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He doesn’t sleep. His meds don’t work.

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Vivid dreams, nightmares, and night terrors are common in people living with PD. 

Symptoms can prevent sleep for the person & their household. Sleep is essential for everyone, so please discuss with your Brother's Doctor.

If things are dangerous, you may need to have him taken into a hospital for evaluatuation.
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It sounds that your brother suffers from a mental illness. In order to commit him you have to prove that he's dangerous to himself or to others. A psychiatrist, a clinical psychologist or a psychiatric social worker can file out the necessary documentation to admit him involuntarily to a psychiatric facility. There, he will be evaluated and if found to be dangerous to himself or to others, he will be taken before a judge who will commit him to the psych. institution. He will be treated there until he is no longer considered dangerous anymore. After commitment, your brother will have the option of changing his admission to voluntary status, voiding the commitment.
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My mother has suddenly started to exhibit similar behaviors. She gets it in her head that both she and I are going to die from various causes: poisoning, snake bites, spider bites, etc. She also thinks the house is on fire or that I am trying to kill her. She has broken two windows because she is determined to get out of the house. One of those windows she punched with her fist. Blood everywhere. She has spit on me, rammed me with her walker and pulled my hair. All the while calling me names. I have called the local mobile crisis unit 4 times in the last 3 days. Police have also come by. Two trips to the hospital but they won’t keep her very long. Which I understand but it’s also frustrating. She, nor I, can afford a memory care facility and I can’t imagine they would tolerate the violence? I am contemplating turning her over as a ward of the state but have heard horror stories about state guardianship. So pretty much at wits end what to do.
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cxmoody Apr 2022
Is your mother under a doctor’s care?

Perhaps her meds need adjustment.

Have you applied for Medicaid for a long-term placement?

Your current situation doesn’t seem safe for either one of you.
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You say that medications don't work. Is he seeing a qualified neuro psyc doc? Do know that finding the right medication or medication cocktail combination is hit or miss and hard to find the right combo; often when the right combo IS found it doesn't last.
Are you living with your brother or is your brother living with you? You don't have the power to "commit" him unless you are POA and he is not at all competent. Then you would choose the best facility for his care that you could given his assets and ability to pay. I would encourage this.
I am sorry you are going through this.
Do know, when you ask us a question, the more history and information you can supply for us the more ideas we might have for you. It helps that Geaton has filled us in from your profile.
Can you tell me how long your brother's condition has been so challenging? Are you his only caregiver?
I sure wish you good luck.
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Your profile info says:

"I am caring for someone, living at home with alzheimer's / dementia, anxiety, parkinson's disease, and sleep disorder."

and:

"Caring for brother with severe frontal lobe disorder and Parkinson’s. Totally disabled… can not care for self, no ADA."

How old is your brother?
Is he on SSDI? Medicaid?
Does he have a doctor who is managing his Parkinsons and his meds, or for his sleep disorder?
Is he a veteran?
Are you his PoA or legal guardian?

No one can "commit" someone anymore...this is why answers to the above questions would be helpful, so we can give you best suggestions. Please remember that a lot may depend on your state...and this is a global forum.

If I were in your situation I would call 911 when he is screaming and delusional. Maybe he can be "Baker Acted". Then do not go get him when the hospital tries to discharge him. Tell the hospital discharge staff that he is an "unsafe discharge" and you can't care for him. They will put the screws to you very heavily to take him home and also make promises to provide help. Do not believe this. Don't take him back. If you're not his PoA or legal guardian then social services for his county will pursue guardianship and then place him in a facility. I wish you success in getting a solution for the both of you!
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