Dad dying from Glioblastoma, has paranoia

Hello everyone, 

My dad has multiform, glioblastoma, gliosarkoma and PNET which is the bingo of aggresive brain tumors. He just had surgery, started chemo and radiation and at the moment he is functional.

Apart from the occasional mixing of words, he seems to have intense homicidal fantasies and lots and lots of anger. He wants to get into fight with everyone and screams. I am wondering if anyone else that know someone with the same brain tumor type has experienced it. It would be really helpful if also you could describe how this will continue for him until the end. 

Thank you!

  • Hello Electra,

    Thank you for posting a question. I am one of the nurses and Helen our moderator wondered if we might be able to answer your question. I am sorry to learn about your dad’s situation. This must be very difficult for you all.

    Some people with brain tumours can have personality changes. This is more likely to happen when the tumour is in the frontal lobe. The changes can often be short term. If the personality changes are caused by swelling in the brain which has resulted from the treatment, they should improve slowly over time. But sometimes when they are a direct result of a growing brain tumour, the personality changes might persist.

    Occasionally steroids, which are used  to reduce the swelling that can be associated with brain tumours, can cause personality changes. When this is the case things usually improve once the steroids are tapered off or stopped.  But they should never be stopped or reduced unless a health professional advises the patient to do so. It can sometimes be difficult to balance the side effects of steroids against what is gained. But doctors use the lowest possible dose.  As the reasons for personality changes are varied, it is difficult to know what will happen in your dad’s case. But I do hope that things improve for him.

    Some people are aware of their personality changes while other people aren’t or only have partial awareness. But even when they are aware, it is not always possible for the person to easily change things.

    I am unsure if your family has talked things over with your dad’s medical team as there may be things they can suggest that will help. They might suggest a neuropsychiatric assessment if things do not improve.

    I can appreciate that it must be very distressing to find your dad such a ‘changed man’ and I hope that you have some support at this time.  This sort of thing is never easy to handle, but as hard as it is try not to take any of the anger personally.

    Do get back to the nurse team directly if you think it might help. If you would like to telephone our freephone number is 0808 8004040. We are here from Monday to Friday between the hours of 9am to 5pm (closed public holidays).

    All the best,

    Jean

  • Thank you for your quick response. I will let his doctor know in further detail about his situation and monitor it closely.

    I am trying as you said, to not take it personally.

     

    Sending you my greetings from Greece.

    All the best,

    Electra 

  • Hi

    sorry to hear about your dad I have the same but mine is right temporal lobe was removed but is slowly growing back 

    I feel like I have changed attitude wise and find myself very paranoid and get into bad moods because of it. I can't control this feeling nor can I ignore it as what was said to me when I was younger there is no smoke without fire

    i struggle with my emotions daily and find that I'm letting down my partner and pushing her away causing her stress feeling like she would be better without me.It hurts deep inside daily and I know it affects her too.

    anxiety stress emotions are all affected by this awful disease but no one can do anything to put my mind at rest 

    I hope his helps this is just a small insight to how I feel I'd hate to think how your dad feels