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He was diagnosed with dementia (likely a combination of Alzheimer's and vascular dementia) in 2014 and has been fairly stable until about 14 months ago. I moved him to a small board-and-care five weeks ago. He recently turned 87 as I did 80. We have been faithfully married for 55+ years.



For the past seven years since my 55th high school reunion, he has been obsessed with the idea that I have a boyfriend. I spent some time talking with a good male friend whom I've known since he and I were 14 and stayed in touch with (along with his wife) on and off. We are simply good friends...period, just like other friends, male and female, that I grew up with. However, my husband claims that he saw some totally unacceptable behavior take place at the reunion--pure confabulation. Over the years he's become more and more convinced that the incident took place, and he gets more graphic each time he brings it up, occasionally telling other people about it in my presence. The number of such boyfriends has increased also. Understandably but sadly, since we can no longer live together, he has become so focused on this that it's one of two topics that dominate every conversation we have when I visit him (almost daily). I have calmly reassured him that I promised him 55+ years ago to be his "loving and faithful wife," and I would never break that vow. Of course, logic doesn't work, and distraction and redirection barely change the conversation for more than a minute or two.



Anyone have some advice to help me deal with this? I know it is not an uncommon issue. Thanks!

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I'm so sorry you're going through this. Dementia robs people of their reason and logic, so you won't be able to convince him of anything. Does he have anxiety and agitation? Is he on anything for this? If not, I would consider talking to his doctor about this.

Would he talk about it if you visit with another female friend? Maybe try this.

In the meantime, redirect the conversation to something completely unrelated. Just keep doing it. If it doesn't work, you'll need to just end the visit calmly and tell him you'll be back later. Everything about dementia is hard. Hang in there and take care of yourself.
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I lived this situation.
My wife eventually called the police at 3am. (Side note-when a woman calls the police at 3am, guess who gets told to leave the house?) She also thought I was out to kill her. (For the record, I was NOT).

If he really believes this, there is no telling what he will do if he suspects you are having an affair. Yes, he looks and sometimes sounds like the loving caring man you have known for so many years. However, his mind is failing and neither you nor I can predict what will happen next. It is more than time you get him some kind of care. Call a memory care facility near you. Explain what is happening. Get them over to evaluate your husband.

Don't wait until things get worse. This is not like renting a hotel room. You need a facility that can help him. Not every assisted living facility is a good match. You need to start immediately.
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Oh, CalGal, I am so sorry. This happens so very often. And sadly there is so little to be done about it. I have seen it go the other way where the husband in care doesn't remember his wife, will try to introduce her as his friend, and actually gets a NEW love or "wife" in the care facility. And I have seen it happen this way.

I know that you already know that here there IS a therapeutic lie (which I so seldom believe in) to be told. If he can remember to bring up this friend of yours tell him that you can't even remember his email and haven't heard from him in forever and he's likely dead!

Other than that, and your reassurance, there is so little you can do. It has to be heartbreaking. I wish I had a better answer for you.
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My mother spent a period of time telling her friends at her nursing facility that she’d been married twice. She hadn’t.

No big deal for anyone concerned. He’s lost his ability to filter his comments, and it’s no reflection on you or him.

Best response is no response at all. His comments have no bearing on his previous life, nor yours.

Relish your memories of who he was, and let go of your attempts to convince him or change him. He can’t change.

Meantime, are you able to spend some time away, doing things you like to do?
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Paranoia increases and logic decreases with dementia. I'm sorry CalGal. Just tell him you're not entertaining this conversation and walk away. Then talk to his doc about adjusting his meds. You can't reason with dementia.
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CalGal43: This may fall under the umbrella term of delusional disorders known as jealous subtype, where the individual wrongly believes that his/her partner is unfaithful no matter how many times the well person tells them that they are incorrect. Sometines it may go as far as auditory hallucinations. Seek a geriatric psychiatrist.
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He's been talking about this for 7 years?? Yikes. That's a very long time. Hopefully this stage passes. I like the idea of telling him that the guy in question died. I doubt it will work but it's worth a try. Also talk to his doctor. Hubby's not happy if he's laser focused on this one negative accusation. Could benefit from something to help stop it?

Good luck
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You are fighting a delusion. You won't win. You might try redirecting in a different manner. Next time he brings it up try something like.

"If I did have a boyfriend I'd bring him in and introduce him to you"
"I'm 80, If I have boyfriend then we aren't doing anything cause the equipment doesn't work"
"Well If I have a boyfriend then you have a girlfriend here, where is she"?
"Hire a PI to take pictures of me and this boyfriend and then we can get a divorce"
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Ignore him. And take care of yourself as best you can (leave, walk away).
That is really all you can do.
He will continue to be in a verbal / mental 'loop.'

Gena / Touch Matters
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If this delusion is causing him distress, or if he focuses on it outside of your visits, I'd strongly consider an evaluation by a geriatric psychiatrist or neurologist to explore the idea of an antipsychotic medication.
I was once involved in a situation where an elderly man with dementia was very paranoid that his wife was having an affair, he was 'seeing' the man in their apartment, etc. She was so ashamed that she never told anybody-protective worker, home care aides, visiting nurse, her daughter - nobody. knew.
Until the night she managed to get him off of her as he was trying to strangle her...and she called 911. He was placed in a locked mental health unit until his meds were adjusted to manage his delusions. Then he went to a nursing home. Staff were aware to watch for any new 'attachments' to female residents or anger at male residents.
The point is, treating the delusion before it is so far advanced can be very important. But you need an MD and perhaps a geriatric social worker to help assess your particular situation.
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