the lady from the drapery store - again in front of the cashier at Kroger - you don't call me when you go on vacation (my husband is retired and we go to Florida in the winter) spewing and ranting - she resents my life in general - the fact that I have a good marriage (she never did) the fact that I have a successful career, a beautiful clean home and have worked all my life for those things - and saved for them. She quit working at 39 because she just couldn't cut it...never saved any money and basically isolated herself from everyone - even accusing my stepfather of trying to kill her (not likely)...it's just been a lifetime of crazy...

At any rate, you're right...I can't fix a lifetime of this kind of behavior...tried to talk to her doctor...but no return phone calls...I guess I'll just wait until the next time they call me from the hospital or wherever she gets taken to - to tell them to get her into a facility where she can get some help - because as she told me 'she needn't have bothered having a daughter if I was going to be so useless' ... rarely does she ever say the simple words - 'thank you' ... for anything. And it doesn't matter who or what you've done - my son, who is also very busy with his own life (works 3 jobs) was helping out with her groceries - says the same - she never thanks him for his efforts...nothing. She's told me she DOES NOT WANT him to shop for her, because he makes mistakes...she can't understand why I will not do all of her shopping, etc. I tried to explain to her that he's trying to help me out..but she can't won't listen.

I guess it's a moot point now...we're not going back over there (she's told us both not to come back)...I for one am going to follow her direction - and just stay away...I can't take much more of her caustic comments, belittling and accusing...I, like so many others, need a few positive comments (which I get from work, friends, etc)...and less of this dysfunctional parent.
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SueGeo, if there were an easy answer to all this you'd already have found it. So when I give you my initial thoughts, I do understand that it's not likely to be this simple.

But. Taking those two examples, the shopping trip and the interior décor session. What would have happened if you'd said "sorry, mother, can't do it. Love you! Talk to you later!" and put the phone down? I.e., just not joined in.

I expect she would have been astonished. And possibly quite shouty, after a stunned silence. But would anything awful have happened, to her or you?

I'd suggest a pre-emptive approach. Given you have a marriage to tend and a job you like, your time must be very limited. Look at your typical weekly schedule and decide what parts of it you are comfortable allotting to your mother. Then get your retaliation in first (!) and tell her you're taking her shopping on (say) Thursday late afternoon, picking her up at her home first and blitzing the fridge while she writes her list. That kind of thing.

The idea is that if you set the pace, a) you can see that the important things get done and b) it'll be harder for her to make random demands of you.

And if, on sober reflection, you can see that work, husband and mother into your time just don't go... well then it becomes about choices and boundaries. That's a bit more advanced.
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Sue, this is a common dilema for caregivers of elderly parents. No disrespect, but your mom sounds like a piece of work. Do we have some dementia going on here?

Don't even consider quitting you job or her living with you or vice versa. It would be a disaster and I think you know that.

My folks are very similar, late 80's, dementia, tons of health issues but refuse any outside help. My mom can still reason pretty well but absolutely refuses to let anyone in her house much less the kitchen.

I can't force them to do anything but eventually a crisis will force the issue for them. It's tough to accept this but it's the reality for many kids of stubborn elders.

Don't take the abuse. Take a step back, detach a little. None of this is your fault and at your age and still working it's totally wrong for parents to expect kids to sacrifice their lives to full time caregiving. Especially when they treat you like crap.
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Let me explain something. Unless mom has signed a HIPAA release, the doctor can't talk to you.

You, however, can share your observations. Write him a bulleted list of mom's decline. Mail it, return receipt, so you know he's gotten it.

Stay away from mom for now. She's not dealing well with getting older, is she? Accepting help seems to be harder for some folks than others.

There will be a crisis, and you'll be in the position of arranging facility care with the discharge planners at the hospital.
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DON'T QUIT YOUR JOB. This will only get worse and you would not be able to care for her 24/7 in her home or yours. If she is not willing to have other caregivers, you may be in the position of waiting for an accident and placement. My MIL is now living in a facility due to her Parkinson's advancing and not wanting home health care to come in and help her and FIL. Sad that after 50 years of marriage they are living apart, but a result of THEIR own choices. Yes, I'm typing loudly.
You have a job. You have a husband. You have a life. You can't fix the fact that your mother is older, infirm, and needs help. Did your mother take care of her own parent 24/7? Can she afford help but she only wants YOU? When our parents begin functioning like 3 year olds, we need to establish boundaries and manage them like 3 year olds.
Order groceries online that can be delivered. Order meds that can be delivered in blister packs of dosages (3 pills at 8, 4 at noon, 2 at 6-facilities do it all the time with assisted living). Tell her that Meals on Wheels will deliver in many areas at a small charge so she has less stuffed in fridge. If she cancels caregivers and home improvements but demands that you provide the services, that's both narcissism and probably cognitive decline. If she's always been this way, it's not going to get better.
Meds can help for depression and anxiety. Being accused of being mentally ill for not doing what someone else wants? Not a sign of a healthy mental person either. There are many posts on the site here about dysfunctional parents/families that will eat up caregivers and then keep going on. If mom doesn't want outside help now, she will get it at the hospital, rehab, skilled nursing facility, or nursing home that HER CHOICES put her in. You can't fix her without destroying your own life. Please be mindful.
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SueGeo, ah I've been in your shoes. I remember when my Dad asked me to retire from my career to which I asked him if he had quit work to take care of his own parents or my Mom's parents.... he never asked me again. My Mom was also from the old school, that I should be a housewife and not have a career. I had worked too hard to get where I am career wise, I refuse to give it up.

So what to do with your Mom. Make a list of all of the things you do for her, write down everything. Now cross off half the items on the list, now cross off a couple more. And stick to that list. Next time Mom calls for you to help her with something, and it's not on the list, say "I am sorry, I cannot possibly do that". Yes, Mom will grumble, snarl, and throw a tantrum, but she would have anyway.

When our elders need a high level of care [hiring caregivers or moving to senior living] we need to stop enabling them to remain in their homes, if they can afford to move [some can't]. Why should they move, they have us at their beckon call.

I know this is now easy, many of us grown children had to wait for an emergency or two or three before our elderly parents realize they more help then we can give. That is what I had to do with my parents.... [sigh].
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