My loved one, who is 63 and in a Memory Care Unit, has advanced dementia. It's Vascular mixed with AD. She is wheelchair bound and double incontinent and requires that everything be done for her, except she can feed herself and she can propel her feet to move around in her wheelchair. Her memory last only a few seconds. The only name she knows is mine. She is verbal and can answers questions, though mainly in a yes or no manner. She makes few comments otherwise. She can hug and say she loves you. She can't button anything, turn on a remote or open a gift, etc. Most things I have to tell her what they are. Such as she doesn't know what to do with a sock, unless you explain it goes on your foot.
For most of this past year she has been on Cymbalta for anxiety and pain. She has arthritis as well. It has been a huge help and she has very little if any anxiety when on the med. Her GP prescribed it. She is content most of the time. I have confirmed this with the staff.
Is there any reason for her to see a psychiatrist? Someone told me that you have to be under psychiatric care to stay on this medication. Is that true?
I just don't see the point of starting her with a new doctor. I know they require regular visits. She already has to see her medical doctor about every couple of months for Type II diabetes.
The psychiatrist is not in her town and she will have a two hour round trip for the visits. She can't recall what happened 1 minute ago, so I don't see how talk therapy would help her. I have researched the medications for dementia and do not feel compelled to try them at this stage.
Is there any benefit to her seeing a psychiatrist? Can't the GP monitor her for the Cymbalta meds? I would appreciate anyone's input.