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My MIL has been living with us now for nearly 4 years. She has a history of pretending to be sick to get attention and has gone as far as telling doctors that she has symptoms of various illnesses, heart, stomach, etc. only to have tests run and everything is fine. She has had legit issues with her heart and stomach but they were taken care of with no further issues. Ex. Pacemaker and surgery for a bleed out in her colon. She has made excuses for herself for not being able to do simple everyday self help areas. When she came to live with us she expected me to bathe her and she could actually do this herself.
Recently, she has gone as far as talking to people who are not there and having conversations with them. My husband had asked the doctor for an MIR of her brain. Results came back fine, no significant findings indicating Alzheimer’s or severe dementia, she can be very manipulative to get her own way. Her behavior is toxic and has brought a lot of frustration in caring for her, my husband has lost it several times with her but she is not moved by his words. Her actions speak loudly to me that “I don’t care”
we definitely have burnout, she has been like this for years even before coming to live with us. My poor father in law was exhausted when he died trying to take care of her, he was sick and she still felt she was sicker than him. He would often tell her, you are no sicker than me…. She just sat
After observing her for these past 4 years up and close, her behavior is not normal. I always thought there was a screw loose somewhere. Who pretends to be sick for attention and lies all the time? I told my husband she’s the great pretender!
I’ve often told my husband she’s been seeing the wrong doctors all these years, she needs a psychiatrist or psychologist and the longer she’s here I’m going to need one of these myself.
My 91 year old momma who lives with my sister has been diagnosed with Alzheimer’s and doesn’t act like this.
Im at my ropes end, any suggestions?I know many of you might say skilled nursing home but she does not have the money for that nor does she qualify for Medicaid.

Where is your husband in all this? It’s his mother. Have you told him you’re at the end of your rope here? You need him to figure something out. He can consult a geriatric care consultant or geriatric lawyer on what the options are. I am confident there are options. Plenty of old people have no adult children.

My FIL had all kinds of health problems. No house. He fell, went into rehab, short story was there was some money, but not a lot. The rehab also had a SNF, he stayed on there as private pay until the money ran out (around two years), then they helped to convert him to Medicaid.

My advice is — stop focusing on her various aggravating behaviors, and focus on getting her out of your home. You are not going to stamp out the aggravating behaviors. Maybe you could reduce one or two of them. But my bet is it would just take another form.

Good luck!
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Reply to Suzy23
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I have no comment on the “faking it”part as I do not know her so don’t know if she is or isn’t. However, be careful with comparing her to anyone else with any kind of dementia. All dementias have differences & all people are different so will progress in different ways & react differently than others. We have had 6 in our family that have had different types of dementia. A couple were really similar, the others totally different. My dad’s dementia is like nothing I’ve seen from others. So just because your mom acts one way, doesn’t mean mil will be the same. They can both have a form of dementia & have totally different experiences.
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Reply to Ltracy
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It sounds like the inmate is running the asylum. You need to take back your life and your home immediately. Look for a placement for MIL and get her removed. In the meantime, you can stop doing what you’re doing to enable her. She will take advantage as long as she can so just quit your job of unpaid servant immediately.
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“Who pretends to be sick for attention and lies all the time?” Someone with “a screw loose somewhere”? Or perhaps someone who wants all that attention, a cheap place to live with company, lots of attention, and many tasks done for them! That sounds quite sane, really!

Check out Assisted Living (if she can afford it), a group home, a senior living ‘village’, etc etc. Once you find somewhere, get her out of your house (4 weeks notice) and into the alternative option.
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Beedevil66 Apr 2, 2026
Group home? She could have "fun" there
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So, no dementia diagnosis? But it doesn't matter because I've read your other post and have a better understanding of what you are being put through. What I am not sure about is whether or not your husband is taking care of his mother or if it is just you. Are you helping him or does he do the bulk of it or do you?
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Reply to SamTheManager
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"Who pretends to be sick for attention and lies all the time?" The greatest pretenders; Narcissists!
I'm so sorry you and your husband brought her into your home! That should never have happened!
You've already shut down the idea of skilled nursing because she can't afford it and doesn't qualify for Medicaid. Has she applied for Medicaid? How do you know? Medicaid can pay the gap between her income and the cost of a stay in skilled nursing. The thing is, she may not have a medical condition to qualify.

If she really has nothing wrong with her, you and your husband can put your foot down, re-claim ownership of your own home and your own lives, and tell her she needs to go. You could help her to find an independent senior living apartment.
She will not go easily, especially now that she's already established herself in your home and in your lives and you've been giving in to her for 4 years!

You're in a sticky situation. You could try spending more time away - with your 91 yr old momma and sister. Or simply STOP doing things for your MIL. Refuse.
Let your husband deal with it - and he should refuse as well, but you have no control over that.
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Reply to CaringWifeAZ
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I don't know your MIL, and it sounds like she has a history of manipulation. However, as a person living with several chronic illnesses and having to deal with the medical establishment, I can say this: There are people suffering with real, legitimate chronic health conditions that most doctors do not recognize and have no clue about. Illnesses that don't show up on standard tests. Illnesses that can make you exhausted some days and unable to care for yourself, and more "normal" on other days and able to take care of your own needs. But again, most regular doctors, and many specialists, don't know about these illnesses or don't believe in them -- ME/CFS (chronic fatigue syndrome), Mast Cell Activation Syndrome (MCAS), Ehlers-Danlos Syndrome, various forms of dysautonomia, unspecified autoimmune disorders, the list goes on and on.

As someone who has been told I'm "faking it" by doctors, or that I'm just anxious, or that I was a "bored, depressed housewife" -- and who later (decades, in some cases) found out I actually do have something wrong with my body, not my mind, I am super wary of ever labeling someone as a hypochondriac or as someone who "fakes it" to get attention. Your MIL may be sick and no one recognizes it or understands it, which can definitely make one cranky, frustrated and do what they can to get help, even if it's "manipulating" because no one believes you.

And even if she is faking it "for attention" -- that should tell you there's something going on with mental health, loneliness, never being heard, needing to do what you can to get your needs met. People resort to drastic measures when they feel unseen and unheard and are not getting their emotional needs met.

Are there genuinely narcissistic people in the world who just want to be everyone's focus and get their own way? Absolutely. Are there people who manipulate and control because that's how they learned to get their needs met? You bet. Your MIL may be either one of those kinds of people.

Or she may be truly ill, truly in need of help some days, and none of her doctors have a clue about rare and chronic illnesses.

It's certainly exhausting to deal with someone like that, and I'm not invalidating your own experience of having to put up with it. But it sounds like she may have some things that need to be addressed, whether physically or mentally. She probably wouldn't go see a therapist, but it might help you and your husband to go to family therapy without her to work out how to deal with her.
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SamTheManager Mar 24, 2026
This is all true. I was a little suspicious of the part of the post where the lady is talking to imaginary people. That sounds like delirium, or dementia. She may at the same time have been personality disordered her entire life. But I think a geriatrician needs to evaluate her because I'm hearing over and over on this site and elsewhere that drs are refusing to diagnose people with dementia.

In any event, this situation is not working for any of the people involved. Medicaid LTC is different than just Medicaid, and it is a program for people who need long term care and don't have the resources. Just because she makes more than the level for Medicaid (health insurance) doesn't mean she is automatically unable to have long term care (LTC). They need to talk to a professional. It's time to move her out of there.
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If she is talking to people that aren't there, please make sure she is checked for a UTI. My mom was doing that a couple of years ago and we found out she had a very serious UTI. She was on an antibiotic but it wasn't working.
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Reply to Summernole
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It's time for your MIL to leave your house, hopefully very soon. Talk to a lawyer about how to spend down to get Medicaid. My mom faked illnesses so much to the point of convincing my cousins she was dying of liver failure. I had taken her to the liver specialist and insisted she repeat what the doctor said, "You are not dying of liver disease!" She still told everyone it was the end and her funeral would be before Christmas. She also tried to convince her doctor she had COPD. That was years ago. She still does not have COPD or liver disease.
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Reply to JustAnon
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Call 911 and ask the EMTs to rush her to the hospital to the PSYCH WARD for a full evaluation next time she starts talking to invisible people.
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StacyAa Mar 24, 2026
Never EVER do this unless the person is in immediate danger of harming themselves or someone else. Psych ward experiences, from what I understand, are traumatizing and can cause much bigger problems than the patient went in with. The OP should talk to a psychiatrist about her MIL's hallucinations, not condemn her to the nightmare of a psych ward.
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Remind her of the story about the boy who cried "Wolf!" one too many times! My sister was a lot like that, as was my paternal grandmother. When my sister actually got sick, everyone just shrugged it off. While she was in the hospital, she made the statement that "this isn't much fun ". She died within two weeks. (She died from receiving a drug to which she had an allergic reaction. )
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Reply to MTNester1
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Your MIL is looking for attention and she doesn't care if it's Negative or Positive. She's looking for the attention from her son and she's looking for attention from you, because you "Replaced" her.

How does she tolerate medical tests? Some people love to have the attention of a doctor/nurse/etc. Next time she fakes being sick have a conversation about her behavior with the doctor and see if they will recommend some truly invasive tests to find her illness, the more expensive and painful the better and have the doctor really pitch the pain levels to your MIL. If the Doctor calls her bluff, odds are she will balk at these tests and drop the fake illness.

You need to have a conversation with your husband about reacting to her. She wants him to react to her. The calmer your husband remains the better. If he takes her to the Doctor he needs to be flat and passive on the trip to the office, during the visit and after. She wants him to be reactive so she will get attention. The more passive and flat he is when she acts like this the better. He needs to learn to grey rock her so that she can not manipulate his emotions.

Next time she starts talking to people that aren't there, just let her. Carry about as normal and when she stops and talks to you or your husband tell her something like this.

"I can never tell if you are talking to the imaginary people or me or my husband if you want to ask me a question, say my name first so I know you are talking to me"
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MTNester1 Mar 17, 2026
Love it!
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Doesn’t sound like she qualifies for SNF level of care . She doesn’t seem to require any skilled care . And I’m assuming she is not wheelchair bound or bedbound .
If she could afford a small family run board and care home , they usually run cheaper than assisted livings. She’d get her meals made for her , housekeeping , activities etc .
Did she not sell a home when she moved in with you ? If so does she have any of that money left , or any savings to use ?
Another option is adult day care , give you a break from her.

Also you getting out of the house at times is in order , meet a friend for lunch , a yoga class , volunteer , book club , anything you would like to do . You did not say if you work outside the home. Go on a vacation too .
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Reply to waytomisery
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Look into low-income senior housing in your area. Even if there is a waiting list, put her on it; sometimes it moves more quickly than you expect because the people ahead die or go to to other facilities such as SNFs or memory care. Do the same for Section 8 housing. There will be paperwork for both, and that will show your husband and your MIL that you are not willing to tolerate her toxicity any more.

If you husband doesn't get the message or refuses to accept it, go on a vacation without him for at least a week, maybe two. Leave him to deal 100% with her demands and expectations, without you. If you're working or have other obligations there, stay at a hotel or inexpensive Airbnb locally, but don't tell them where you are.

I have a friend whose hobby seems to be going to medical appointments. She does have a lot of issues which she is not making up, but I think some could be resolved through the patient portal or a video call, but she loves her doctors and their staffs and it seems to be kind of a social thing for her.
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I would see if there are any Board and Care around you. These are usually private homes that are licenced by the State to take people in. They may just except what Mom gets Social Security wise and pension if she receives it.

Your FIL did you no favor is babying MIL. This is now ingrained in her. If your Mom is 91 I will assume MIL is close in age. You just set your boundaries. She will push them but stand firm. You will not be doing for her what your FIL did. She needs to do for herself. Remind her, you too are a Senior. Call her bluff, tell her if she does not do for herself, you will have her evaluated for care in a Nursing Home.

I would follow up with that evaluation, at least. Talk to her doctor about getting Physical therapy in to determine what she can do for herself. Then you have a baseline and you know where her strengths and weaknesses are.
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LakeErie Mar 26, 2026
I can’t imagine this old bat would do PT.
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Tell your husband he needs to find another place for her to live now. What is her financial situation?
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Reply to MG8522
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I'm guessing she doesn't qualify for Medicaid for the medical part (needing LTC). Dementia is often diagnosed by discounting all other causes. Many dementias do not show up in imaging.

Not sure what state you are in (because rules and laws can vary) but maybe start an eviction process (since your home is legally her home). The goal would be to get her into Section 8 housing, which has sliding scale rent. Or, you call to discuss the situation with social services. Is your husband her PoA? If not, does she even have one? If you can legally get her out of your house, then APS can become involved if she flounders. Then she may be in line for a court-assigned 3rd party legal guardian and they will solve this problem for you.

Of course nothing will happen if your husband isn't on board with any changes. You 2 need to consult with an elder law attorney for the best guidance that can be enacted in your home state.
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Everyone qualifies for nursing home care once their assets have been used to pay for their care. Only if she’s not a US citizen would this not be true. This living arrangement isn’t working for MIL or you. Burned out caregivers aren’t good for anyone, no judgment, just a fact. Time for her to move where others can provide care.
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Reply to Daughterof1930
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Geaton777 Mar 17, 2026
"Everyone qualifies for nursing home care once their assets have been used to pay for their care" is unfortunately not true: Medicaid has 2 qualifications: financial and medical (assessed as requiring nursing home level of care or LTC) ie, daily medical care, not just custodial care.
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