Dementia and BPD

[Guest guest]

Hi,

I'm new to this group. My dad has BPD. Not officially diagnosed by a

psychiatrist since he won't go. But the neuologist who did his 5-hour

neuro/psych eval for his " memory issues " was pretty sure he does after 30 yars

of doing evals.

Mom died 18 months ago and he has gotten more out of control. He was drinking to

the point of ending up in the ER so the docs took his license away. He won't

allow anyone to help with his meds though we know he does not take them

correctly.

He has always been paranoid, distrustful, verbally and emotionally abusive,

manipulative, etc. Now he has been diagnosed with alcohol dementia. He hasn't

had a drink in a year since his license was taken away and no one will buy it

for him.

My question is this: Beyond his almost non-existent short term memory, how do

you know if the increasing paranoia and overall craziness is the BPD still and

not dementia? Since he won't go for a full psych eval, we can't get a handle on

the distinction.

It's been a hellish year and a half since my mom died and the family is

completely at our wits end.

Thank you.