Guest guest Posted August 3, 2012 Report Share Posted August 3, 2012 My Dad has had PD for just under 10 years and LBD was mentioned a few years ago, but he took a serious turn for the worse in May of this year after some dehydration and then a UTI. This has been our first exposure to the delusions and hallucinations and I need some guidance. I have read the book " Caregivers Guide to LBD " which was a tremendous book, and it has helped with some of the aspects. While my Dad was in rehab recently (and has since started again at home), he has been mean to my Mom. They are about 6 weeks from their 50th wedding anniversary. This is the couple that has always been happy and always did romantic things for each other. Now, at night, appears to be in dreams, he is hitting my Mom. We have talked about moving beds...or even room. That we can basically fix. However, it is one of his delusional thoughts that I need some help with. I am close enough to visit daily, however, now I have gotten a few calls at work that my Dad wants to talk and he is angry with my Mom and said that she wants a divorce and is mean to her. My Mom is an angel and if it isn't bad enough that my Dad's condition is devastating for her too (she is seeking counseling for her), but then to hear this. My Mom is the primary caregiver and (there is additional help both family and hired)so she is in a better place than me (for the most part), and knows that is not her husband and that it is the disease. I, on the other hand, am having a terrible time dealing with this and don't know how to handle it at times. Somethings he says or does, I am able to play along to satisfy him, but I don't know how to deal with his feeling that they are divorcing or getting separated. He gets angry and he has always been the laid back one. He has said things to me to that hurt now because we were always so close and part of me gets that it is the disease, but it doesn't stop the tears from flowing. We had a wedding pic hanging at rehab, we were working on ideas for their anniversary which included writing memories down and hiding one every day starting with the 50 days before their anniversary. But it is only temporary. Any help or advise that I could try to say to my Dad would be helpful. Thank you, Sue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2012 Report Share Posted August 3, 2012 Hi Sue So sorry to hear. My husband did the same thing with the hitting etc a few years ago, it is so upsetting. Also had the delusions and hallucinations....still hallucinates now and then. Ours did get better thank God as far as the sleep things. He is now in the long term care and is declining...I try to understand that it isnt him the man I love but the disease but it still hurts and I get depressed....hang in there Sue and know you are not alone. Marilynn email me if you wish. To: LBDcaregivers Sent: Friday, August 3, 2012 9:08 AM Subject: Looking for help with delusions and halkucinations  My Dad has had PD for just under 10 years and LBD was mentioned a few years ago, but he took a serious turn for the worse in May of this year after some dehydration and then a UTI. This has been our first exposure to the delusions and hallucinations and I need some guidance. I have read the book " Caregivers Guide to LBD " which was a tremendous book, and it has helped with some of the aspects. While my Dad was in rehab recently (and has since started again at home), he has been mean to my Mom. They are about 6 weeks from their 50th wedding anniversary. This is the couple that has always been happy and always did romantic things for each other. Now, at night, appears to be in dreams, he is hitting my Mom. We have talked about moving beds...or even room. That we can basically fix. However, it is one of his delusional thoughts that I need some help with. I am close enough to visit daily, however, now I have gotten a few calls at work that my Dad wants to talk and he is angry with my Mom and said that she wants a divorce and is mean to her. My Mom is an angel and if it isn't bad enough that my Dad's condition is devastating for her too (she is seeking counseling for her), but then to hear this. My Mom is the primary caregiver and (there is additional help both family and hired)so she is in a better place than me (for the most part), and knows that is not her husband and that it is the disease. I, on the other hand, am having a terrible time dealing with this and don't know how to handle it at times. Somethings he says or does, I am able to play along to satisfy him, but I don't know how to deal with his feeling that they are divorcing or getting separated. He gets angry and he has always been the laid back one. He has said things to me to that hurt now because we were always so close and part of me gets that it is the disease, but it doesn't stop the tears from flowing. We had a wedding pic hanging at rehab, we were working on ideas for their anniversary which included writing memories down and hiding one every day starting with the 50 days before their anniversary. But it is only temporary. Any help or advise that I could try to say to my Dad would be helpful. Thank you, Sue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2012 Report Share Posted August 3, 2012 Hi Sue So sorry to hear. My husband did the same thing with the hitting etc a few years ago, it is so upsetting. Also had the delusions and hallucinations....still hallucinates now and then. Ours did get better thank God as far as the sleep things. He is now in the long term care and is declining...I try to understand that it isnt him the man I love but the disease but it still hurts and I get depressed....hang in there Sue and know you are not alone. Marilynn email me if you wish. To: LBDcaregivers Sent: Friday, August 3, 2012 9:08 AM Subject: Looking for help with delusions and halkucinations  My Dad has had PD for just under 10 years and LBD was mentioned a few years ago, but he took a serious turn for the worse in May of this year after some dehydration and then a UTI. This has been our first exposure to the delusions and hallucinations and I need some guidance. I have read the book " Caregivers Guide to LBD " which was a tremendous book, and it has helped with some of the aspects. While my Dad was in rehab recently (and has since started again at home), he has been mean to my Mom. They are about 6 weeks from their 50th wedding anniversary. This is the couple that has always been happy and always did romantic things for each other. Now, at night, appears to be in dreams, he is hitting my Mom. We have talked about moving beds...or even room. That we can basically fix. However, it is one of his delusional thoughts that I need some help with. I am close enough to visit daily, however, now I have gotten a few calls at work that my Dad wants to talk and he is angry with my Mom and said that she wants a divorce and is mean to her. My Mom is an angel and if it isn't bad enough that my Dad's condition is devastating for her too (she is seeking counseling for her), but then to hear this. My Mom is the primary caregiver and (there is additional help both family and hired)so she is in a better place than me (for the most part), and knows that is not her husband and that it is the disease. I, on the other hand, am having a terrible time dealing with this and don't know how to handle it at times. Somethings he says or does, I am able to play along to satisfy him, but I don't know how to deal with his feeling that they are divorcing or getting separated. He gets angry and he has always been the laid back one. He has said things to me to that hurt now because we were always so close and part of me gets that it is the disease, but it doesn't stop the tears from flowing. We had a wedding pic hanging at rehab, we were working on ideas for their anniversary which included writing memories down and hiding one every day starting with the 50 days before their anniversary. But it is only temporary. Any help or advise that I could try to say to my Dad would be helpful. Thank you, Sue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2012 Report Share Posted August 4, 2012 It's very important you find a psychiatrist that specializes in Parkinson's. My husband exhibited the same behaviors (plus being convinced I was having an affair) and all of it was changed with medication. We did have to change sleeping arrangements--separate beds--but clonazepam will help the punching considerably. I sleep in another bed due to his twitching which wakes me. In most cases, seroquel will stop the paranoia, delusions, hallucinations and agressive behavior. There are other medications available which will make things much better, but you have to ask AND you need a psychiatrist familiar with PD (I can't stress that enough). The brain of a PD patient is different and meds will work differently on them. The first psychiatrist we went to made things worse because she tried to treat him like she would anyone else. Unfortunately, it doesn't work that way. Good luck , who's been there and it ain't pretty. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2012 Report Share Posted August 5, 2012 My dad has been suffering with LBD for awhile, but it wasn't until recently that he has been " really diagnosed " . I have mentioned before that his greatest difficulty is the orthostatic hypotension. It is his most frequent symptom and the most dangerous, seeing that in reality he could fall every time he stands up. He has been punching and has had difficulty for many years sleeping. His hallucinations have all but stopped since we took him off of the carbidopa/levidopa. Yes, he is stiff and he has the tremors, but we felt that as long as he wasn't really complaining about pain that tremors and stiffness are better than hallucinations. The carbi/levi was not doing enough to help the tremors but it was lowering his blood pressure, and that is our main concern. He goes into these " seizure like " episodes, as was mentioned on the boards before, then goes down. I don't know the dosage of carbi/levi your loved ones are on, but maybe it is worth a shot speaking to your doctor to lower it and see if it helps with the hallucinations. I am with you all in this. N Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2012 Report Share Posted August 5, 2012 My dad has been suffering with LBD for awhile, but it wasn't until recently that he has been " really diagnosed " . I have mentioned before that his greatest difficulty is the orthostatic hypotension. It is his most frequent symptom and the most dangerous, seeing that in reality he could fall every time he stands up. He has been punching and has had difficulty for many years sleeping. His hallucinations have all but stopped since we took him off of the carbidopa/levidopa. Yes, he is stiff and he has the tremors, but we felt that as long as he wasn't really complaining about pain that tremors and stiffness are better than hallucinations. The carbi/levi was not doing enough to help the tremors but it was lowering his blood pressure, and that is our main concern. He goes into these " seizure like " episodes, as was mentioned on the boards before, then goes down. I don't know the dosage of carbi/levi your loved ones are on, but maybe it is worth a shot speaking to your doctor to lower it and see if it helps with the hallucinations. I am with you all in this. N Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2012 Report Share Posted August 6, 2012 that is the point that you sometimes get to making a choice between movement and mentation. taking away the sinemet (carbidopida) can cause increased muscle rigidity and slow movement but the up side is sometimes mentation/hallucinations improve!! not easy choices in this very difficult disease! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2012 Report Share Posted August 6, 2012 that is the point that you sometimes get to making a choice between movement and mentation. taking away the sinemet (carbidopida) can cause increased muscle rigidity and slow movement but the up side is sometimes mentation/hallucinations improve!! not easy choices in this very difficult disease! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2012 Report Share Posted August 7, 2012 I've been " lurking " since my husband's death in October of 2011....seems like yesterday. However; at one point he experienced MANY hallucinations, and delusions of all kinds. When the neurologist learned of this he took away the selegiline which had been a medication for a few years. Immediately the hallucinations stopped, to his regret, by the way, and so did most of thedelusions. If your loved one is on selegiline, you might question it...All the best, Marcia C. Quote Link to comment Share on other sites More sharing options...
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