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Advice dealing with psychosis/severe mental health problems

Hi

My 59 yr old mum has very recently been diagnosed with ovarian cancer and is currently suffering a sort of psychosis. I wondered if anyone has any experience of this and can offer any advice, tips to cope. She was fit and well only a few months ago and was then treated for bladder infections then started to suffer with leg and abdomen swelling. Her mental health deteriorated from suffering from anxiety to then suddenly having hallucinations and delusions and and was immediately hospitalised following an episode where her behaviour became dangerous (she became aggressive and challenging and tried to strangle dad). she has since been diagnosed with a 12cm tumour and as her mental state improved and with her expressing a wish to go home, she was discharged.

A few days later |(whilst at home) she cancelled an appointment (to see about having chemotherapy) unbeknown to my dad although was quite lucid if rather anxious. In the matter of another week she again became increasingly anxious and agitated , not sleeping and now has been readmittred after another psychotic episode. In the last week since she has been treated in hospital her mental health has deteriorated rapidly and now is at the point where she is no longer making any sense (heartbreaking). She was due to have a MRI brain scan last Tuesday however refused to co-operate. My dad and I are due to speak with the doctor tomorrow to discuss. There is a history of mental illness in the family (her mum suffered from schizophrenia and died from secondary thyroid cancer at the age of 67), and her younger sister, my Aunt, who has not been in touch for years but has a history of mental health problems has just been also diagnosed with schizophrenia and has been sectioned a few weeks ago (mum is unaware of this).

I went to see her this afternoon and she was so confused and became agressive, she won't take any medication and has become incontinent at times, as she is unaware of what is going on. She looked at me like she hated me today but alternated with hugs, I was actually scared that she was going to attack me at one point, the nurses have had to move her to a side room as she is so disruptive.

I am looking for support and advice really, being a working single mum to three kids means I am not able to support my parents as much as I'd like (i.e babysitters for the hospital visits are hard to find means I can only visit every two or three days when I can organise for someone to take the kids for a couple of hours). The only other family we have are my sister who is actually ill herself with chronic fatigue and is struggling herself.

Thanks for reading xx

Parents
  • Hi just an update really. The brain scan was clear so she is to be treated for the psychiatric problem. Due to visit again this afternoon with my sis and dad and trying to mentally prepare myself. She still thinks she is pregnant and that she wants to come home, it's heartbreaking to see her in this state. I hope that she comes out of this very soon so that the chemo can be started.

Reply
  • Hi just an update really. The brain scan was clear so she is to be treated for the psychiatric problem. Due to visit again this afternoon with my sis and dad and trying to mentally prepare myself. She still thinks she is pregnant and that she wants to come home, it's heartbreaking to see her in this state. I hope that she comes out of this very soon so that the chemo can be started.

Children
  • Hi tinytears 71.

    This all sounds really distressing. Some schizophrenias, Hebephrenic if I remember rightly, take patients to a happy giggly place where they aren't aware of anything bad happening. Your mum may be experiencing something quite different, within the paranoic family of schizophreniform illness. Terrible to think that she's having a really unhappy time believing things that aren't objectively "true" when there is a genuine reason for her to be unhappy which she seems to be denying.

    Another tiny, and probably quite unlikely, possibility is dehydration. My mother, before she died, and my wife before she was recently "cured" went through periods of apparent mental ill-health simply because they weren't getting enough fluids. In both cases this was partly caused by loose bowel movements (losing more fluid than normal) and made worse by a loss of thirst. Your mother's medical staff have probably thought of this and discounted it but it's worth checking.

    One of the worst, and quite intractable, aspects of this is that your poor mother may not be able to give informed consent to whatever treatments might help her. Most cancer treatments carry risks and unwanted side-effects. Some perfectly coherent people choose not to accept them. It'll be really tough not to know what your mother's true opinion would be, whilst she's so mentally unwell.

    I'm hoping she comes through this episode quickly.

    Best wishes

    Newbie.