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He has reached out to her PCP about his concerns, but was brushed off. Since my mom is in seemingly good health otherwise and is pleasant to the doctor and staff, it’s like they don’t believe my dad. He is miserable. He/we need guidance on what to do.

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Ama, you say she got sick and this started. What was the illness?

You should record her. Then play it for the doctor in front of her but, the doctor can't or won't care about an ugly marriage dynamic, unless it is caused by a medical condition and that might be your real issue.

I ask because your dad and you could tell her that he is happy to get a divorce if he makes her as miserable as she acts. People treat us how we allow them to. Maybe she needs a jolt of the consequences she is facing if she doesn't stop being awful to him.
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From your profile:

I am caring for my mother Mary, who is 73 years old, living at home with alzheimer's / dementia.

In your profile you say your mother suffers from Alz/dementia, then go on to say she does NOT suffer from dementia in your comments.

The behavior your mom exhibits towards your father is a matter between them and not something her PCP can or would handle. If dementia was truly an issue, then it would be a valid issue to discuss with her doctor.

Displaying ugly, passive-aggressive behavior towards your father is something HE is going to have to put the kabosh on. Nobody else can fix their marital issues unless they seek the help of a marriage counselor. If your father is miserable, its up to HIM to look for ways to fix the issues via counseling or divorce.

My father put up with abusive treatment from my mother for the entirety of their 68 year marriage. If he was so miserable, HE should have ended that marriage! Instead, he allowed my mother to wreak havoc on the entire household. I used to feel sorry for him, till I realized he condoned the whole dysfunctional relationship.

Best of luck
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Your Mom is only 73. She has a good two decades easy with which to continue to be the difficult personality she is. It seems that your Dad is now reaching out to you about his own marriage, which is one I assume he has chosen to stay in for many years. Likely he spent that time feeling like he had a choice, whereas he now feels more trapped.
In all truth the only options I can see are the same as they have always been, leave Mom and divorce this woman who has "always had a difficult personality" or stay. Mom is not going to change whether her doctor speaks to her, you speak to her or your Dad speaks to her.
Another option would be to go into an ALF. I found the men in my brother's enjoyed their time and one another's company.
I wish you luck, but Dad's options are pretty much what they have always been and Mom is pretty much who she always was.
Glad to have you on Forum; hope you'll update us with any solutions you might find.
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boehmec Jun 2022
This. Dad doesn't have to stay in an abusive relationship. It may be painful, but does he want *20* more years of this?
Will she go to counciling?
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I'd have no problem recording her during one of her rants. My FIL did this with my abusive MIL--and she was so mad....b/c she couldn't keep blaming him for everything and telling us what a jerk he was, etc. (We weren't stupid, and heard and saw her abuse him constantly)....

As far as the dr being involved--if your mom does not want to address this, then there is really nothing you can do. Maybe dad just needs to walk out on this.

My inlaws had the most horrid, toxic marriage I've ever personally witnessed and it was a BLESSING to see them split up after 42! years of hatred and anger.

It sure made it hard for my DH to know how to be a loving, kind husband. Everything he saw about marriage was hell. He said he married me out of 'hope' that I would not be like his mom. And I'm not, but he still has walls up around him, to protect his ego and his heart. Isn't that sad?

I NEVER saw of heard my MIL speak to my FIL with anything other than an undercurrent of vitriol. Now she's all alone and just as mean as a snake. And wonders why nobody ever comes to see her.
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He can record your mom's raging and/or video because when they can switch personalities like a light switch, it's called, "Showtime." I kept experiencing this with my husband when contractors were on-site: he would be raging (with bulging eyes in excitement) and then the doorbell would ring and he would turn into Mr. Rogers. Just a tad creepy, but not unusual as I've learned here. Your dad deserves better treatment and if he's at the end-of-his-rope, he needs to let the social worker know that he is no longer able to withstand abuse (Adult Protective Services needs to protect him, too) and she needs to be placed in assisted living.

Sedation is suggested here, too: if she's willing to take the meds, that might be a good place to start for your relationship.
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AmaZurk, several posters have suggested divorce for your parents. There are other less major ways for him and you to push back against this behavior. Shout back. Walk out of the room. Get a TV in another room, and have a cup-hook lock on the inside so that Father can have a separate living room. Stop any treats for mother. I'm guessing that you don’t live with them, so invite father separately from her. Take him out separately. Don’t take mother out, shopping or for anything else. Yes, record her, and play it back to her as many times as you wish. Make it clear that it's because of her behavior, Threaten her living separately, going to a facility – show her some brochures. And threaten divorce – not just Father moves out and files for it, use the threat first.
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MargaretMcKen Jun 2022
I thought it was worth posting again, in case you found the first post a bit difficult to cope with.
The first thing to check is of course whether any health reason is causing your mother’s behavior. Assuming that she gets a clear bill of health from the doctor who can’t see her bad behavior, you need to move on to why? One answer might be that when she was ill last year, she was waited on hand and foot for a while, and is angry if it isn’t continuing. This does happen. Or the illness made her think about her own end of life, she feels angry because your father’s health is better than hers, and she is not controlling her behavior. Or just that she enjoys projecting her anger onto him (and you?), and she has no reason to stop.

If it’s just behavior, the doctor can do very little. A doctor is not going to drug your mother to sedate her, and tone down the behavior that way, particularly if she is as nice as pie to the doctor. The only way to change the behavior is stop mother getting no push-back, and stop it being something she can enjoy. I’m sure that you and your father would prefer not to yell or do any of the other nasty things I suggested, but this explanation may help you to see why it may be the best way to change things. And changing things for the better would be the best outcome for everyone.

We have many posts where someone looks for a magic solution from a doctor or a lawyer, but where they really need to act themselves. I hope that this post makes a bit more sense than the last.
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People need to stop responding to this post until you clear this up.

Your profile says they live with you, and that your mother has Alzheimer's /dementia. Then, in your comments you say she has NOT been diagnosed with Alzheimer's /dementia. I can't help but wonder the legitimacy of this post. It certainly should be easy to take a video as proof.
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First consider: There are mood altering drugs in pill form that work very well. (My wife had Dementia and drew blood from digging her fingernails into caregiver’s arms).
My wife was at home, in Hospice care for two years. That service was free; intended for those that are dying, perhaps in 6mo but renews over and over. Point is the meds are free, Dr prescribed, nurse visits, administers and leaves the instructions with you to use a coffee grinder to powderize them for mixing with drink or food so she doesn’t object. It’s an anti-anxiety, calming drug that you will be very grateful for. She will be non combative, and you can tell her reassuring things if you deem it helpful: here’s a new medicine to help you feel better. We love you so much, and so, we want you to try this. In a few days I’m going to ask you if it’s helping you, because that’s why we’re giving it to you.
Consider her mental state overall.
Her doctor needs to be consulted and told about her condition. He or she will sign authorization, or not.
Hospice care at home is definitely the number one choice for her ongoing care when she qualifies.
Talk to her Dr about signing a Durable Power of Attorney form, for Medical treatment/ decisions about her care going forward.
Best wishes.
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Be sure that their paperwork is in order before they make any life decisions. They need to set up powers of attorney for medical and financial matters, a living will with their advance medical directives, and each one of them has to have a will, if they have assets. Many financial institutions have their own POA forms, and someone needs to be on file with Social Security and Medicare to be able to speak on their behalf. They may need an attorney to help with this. Usually couples make each other POA, and you might be the second in line for each of them. Your mother's PCP should be the first line of inquiry. The PCP shouldn't have brushed off your father. Is your mother taking any medications that would affect her personality, or would her illness cause this? Do they both have a good geriatric doctor who understands aging? Is your father thinking of separating from your mother? Would he want to live alone or in a senior residence, and are there adequate funds for them to live separately, or would they need assistance? You may want to get connected with a local social worker to find out what programs are available. Maybe if your father left the house for several hours a day and went to a senior center or did something out of the house it would give them both space to like each other for a couple of hours a day when he returns.
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I would take your mom to see a neurologist - that is the best kid of doctor to help determine what your mom's problems are and what can be done about them. I would also see an eldercare attorney to create POAS for both finances and health care presuming they don't already exist. Presuming they would hopefully name each other and possibly you than the doctors can talk about what is going on. Do you have any other siblings? If so you should all sit down together and share any issues and develop a plan of action. PCPs frequently can be "fooled" by the patient who can hold it together for short periods of time and fool most everyone. Exploring a placement for your mother may be another option and can be discussed with both parents. Another possible good source could be your local Dept. of Aging.
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