Should my mother consider a care program for schizophrenia?

Question

Hello doctor,

My mother has been living with schizophrenia for many years. Some days she manages well, but lately she seems to be forgetting appointments, skipping medications, and spending most of her time alone. Should she consider a care program for schizophrenia at 76?

She still insists she can handle everything herself, but I am noticing small problems that seem to be adding up. She has had a few episodes of confusion recently, and her daily routine is becoming less structured. I am worried that waiting too long could make things harder, but I also do not want her to feel like she is losing her independence.

Are there any programs designed for older adults with schizophrenia, and how can families decide when extra support is necessary?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

First of all, I want to appreciate you for taking such good care of your mother. Caring for a patient with schizophrenia (a mental health disorder that affects people's thinking, feeling, and behavior) is not easy, and your effort is really valuable.

In case of suspicion or diagnosis of dementia (a disease of memory, thought process, and reasoning), I believe that she needs a complete assessment. This includes clinical evaluation, memory and cognition evaluation, and investigations, if necessary. The investigation may include routine blood tests and brain imaging (CT, or computed tomography, or MRI, or magnetic resonance imaging).

Secondly, patients with schizophrenia can also develop confusion or delirium (a sudden change in mental abilities), especially due to infections, dehydration, electrolyte imbalance, poor sleep, or some medicines. That is why regular follow-up and laboratory investigations are important.

It is usually better to keep the patient in a familiar and comfortable home environment. If the patient is forgetful or easily confused, taking her to unfamiliar places, crowded events, or social gatherings may sometimes increase distress and may also affect the relationship with the caregiver. A gentle routine, reassurance, and a calm environment are very helpful.

You can also consider online support groups for patients with schizophrenia, where she may get guidance and emotional support.

Overall, the main focus should be regular follow-up, proper investigations, monitoring for dementia progression, and watching for any signs of delirium or sudden worsening.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.