My mother has always had a difficult personality, and has been in ALF for 1.5 yrs. Either I am with her, or a companion almost all day and evening. She has become aggressive, hitting and kicking at CNA's when they try to care for her. She is refusing to get in her wheelchair for meals, and refusing to allow them to put her nightgown on at night. She gives me difficulty too...but I know her well enough that I can work around her. However, I have to work fulltime, and cannot be there all the time. We've increased her Lexapro a bit to see if it would help, but so far no. She does have moderate dementia, and so far talking to her hasn't been helpful. She mainly is angry that her life is out of her control, and feels that she is being pushed around. Has anyone else dealt with this issue? What was helpful to you? Would be grateful for any guidance.