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For the last several weeks, my husband starts crying for no obvious reason. He can't seem to stop. He's on anti-depressants and his MD won't increase the dosage. I ask him if I've said or done something, and he shakes his head no. These jags can last up to a half-hour, and are happening more and more frequently, sometimes 3 or 4 times a week.
He does seem to go into a funk when I have to give him a gentle nudge about something harmful, i.e. "please don't give the dog chocolate," but he does anyway, and I have to clean up the carpet (!!), then he says, "I can't do anything right. I wish I were dead." (most recent example.)

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Seek a geriatric psychiatrist
they can work with balancing meds to help
with this.

Dad got a low dose of abilify added to his
zoloft --- (abilify does have black box warnings)
What a miraculous change
The neurologist wanted to removed the abilify
for years. The one time we removed it, we started
it back up in 2 months. He never suggested removing
it again. He saw the difference in quality of life.

When anger started a few years later a low dose
of depakote (anti seizure) balanced things out.

Aunt Kay with Alzheimers after a few years had
zyprexa an antipsychotic added to her medications.
Again what an improvement in quality of life.
She became happier, pleasanter, more contented.

All medications come with warnings, a good doctor will
work with you to find medications with least side
effects that can help with a good quality of life.

The level of distress he is experiencing is not acceptable,
if there is a medication or treatment that may help him.

Also what comforts him?
A weighted blanket? A scent or fragrance?
Music? A favorite hobby, food, activity?
Any thing to distract and refocus him may help
in the meantime.
We used kids coloring books too
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I was going to say the crying could be from damage caused by a stroke. My uncle had 2 strokes that he didn't know he'd had, but I had really noticed that he would become very down and cry when telling stories about the 'old days'. My mom did the same after she had 2 mild strokes. I'm not sure what kind of damage it causes, but it affected both of them to where they were much more sensitive about things and the crying would happen over things that used to never bother them before.
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MAYDAY Jun 2020
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Maybe it is time for a change in medication or increase in dosage. Sounds like his medication is not helping him. I would call his Primary and ask for a referral to a specialist in behavioral health. Med adjustments are necessary with symptoms such as his. He is suffering mentally and he needs help now.
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sounds like its hard on you..sorry . everything passes. Please check the side effects of the medications he is on. Depression & anxiety are the side effects of most anti depressant & anxiolytics (anti anxiety medicines) And effect the quality of sleep. Without sleep we are all more emotional & unstable. To give him More of the medication would be folly. You might look into natural medicine instead. www.drweil.com has many articles on foods & herbs that support the immune and nervous system. And Dr Bach Rescue Remedy..available in many forms at all big pharmacies & most supermarkets is very helpful for emotional upsets. It is not a medication, & is all natural. Finally, you might consider 'building him up' before you correct him. I am learning that most..correction..All men have very fragile ego's. Instead of "i told you not to...now i have to..." instead "i really appreciate that you care about our dog...you are very thoughtful..."I got some healthy dog treats for him right here..would you like to give them to him?" Change isn't easy . However, every choice has a price and a benefit. Change how You think & act, & your family will follow you. Mother sets the tone for a home. "Happy wife. Happy life"
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Dementias are mood disorders, he may be suffering from a dementia. My mother does but due to her age, 90, docs do not advise medication as it could make her symptoms worse. Also, meds would affect her heart health badly and may lead to balance issues/falls. So we insist on time outdoors in sunshine getting fresh air and proper vitamin balance. We listen to her favorite tunes on Alexa and keep conversation positive and loving.
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sunshinelife Jun 2020
Really great choices. Medications are by definiton poisons. Bless you for being a loving daughter & friend to your Mother. The Angels see the good you do :)
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Husband's medication is not the right one if he is still crying. He should have started to feel better in two to three weeks if it was going to help. He would notice a change. He could have had silent strokes, TIAs. I am sorry. Time to find a team of doctors who are experts in the elderly.

It would be good if you could get to a Neurologist at a teaching hospital for a complete overview of husband's health. Look for one attached to a University Medical School. The doctors are cutting edge, on top of new developments like Ketamine and magnetic stimulation of the brain for depression. He might have brain imaging done, to check for a Stroke or brain tumor. Medicare pays for most of these medical services.

If you live a distance, can you plan a week's visit a city with a teaching hospital? People often go to Phoenix, Ariz. or Jacksonville, Florida to see specialty doctors at Mayo Clinic. There are good teaching hospitals in Seattle, and in California--UCal. San Francisco, Stanford Univ. Hospital and many more. Do you feel able to undertake a a web search?
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I'm so sorry for what's happening with your husband! Please know that you are doing a GREAT job and I can tell that you really love him! Did you tell the MD about this? If so, I am blown away! Please hang in there! God bless you!
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Imho, those who suffer from depression are going to experience "crying jags" ad they are sad. ANYONE who utters the words " I wish I were dead" MUST be taken seriously! I am not saying that your husband is one of these individuals. Ergo, what if he meant it?
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Was he prone to this at all when younger? I'm visualizing John Boehner in his 80s, though his tears were generally sentimental.
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My mother's doctor told us that "inappropriate laughing and crying" are common symptoms of dementia. He said they don't know why they're doing it and can't help it. Fortunately, my mom just laughs all the time. It can get a bit creepy since she lives with us and laughs even when bad things happen (like when my dad became extremely ill and had to go to ER), but I still prefer that to crying. Prayers for you to get through it. I believe it will eventually pass.
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ask doctor about pseudo-bulbar which causes crying and/or laughing jags. i don't know how they test for it, but maybe that can be looked in to.
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Shell38314 Jun 2020
I was thinking the same thing. Good advice!!
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My Mom may have pseudo-bulbar due to neurological damage from the strokes which causes so much crying. It started like your husbands and then went to all the time. We are trying a drug called Neudexta which is specifically for this problem. It is helping somewhat and I hope that being on it for a longer time will work even better. Please discuss this with your Doctor as he might not even know about it. My gp was shocked to know about this drug after I told him about it. He put her on it right away after he read about it. I hope you look into it. It is so terriby sad when the crying starts happening all the time and all I can do is cry along with her because I feel so helpless. I do have hope for this med.
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I don't know about normal but when my mother was in the nursing facility, she went through a horrible crying spell. Mom was diagnosed with advanced vasc. dementia/alzheimers. Her crying was constant with little reprieve inbetween. There seemed no external cause, she just sobbed.
I asked her doctor if it could be the meds which they said no. So I scheduled her with the psychiatrist to no identifiable cause although they had seen cases like hers before. All doc would say is that her condition often signaled a nearness to the end. I don't think it was ever resolved because in the next few months she passed.
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cak2135 Jun 2020
They won't put people down in this cotton picking country but our furry friends do when they get sick big time.
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somtimer...Just noticed you are in Alaska. Could it also be possible that this might have been caused by extended light deprived conditions. I realize you're now having more light than several months ago but if this started when you had less daylight that might be a reason. If so it should be getting better, unless the length of daylight messes with his circadian rhythm as much as the lack of it.
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sunshinelife Jun 2020
Great answer. Its called SAD seasonal affective disorder. A little sunlight, and all is well again. Also raw egg yolks in a little cherry juice help with the vitamin d
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Please define jag, I do not know this term
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Grandma1954 Jun 2020
A "jag" can be a crying jag, laughing jag, coughing jag...it means any uncontrolled crying, laughing, coughing that lasts a while.
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Sounds like the beginnings of dementia. How old is he now? Do you both go for walks 2 or 3 times a week? Antidepressants do not work, they sometimes exacerbate the problems which usually stem from not enough exercise and a poor diet. Get rid of the chocolate. Walk that dog. Eat brown rice made with an extra cup of water to make it nice and digestible and mushy -- put it in chicken soup or vegetable soup-- get the good soup from the supermarket healthfood section. YES, you need to face the problem not concern yourself with carpet cleaning... HOW long has the doc had him on the pills ? Go get a second opinion. Perhaps from a wholistic doctor. Doctors are so ambivalent about covering over a problem with pills... help your husband or see him end up in an assisted living facility full of CNAs who are up to their ears in patients who are in the same helpless shape your husband is headed for. Good luck, God bless--- OH-- that's another thing-- take him to church where the praise and worship music will lift his SOUL way up and many other people will give him a testimony or two about getting free from anxiety the scriptural way-- Philippians 4: 4-8--- check out the PEACE that no one can explain-- it just is when you are thankful in spite of everything that is going on and also when you remember your blessings-- like food on the table, a roof over your head, a car to get you places, a church family to enjoy, and of course children and grandchildren. All this is the best therapy. As powerful a sunlight -- that's another thing-- he may need vitamin D... and vitamin B for the nerves-- a lot of meds these days even destroy or hamper vitamin absorption. Fresh fruit in yogurt is sooo good for you. Blueberries and strawberries in strawberry yogurt ! if he needs it sweeter, add wild flower honey ! Good luck, God Bless.
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sunshinelife Jun 2020
so right. medications are poisons...the body heals itself. I slowly replaced my grandfathers medicines with natural foods herbs teas & raw juices. got rid of the overcooked meals on wheels, & got him eating brown rice, chicken breasts and salads (oh yes he complains...bitterly :)) ) However he sounds better, looks better, and is even riding his bike again...he's 85 in a few months. The Creator gave us everything we need in Nature to we healthy happy & productive.
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My mom had crying jags, actually hysterics at times, on an off for the last several months of her life. Dementia had affected the emotional part of the brain and she had no control over the tears. When I asked her why she was crying, she said she didn't know. Her words, "Water just comes out." Distraction would usually help. As things progressed meds did alleviate some of that. I felt so helpless and sad to see her in such a state, but this was part of her journey and part of mine to observe.
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Please try CBD pil.
1000 mg under the tongue.
Can not tell you the difference it makes after 20 minutes.
Can not overdose, mb o side effects
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purplebadger Jun 2020
I agree that this might be a good idea, but 1,000 mg is a huge amount!
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Definitely depression and his medication is not suiting him. He needs a review.
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Talk with your husbands doctor.  Time for a med change.
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MargaretMcKen...Other sources that might be easier to get than the banana..
Leafy Greens, Beans, Nuts, Fish, Potato with skin on are all good sources of Magnesium
I would check with the doctor first there are conditions where you should be more cautious about adding magnesium supplements. Heart conditions, Kidney problems, Bowel Obstruction and others.
There are conditions that deplete magnesium. Chron's, Celiac, type 2 Diabetes and chronic diarrhea.
Best to talk to your doctor before adding any supplements if you have preexisting conditions.
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I had previously seen TV ads describing pseudobulbar affect. I am NOT a doctor, so I'm just suggesting that maybe you should check out this possibility.
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Sis has LBD. Moved her 3 times in last year to appropriate and best community we could find-last one was simply awful in spite of a "good" reputation. Sis had been hospitalized for total med evaluation just prior to her previous facility-the awful one. Hospital stay removed some meds and added others. Sis had become very agitated at first community-I felt we were not going to arrive at a lasting solution if I just kept taking her to ER every time she had a meltdown-was not an option.

At the awful place, a few months in she began to cry.I called it whimpering-she would cry for a few mins when I arrived, but i could easily distract with a walk, helping her put on a clean outfit, giving her a snack I brought with me etc. A couple months after whimpering started, i get calls from staff telling me sis is crying all the time-they want to increase meds. We tried increase, then change to new med, but amount of crying did not really change according to the staff. Thankfully we finally get to the current/good place 3 months ago-BIG changes for sis. Not surprised crying really did increase plus I can not see her in person, hugs, etc. is not helping sis adjust. Sometimes Sis would cry a little when we would have our "window" visit-I am outside with a phone-sis is inside with a phone-at least we can see each other. She still does not understand why we can't be together at all.

About a month ago, I can hear sis crying loudly in the background when i call to see how she is doing. They change her meds again-take away one she had been on and added 3 more psychotropic drugs-took a while but things were much better for about 2 weeks. Now she is crying loudly all over again. They have added another drug, but now she has a rash all over she is scratching and making the bumps bleed-saw the bumps this past weekend with the "window" visit. I ask the aid-she tells me the bumps flare up when Sis is agitated...not sure i believe that, other nurse said the creme etc. they were putting on sis for the rash had gotten rid of the rash mostly.....not really believing that either. One of the new meds can have rash as side effect. I mention maybe new drug is causing rash, to the nurse manager as maybe this is the reason-nurse manager says no that sis had the rash when she came there......i don't know what is going on for sure-i had not been able to see sis in person just before the move due to corona-but the last place was not treating for rash at the time.

now testing for UTI. I run all the changes recommended by sis Neurologist-i am uncomfortable making med decisions by myself-don't want sis to be over medicated or to have conflicts with other needed drugs she is taking for Parkinsons, BP , depression etc. Sis has said things trying to express her sadness frustration with her not "being herself" is understandable as she is not the woman she was a few years ago. She can not begin to understand the disease and what is happening-no one has control of the disease or can stop it. Sis does not understand a pandemic going on either. I cry too knowing the disease is progressing and nothing i can do to change that.
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InFamilyService Jun 2020
From what I understand from a friend whose mom has dementia the scratching and rashes, picking at skin is another cycle of her dementia. This lady would do it until all areas were bleeding. It also could be a reaction to a new med. Ask to talk with your mom's case manager.
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Please get a referral to a neurologist or psychiatrist that specializes in geriatrics. Your husband is either having difficulties with coping or an area of the brain is impacted - maybe dementia-related or something else.

In the meantime, he needs a lot of encouragement and supervision. Consider walking through the home and moving dangerous substances (like the chocolate) out of your husband's way.
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I would be very concerned. May be depression or something else. Keep updating his doctor. Is a medication change in order? How long has he been on his present meds. So sorry I know this is very frightening. Ask about him seeing a therapist. Some people with dementia can take melatonin also.
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Does your husband have dementia? If so, remember that people with dementia can do strange things; they can't help it. Their minds are becoming 'unwired.' Some people don't realize that they have dementia. When my mother moved into her memory care facility they told us to take away all sharp objects (knives, scissors, etc.) and gave me other tips on how to make the space safe for her. I am not a believer that lists and notes will work for people. At my mother's facility when she wasn't disposing of her Depends properly they put a note in the bathroom by the toilet, but she didn't read the note or maybe didn't understand what she was reading.
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Would it also help to write up a "do and don't" list that would help him to remember such things (in addition to having dog treats near by rather than chocolate)?
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I would hide the chocolate, it could make your dog very sick, i think crying jags are normal, my mother would do the same thing. It was hard to witness that. It passes. I never knew why she would cry, I don't even know if she knew. I would put my arm around her and tell her it was ok. Eventually she would stop.
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These are often due to strokes; check with your doc.
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jacobsonbob Jun 2020
I had an uncle who would cry, at least in situations in which he wouldn't have done this before his stroke that left one side mostly paralyzed.
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The Neurologist told me that the area of the brain that experience emotion are not the same area that interpret emotion. My mom was telling me I'm so scared, or she was upset, but couldn't tell me why. She has mixed dementia both vascular and Alzheimer's, so I guess the brain issues were more in the processing area. She is on Zoloft, but just a moderate dose. It seemed to help a little. But she was always a worrier.
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