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I know this is long.... I hope someone can read and give feedback... thank you.....
My sister and I (early 40s) have been caretaking for my parents (late 60s) for the last ten years and live with them. Dad had a tumor in his pancreas and refused surgery. About a year ago, he went into respiratory failure and at the hospital, doctors found and surgically removed the tumor. He still has cirrhosis of the liver, a liver mass that could be cancerous, and chf. Over the last year, he has become increasingly aggressive and angry. My mom has chronic pain in her legs and feet and severe dizziness for years and refuses to see a doc.
A few months ago, she woke with severe dizziness and nausea. Within days, her personality changed. She used to talk mostly to me and my sister and not to my dad. She wanted to divorce him. Now, she only talks to him and has become passive with him and controlling with us – ridiculous requests to kneel before her or water a tree NOW in the middle of my meal and if it isn't done right then, they'll start screaming at us. Within days of her dizzy spell, she and my dad angrily decided to move out of state, buy a fixer-upper and sell the house we currently live in. They don’t want any questions from us and won’t share any information even though this affects our living arrangements and they expect us to move with them. They whisper and hide the computer screen from us. They’re also scheduling fixtures for our current house like flooring for our bedrooms without discussing it with us and throwing out our high school photos.
A few weeks ago, I finally told them they are loving and caring parents and lately have not been speaking to us at all, why? Mom started to respond calmly, but dad interrupted and yelled and used profanity. My sister walked away and I stayed asking if we could speak calmly. His response: "If I were standing closer to you, I would slap you in your face." He moved towards me to hit me but my sister came to move me to my room. He yelled, “If you walk away from me, you better pack your bags and leave my f*n home” and threw clothing at me. Mom came into my room and said we needed to apologize to him. She supported his violent behavior. She said parents never apologize and we need to do what she says when she says it. We apologized to him just to keep the peace because we live together. Apologies don’t fix anything, though. Their secrecy, anger, controlling and violent behavior is concerning. My sister and I don’t know of anything we’ve done wrong to either of them and they can’t seem to tell us either. They are just angry at everything. It seems like the ultimate form of control that they sell the house we live in and buy another one out of state and expect that we do not ask questions and move with them, which we will not do. For now, my sister and I are staying out of their way and not asking anything to avoid their verbal and physical abuse. They have never been physically abusive and only verbally in the last ten years while sick. Our family dogs have always barked at dad, but since her personality change, they bark at mom, too. Mom has always kept dad in check, but now she is letting him control everything and has joined him in his anger towards us. Is this early onset dementia? Did mom have a TIA? Any advice?

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Your dad is VERY ill and from the sound of it, mom probably is too. Cirrhosis of the liver is fatal. Toxins build up in the body, which the liver can no longer filter out, and can contribute to dementia like behavior. Moms dizziness can be a brain tumor and having had TIAs tend to cause vascular dementia. Their unhinged behavior certainly point to it.

I would move out with your sister because physical violence and demands to kneel before them is not acceptable. Call APS on your way out and report 2 vulnerable elders living alone and acting violent. That's what I'd do. APS can place them if they find them unfit to live alone.

Best of luck with a tough situation.
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DoxieGal Sep 27, 2026
You are absolutely correct about the cirrhosis and possible brain tumor. They are very sick and because they are not going to seek help, there is not much more we can do but protect ourselves. Thank you for suggesting APS and how to report it. My sister and I are making plans to move out. I appreciate the time you took to respond. Thank you.
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This is beyond your ability to handle, much less fix. You and sister need to move out as soon as possible, even if to an extended stay hotel. Do this without discussion to your parents. Take all your belongings. Report them to Adult Protective Services in their county. Both your parents are very sick and need medical care, possibly psychiatric care. They aren’t going to cooperate with you, and you’re not safe there. It’s time to move forward with your own lives, build your own futures, and leave their care to professionals
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DoxieGal Sep 27, 2026
I agree they need psychiatric care. They have completely convinced themselves that we are plotting against them. We will not discuss the move with them for our own safety. Thanks so much for your support.
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Use this opportunity to escape this extremely dysfunctional situation. Whether they move or not, move out now and get your own place or places and focus on your careers and social lives.

Do you have jobs?
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DoxieGal Sep 27, 2026
Thank you for your encouragement. I have a job and my sister is applying. Unfortunately, I can't pull the rent on my own, but we are actively looking into our escape plan and completely agree we cannot continue living with them.
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Your parents are late 60s, which may mean that they are quite physically strong and possibly a real threat to you. You and your sister NEED to separate your lives from them, for your own safety.

They are not behaving like ‘parents’, and you shouldn’t be behaving like ‘children’ – or carers. Leave – without guilt.
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DoxieGal Sep 27, 2026
They are both surprisingly physically strong for people who spend quite a bit of time sitting in chairs, but their rage seems to strengthen them. Leaving without guilt is what we need to do. Thank you.
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Why on earth are you and your sister subjecting yourselves to this abuse?
You both need to move out.
Your parents can take care of themselves. And if they can't someone can and should report them to your States Elder Abuse hotline. The report would be 2 vulnerable seniors. An investigation would determine if they are safe living alone.
But you and your sister are not able to do anything if you do not have POA.
You can't make them see a doctor, you can't prevent them from moving, you can't prevent them from doing anything they wish to do.
What you can and should do is move out and begin living your lives.
If at anytime you are threatened or are afraid for your safety (or your sisters) you have to call 911.
You also call 911 if your father becomes aggressive with your mother, or anyone else or your mother becomes aggressive to anyone.
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DoxieGal Sep 27, 2026
My sister and I totally agree that we need to move out and are working on our escape plan. Thank you for the 911 suggestion.
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It could be dementia, and that could be part of it, but it seems like something else, such as going stark raving mad. Ordering you to kneel before them? Threatening to hit you? Making secretive plans of major life changes? And they are doing it together, not separately, which would be unlikely for dementia.

I googled and found Shared Psychosis. This seems something like what is going on with them:

Yes, two parents can experience identical or strikingly similar psychotic delusions at the same time, a phenomenon known in psychiatry as shared psychosis or Folie à deux. [1, 2]

How Shared Psychosis Works
Inducer and Recipient: Usually, one parent (the primary case) develops a psychiatric disorder with active delusions, such as schizophrenia or paranoid delusions. The second parent (the secondary case) gradually adopts the same false belief due to their close emotional bond and constant isolation from outside perspectives.

Simultaneous Onset (Folie simultanée): In rarer instances, two people who are both predisposed to mental illness experience the same persecutory or depressive delusions co-occurring at the same time, without a clear single-origin transmission.

Your parents clearly need medical help. When they get it, ask about shared psychosis. I have heard about it and may have seen it with a family that seems highly delusional within their own family culture. I wish you luck in dealing with your parents' issues, but don't become part of them! These don't seem like the kind of issues that can be easily treated or go away on their own. You and sis need your own lives, so report parents to APS and get out of there!
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DoxieGal Sep 27, 2026
Thank you so much for the information about Shared Psychosis. I did some additional research and it sounds very possible that they could have that. In the last ten years, she has become extremely accusatory and paranoid. She'll explode and be full of rage and screaming and I always thought it was stress, but I now see it is clearly not normal and something going on with her brain. And these outbursts occur every few months over small trivial things like forgetting one item at a grocery store or putting a kitchen rag in the washer and she thinking we hid it from her on purpose. And dad could easily share in that as he has always just followed along with whatever she tells him. After these outbursts, several weeks of silent treatment follow, and then she slowly goes back to normal until another outburst. It is heartbreaking that such a loving person could turn so abusive and maybe that's why it has been hard for me to truly believe it until now when I see physical abuse. They refuse to seek medical assistance so I won't be able to ask about it, but it helps to know for my own understanding and healing. And if they don't seek any treatment, there is really nothing left for me and my sister to do but leave. Thank you for your encouragement.
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Ok...enough is enough now. I'm not sure why you and your sister have stayed living with your parents for 10 years already when you both should be out on your own living and enjoying your lives without your parents dragging you down.
It sounds very unhealthy to me and I think to most reading your post.
NO loving parent would ever want their children giving up their lives and happiness to look after them in their own home.
You and your sister could have looked after both parents from across town in your own homes or apartments, so I'm guessing there's way more to this story than you've shared.
So bottom line...you and sister need to grow up, be more independent and move out ASAP and even get a place together if you so choose, and then call Adult Protective Services and report what's going on with your parents. They will come out and do an assessment and if needed, take things from there.
Oh...and if and when they actually decide to move, please let them and don't you dare go with them. It's much healthier if you now stay behind and live your own life by yourself or with your sister...don't you think?
And one more thing...your parents are still quite young and could live another 30+ years or so. Are you truly willing to give up your life for 30+ more years living with them? I'm just curious.
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DoxieGal Sep 27, 2026
I agree it is much healthier to stay behind. "Don't you dare go with them" is great advice; we needed that. Thank you.
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Doxie, it's possible that since your parents don't admit or want to address their health problems, that they don't see the reason that you and your sister have been living with them for a decade as being for their benefit, and instead feel that the two of you have been taking advantage of them -- a sort of failure to launch, or failure to re-launch. Advice columns and articles are full of examples of adult children who won't move out in the first place, or who come back home "temporarily" but never leave. That attitude may be triggering the anger. Even if it's not accurate, they aren't seeing clearly, so it's all the more reason for you and your sister to leave asap. It may calm them down at least somewhat.
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DoxieGal Sep 28, 2026
Since they are not thinking clearly, I can see how that would be, which is sad since my sister and I do everything they ask (with the exception of ridiculous requests like kneeling before them) and are constantly buying groceries, picking up supplies, cooking their meals, cleaning the kitchen, washing dishes, doing yard work, cleaning the fridge and taking out the trash and trash cans every week, calling for all dad's appointments and meds, accompanying them to all appointments (even simple blood draws) etc. (Of course this was more than a year ago when he HAD to go to ER because he went into respiratory failure and ended up in the hospital all summer long.) We are actually exhausted from everything we do for them and their recent irrational outbursts might be a blessing in disguise in that we can finally feel free to leave. A few months ago before her anger and personality change, mom told dad that they got lucky with such great daughters and without us, they would have both died already. He just sat there with a frown on his face and did not agree, but on some level, at least at that time, I can see that she knew we've been here for them. I agree that separating might calm them down.
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Does Dad have a big belly, like he is pregnant? If so this is the last stage of Liver desease. There is probably nothing they can do for him now. Both your parents need good physicals with labs.

As said, if you get hit by either of them, call 911 and tell the operator that you are afraid of them. Let the police take them to ER. Tell the staff there what you have seen. Make sure that the SW knows they cannot come back to the home. That the other spouse cannot care for the other and they both have become too much to handle. The State will need to take over care.

Yes, get APS involved. Again, your parents are aggressive and won't see a doctor. Make a list of changes now for each of them and any new ones coming up. Both will probably need LTC. If you allow the State to take over they will do everything.
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DoxieGal Sep 28, 2026
Yes, his belly looks pregnant and the rest of him has lost a lot of weight. They are both still functional, though, and I doubt they let others see their irrational enraged violent behavior.
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P.S. Early or young onset Alzheimer's disease is defined as Alzheimer's disease diagnosed before age 65. So, unfortunately, dementia in a person in their late 60s is not "early."
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DoxieGal Sep 28, 2026
Oh, I thought it was early dementia because their irrational behavior, false accusations, screaming at us, etc.. started about ten years ago when they were both in their late 50s. But the physically violent behavior is new. Thank you for the info.
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