Dr. Spasoje M Neskovic, MD

First of all I'm sorry for you and for your whole family because patients who are paranoid and forgetful and confused are the most difficult patients. Especially your mom is also in denial and as I said being paranoid is the worst possible situation. I would say you need to apply here a multidisciplinary approach in 1st your mom should see a good neurologist who has experience with patients of this kind. 2nd patient should have a board-certified geriatrician like I am and I graduated at UCLA Los Angeles, and I still admit that those patients are very difficult to treat. Those patients should have frequent visits with their Dr. and of course, any organic problems should be rolled out like any range of your or any metabolic disease, but majority of those patients are actually physically healthy. We usually use for those patient's medications like Seroquel and Ativan org Xanax or Klonopin and we need to treat underlining conditions like hypothyroidism. But the most important is that the patient has a trustworthy family physician or geriatrician and we need to earn their trust and to be very careful never to deviate and to explain that every single detail. Family support is important and you should include all of your siblings and the grandchildren if you have. In my opinion, those patients actually like love and faith and hope and we should be loving and we should be helping them and offering our help. Sometimes frequent short phone calls are a good idea and there senior centers in every city and those patients should become more social because loneliness is a big problem with those patients. Sometimes a patient can appear like having early dementia, but actually that can be so-called pseudo-dementia and that means that they are depressed. In that case, the patient should for sure be treated with antidepressants. I hope this helps and God bless, Dr. Neskovic