Heartbroken

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My mum had been getting gradually more paranoid, delusional in the last couple of weeks.  Today she woke up and started trying to pack because " she wasn't in her own house" ( she's In the house she's lived in for 15 years).this has progressed into it being my fault and now she has a whole story in her head that I've tricked her and got everyone around us to join in. That I'm gaslighting her and that I even got a doctor around to make her believe she's crazy. The doc asked the usual cognitive questions about date, address etc and she got them all wrong.   I know it's either opioid toxicity, the cancer spreading to her brain or constipation that is causing the phychosis. It's still heartbreaking that she now sees me as her enemy and won't let me near her.  I've tried gently speaking to her but she deliberately turns away from me. I asked the doc to come out and thankfully because I didn't bring the doc into her room she spoke to him.  But the things she was saying about me broke my heart. I've been living off barely any sleep to keep her safe and comfortable and now this. I feel like such a failure.  The worst thing is she's acted in a similar way before when my dad died ( everything was my fault, couldn't even bare to look at me etc) so although people keep on saying this isn't the real her speaking, I can't help but take it personally.