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Dada, your profile says she is in AL. Is the facility telling you this information? I'm asking because if u r with her i would tell you to just comfort her that you are there and she is not crazy, in calm quiet gentle way. My 98-yr old aunt does this and cries out "Dear God help me!!" many times a day and cries, so I understand how distressing this is. If you're not there with her you may need to talk to the admin about possible solutions, one that may be medication. Others will post comments soon. Let us know how it goes with whatever actions you pursue.
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My grandmother (with vascular dementia) also got very agitated in the evening. She was prescribed some medication that helped with her anxiety. Maybe a consultation with a geriatric psychiatrist would be helpful?
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There isn't much you can do about it, I guess. If she's not on anti-anxiety meds, maybe that could help.

I guess you don't really have to be much as a response. Have a vague response if you feel the need to engage. "You're fine, mom". You're probably not really able to reassure some with advanced Alzheimer's. Try not to let it bother you too much since you really can't change much at this point.
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Thank you all. She does take anti-depression meds but indeed, it could be a good idea to re-check with her doctor if the meds are adequate. We have a family relative that stays at home with her that is been kept awake by her talkings. Lately she has been hospitalized for another medical conditions and I have stayed with her during the nights- she keeps repeating the same sentence to herself in our mother langage (German) and it is very difficult to witness her ‘’judging’’ herself so harshly, saying she is stupid or crazy. I’m telling her calmly that she is old and that old people tend to forget things, which is ok- and of course it does not change anything.. I’m worried that this repetition makes her even more sick.. thank you all for your responses 🙏🏻🙏🏻
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