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If the violence and screaming began after the "medically aborted" stroke it is possible that she is having some cognitive issues related to that.
A stroke before it becomes a stroke that is diagnosed as a stroke will cause damage, and you do not know how many undiagnosed ones she had prior to that one.
Continued undiagnosed strokes and the cognitive effects can be diagnosed as a Vascular Dementia.
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NeedHerOut Sep 17, 2023
I realize her medically-aborted stroke (direct quote from doctors notes) is still a stroke and likely not the only one. I'm sure that resulted in the changes and/or intensifying of her behavior. I wanted doctors to tell us more but she refused and canceled appointments. Unfortunately at this point I'm past the point of trying to determine all that. She just needs to go.
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As you have made your home HER home you will now need eviction attorney to remove her. Sorry, and know this will cost money, but there is little other choice. This assumes she is physically and mentally able. If this is not true, then there needs to be another attorney entirely, likely elder law, as you would be dealing with a mentally and/or physically disabled adult who needs assessment, and possibly guardianship by the state (I would not take it on yourself as you already have seen where that gets you).

I would also consider calling APS for options, for at present your home is "under occupation" and you have not even a care contract for shared living expenses. You have just written us, unfortunately and sadly, the best warning for not taking a parent into your home that I have seen on Forum for a while.

I am so very sorry this has happened, but as your mother fails more she is not going to become easier to deal with. I would let the state assume her care as they must for a person with no children.
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NeedHerOut Sep 17, 2023
Thank you for your supportive and understanding response.
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From your profile:

"my mother is 79 years old, living in my home with age-related decline, alzheimer's / dementia, depression, hearing loss, and stroke."

and

"...changes from aging and a mild stroke have made her someone I don't recognize."

Does she have a medical diagnosis of dementia? If so, when did she change her PoA? Is it possible she did it after the diagnosis? If so, then the PoA may not be valid.

You state that you had a close relationship with her and then she changed, but apparently has been a narcissist her whole life... but you said the stroke and aging decline changed her, so which is it? It is easier to write someone off because they are a "narcissist" than it is to deal with an LO who has dementia. FYI elders with dementia mostly turn into narcissists because they stop being able to have empathy for others, can't work from reason and logic anymore (which results in very bad judgment), become uninhibited in their expressed thoughts and actions, and on and on, as in the case of your Mom *who wasn't always this way* per your own words. Or was she screaming and throwing stuff your whole life and you thought this was normal?

If you know who her current PoA is, I'd contact them to let them know you'll be evicting her and she will need a place to live. It's no longer your job to figure this out for your Mom.

The other option is to go for guardianship if you want to stay in control of your Mom's care and affairs. This needs to go through the courts and will take financial and time resources.

You need to decide if your Mom always had a PD (personality disorder) or if she was the victim of a stroke and also dementia. You're not imagining that you're dealing with something awful. I wish you success in getting her out of your house and somewhere she will get the care she needs now and into her future.
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NeedHerOut Sep 17, 2023
Okay, the first questioning response. When I did the profile, I was convinced that she had dementia. I spent most of the last year working to get her a referral and then appointment to the only geriatrics/memory specialist in the state. She canceled it, twice actually. I didn't fight it the second time. So no, there is no formal diagnosis. In the last 2 months, her sister has gotten honest with me and told me that at least some of the behaviors I thought were new are not new. I discovered she's been lying all her life, including lies about my father that kept me from having a close relationship with him my whole life. Forced to rethink it all, I began to doubt whether it is dementia at all. The long awaited appointment might have settled it last week, but she canceled.

Not sure why you say I need to decide if she is this or that. I'm NOT lying - that's her thing. She has apparently been a narcissist and pathological liar all her life, but I didn't know it. She HAS changed since the stroke - she did not scream and throw things before and I don't recognize the person she is now. I'm NOT trying to get out of taking care of her by changing my mind about her issues.
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About changing locks, it’s absolutely necessary. Here’s a clue from my own experience as a landlord - when the undesirable tenants moved out, it was for some reason inconvenient to change the locks right away. There were two doors to the place and the doorknobs were interchangeable but used different keys. It was easy to switch the front doorknob to the back door and vice versa. I figured they weren’t smart enough to figure it out, and they didn’t. They came back, tried to get in, and their keys didn’t work on either door. Never had to deal with them again.
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NeedHerOut Sep 17, 2023
Good insight, thanks.
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You guys are amazing. After staying up way too late google-spiralling, to wake up today to this support helps restore my strength and resolve. I so needed this. Thank you all sincerely. I will start the process Monday.

I thought about giving her 3 regular apartment options that are in her preferred area, reasonably priced and have openings so she has no excuse. Should I bother?
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Beatty Sep 17, 2023
That's what the social workers do, when folk in hospital or rehab cannot go 'home'.

Pass over 3 shiny brochures & let them look at them for a day or two. Gives the dignity of choice, without a long list of overwhelming choices.

They can then ask questions about the places, maybe talk it over with family or friends.

Having a choice can feel powerful!

Of course the very stubborn will rip the brochures up, curse & yell.. then family choose for them. (Which I'm sure you'll do!)

When you are all at sea, in the fog, then at last a glimpse of land appears on the horizon. At last! Forward bound!

Keep updating if it helps you.
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Tough love required here to move Mother into her next home.

It may need the help of medical professionals, elder care social services or a social worker. Not to convince Mother but to state her realistic options in a way she can hear & understand (as she is either not listening or cannot comprehend). Then to make the next steps happen.

Not wanting a 'care home' is normal. Stalling for time, anger & fear all normal reactions.

It takes a great deal of mental powers to plan to move home - would Mother be able to do that?

Wind back a bit, do you think Mother understands your point of view? Understand why living separate is on the agenda?

Look under care topics for 'Anosognosia'. I don't wish to suggest it IS this, but stroke is a brain injury & cognition changes do happen. She may lack insight to her situation.
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Start the formal eviction process.
I would also send her a certified letter indicating that you are starting the eviction process.
If she does not move out before the case comes to court then you have begun the first steps.
If she does move out then you do not have to go to court, just contact the court and cancel the request for eviction.
If she does move out make sure that you cange all the locks.
If she comes back call the police and they can escort her off the property.
If you are concerned about your safety, the safety of your family and property you might want to think about a restraining order.
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Start the eviction process that is best way to go about this. She will most likely start looking for another place at that point. Have an attorney do it, refer all her questions to the attorney.

You then are an arm's length away.

Don't be so afraid of doing this, she doesn't care about you or your family, time to take charge and get rid of her.

I did most everything for my mother, my brother did little, one day while driving she announced, I am not leaving you anything in my will, you have enough. That was it for me, didn't care about the money, it was she made it clear "You don't matter to me"! That was it for me, I had put up with verbal abuse for 63 years and I was done, haven't spoken to her since and never will.

Best 13 years of my adult life, do what is right for you and your family.
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NeedHerOut Sep 17, 2023
Really needed to hear this, thanks.
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Another thought...who is her new POA?

If it's one of her "friends" consider taking her for a visit to them.

Change the locks. I am hoping that she hasn't paid for any part of the house.

Finally, I know this must be VERY hard for you. It must feel like you're breaking your mother's heart and possibly ending what had previously been a pretty decent relationship.

But here's the thing. What you're doing right now isn't helping your mom. It's enabling her. You are preventing her from getting the treatment that she needs.

You are going to need to stop giving her control (asking nicely and negotiating )and start treating her like an out of control toddler if that's how she behaves.

Give choices: "would you like to tour on Monday or Tuesday? Go to this AL or that AL? No, mom. That is not an option. You may not longer live here. You will be evicted if you don't leave on your own."

As I said, get to lawyer on Monday. We've got your back.
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NeedHerOut Sep 17, 2023
Needed that, thanks. Every additional support at my back helps me stand up straighter.
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Enlist the help of her sister.
Send them both on a cruise way before her birthday.

Ask an attorney if it is legal for you to set up an apt. in AL for when she returns.

Have the entire house draped and fumigated so you all will need to find alternative housing. Make her's a respite care facility that can become long-term. Extend the tenting as long as it takes.

Make sure the money is right if she invested in building the house with the basement space. You may need to give her investment back.

So sorry you are having to go through this.
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NeedHerOut Sep 17, 2023
Thanks for supportive ideas. Kinda made me laugh, thinking about draping the house to exterminate HER.
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You REALLY think she's going too move after her birthday?

Start the eviction process on Monday.

Your mother is in need of psychiatric attention. Allowing her to remain, untreated, in your home, is enabling her denial of her illness.

Look up "Grey Rock" as a technique for dealing with folks with personality disorders.

The next time she has a screaming fit, throws something, has a fall, or so much as hiccups, call 911 and have her taken to the ER and do not accept her back into your house.

Also, when "goes off" take out your phone and video her actions. Without comment. You may need evidence to counter her claims of who is abusing whom.

Consider installing cameras through the home to monitor her actions, especially if you are worried about the dog.

This reign of terror has to end.
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NeedHerOut Sep 17, 2023
This is exactly why we have cameras throughout the inside and outside of the house. Helps with peace of mind and evidence if needed.
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Depending on how desperate you are, one option is to take her to a hotel with the first night or two pre-paid, and change the locks on your house. Pack up her personal belongings and take them to the hotel the next morning. But I’d probably make the contact with APS first.
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NeedHerOut Sep 17, 2023
THanks, but I'd be afraid that would actual BE the elder abuse she accuses.
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She said she won’t move out until her birthday?

Nope. She does not call the shots. It doesn’t matter when she wants to leave. She will leave when you tell her to leave.

You are past “nice, helpful” thoughts to handle this. She doesn’t seem able to respond to nice anymore. It will be ugly no matter what.

Give her no more than 2 weeks. She won’t go and thinks you’re not truly serious about it. Time for her to find out how serious you are.
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NeedHerOut Sep 17, 2023
But how can I make her? Seems like the eviction process will take 4 months anyway.
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Suggestions that may not work.

Make her uncomfortable :
1) Remove all or most of your own furniture from her basement. Leave the bed and a chair, but not the TV.
2) Lock up your food, and stop providing food. Depending on the layout, this may involve a lock on your kitchen, the cupboards or the fridge. Any food she has that goes off is removed as a health hazard in your home.
3) Respond to her and anyone who asks “we want her to leave and seek appropriate care”.
4) Perhaps contact APS. Get in first with your story - “We never undertook to care for her, and we cannot do so in future. Her behavior is deteriorating and we cannot continue. She needs to seek appropriate care”. Remember that her ‘rights’, if any, are for occupancy, not for care or domestic services.

Try for a health assessment that she is not legally capable of changing her will.
1) Make a list of every instance of her less acceptable behavior.
2) Talk to her doctor, ask for an assessment and document her refusal to have the assessment made if you can’t organise it.
3) When you’ve done both of those, perhaps have an appointment with a lawyer about the situation, particularly regarding her legal capacity.

If a crisis is imminent, send the dog to a kennel for a couple of weeks.
Good luck!
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NeedHerOut Sep 17, 2023
Thanks for answering. Some good suggestions. I don't really care about the will. 100% of $0 is still $0. She thinks it's important enough to control me with it, but i dont and she isnt. If there actually is anything I would give it away rather than keep. I've been keeping a notebook for a long while of all the crap. Unfortunately her doctor is not a resource. She refused to give us a recommendation for memory analysis when I asked. I'm going to look up APS and see what they say.
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