Failing patience, fading empathy

I find myself getting impatient with my elderly mother more quickly and more frequently than I used to. She has always been an extreme worrier, engaging in catastrophizing and panic, always assuming the worst, sometimes imagining well beyond the worst-case scenario fearing things that there’s basically no chance will be the outcome of the situation. It started getting considerably worse in the fall of 2022 and continues to be so. It may be a side effect of a medication or her age exacerbating things, but the increase of problems started about the time my dad’s fight with cancer started taking more of a toll. He was gone six months later.

My mom and dad were married 56 years and when you include dating and engagement, were together for just about 60 years. I understand that her anchor was gone and she felt more vulnerable. I did a lot of things to help her with everyday personal business like making calls with her to Social Security, insurance companies, then renewing said insurance, and transferring the van and getting a new handicapped plate, checking her math when balancing the checkbook. All things she knows how to do but hadn’t been doing them for a number of years.

I also made improvements to her physical environment. I had replaced a bookshelf a year or so earlier and still had the old one, so I took it to her and made room for it, put it in place and moved the books and other items to it. I also gave her a little corner shelf that I hadn’t been using for a while and helped get that in place and found a little side table that would work next to her couch better than what was there already. I didn’t even realize it, but the table had been my dad’s before they met, so she really appreciated having that.

It seemed like things were improving, and indeed I think she was coping well for a number of months of the first year without my dad, but then she started to say she felt “blue” more often when I asked how she was. It felt like my efforts were all in vain. Like no matter how much I did, it wasn’t enough and she just kept doing worse. She wasn’t oblivious to this decline in mood and in fact, talked to the nurse practitioner at her primary care and they tried her on an antidepressant for a while but that only seemed to make her worse and it was stopped.

After a while, it seemed like her mood leveled off to some degree, enough to cope and find enjoyment in things, but the worrying and panic got worse. It’s very draining to have several calls a week from your mother, who was so strong and wise when she was raising you, in a state of panic because she got some strange call or text on her phone. Like a scammer can somehow ruin your life even if you don’t respond to them.

I tell her to think about what would be the worst that could happen and it’s not going to be as bad as her initial fear-filled reaction has her thinking. And even if the worst happened, she’d get through it. I guess she doesn’t see it as a choice, how you react to something. It’s been an automatic response for so long that she must feel like she can’t control it and that it’s something that just happens, not of her own volition. Maybe that’s true to some degree because it’s hard to retrain your brain when you’re in your 80’s. But I think there’s always room for improvement if the effort is made.

What’s funny is that I used to be so patient that I’ve had people tell me that I have the patience of a saint. In fact, there was more than one occasion when I worked in retail that the next person in line would say so after I finished with a difficult customer. But in the last 6 or 7 years, the harassment that I’ve mentioned in other posts, has eaten up any patience, tolerance, or forgiveness, and even empathy that I had in me. I could easily do a whole post just on that point, but this one is about trying to be there for my mom.

I think the solution is to talk about things on a regular basis and specifically about managing fear and anxiety, to plan for the moments that spark intense worry and be ready for it; to have coping strategies and specific actions to take. Calming imagery or memories, music, inspiring quotes, and mindfulness. I don’t think that’s a concept that anyone ever taught her, but it’d be very helpful to stop and think, observe and then proceed with caution.

It’s always better to get out in front of an issue than to wait till something happens that’s harder to deal with. Of course, that’s easier said than done. But most things worth doing are. I know that my mom is a strong and intelligent person and that God has given me a good heart, patience and kindness. I’ll just have to keep any situational irritability out of the equation and be true to myself and see the strength and ability in her that has always been there. You’ve got to stick together with family and help one another in love. Same goes for friends.

One thought on “Failing patience, fading empathy

  1. Definitely signs of early dementia. Keep her active in senior activities. Make sure she’s socializing with others. Talk to her doctor about medications to slow the process, such as Aricept. Get her to a psychologist/therapist as well. You should also talk to someone. It helps. The weight on your shoulders is more than ever. Don’t face these things alone. Sending positive vibes.

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