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Everything I read about confabulation says it's "filling in gaps in memory." That makes sense when it's saying they did something they didn't do, or adding things to a story because they don't remember doing it, or don't remember the details. But, is it still confabulation when they say something that is absolutely false, like posting on Facebook that their family never visits them, and then admits offline that they know that's not true, they just feel lonely and wanted their friend to feel bad for them? My mother has always been a liar. She has always been a sympathy seeker and has always been a "victim." But, she used to have much more awareness of when and with whom she could get away with it. Now that she has dementia, all those filters are turned off. Her attention seeking and false accusations and statements are non-stop now. Is that still confabulation? Or just that Dementia has turned the filters off. Do we ignore the behavior and just accept that she literally cannot stop herself from telling the deliberate lies now? Or has the dementia made her incapable of caring that her lies are hurting people, that she could still choose not tell them, she just can't care to not tell them anymore? There's a huge, discernable difference between her not remembering something and not being convinced it's happened, or not being able to put into words that makes sense something she experienced, and her just telling flat out lies. Especially when she will admit, calmly, without any prompting other than, "Wow, that happened, Mom?" or something along those lines, and her response is, "No. I just wanted to make her mad." or something like that. What is going on? I can't find anything that explains this behavior.

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My mother was a lifelong narcissist ,
queen of victims .

What you described perplexed me as well . The doctor told me that since my mother was always a manipulative person , that this was the default in her brain now . She’s wired to lie , plan , and manipulate and without the filter she wasn’t able to stop it anymore. She was on automatic . And yes they can be aware of what they did at times .

Example ,
My mother was irate that I placed her in AL because she was not safe home alone . She was angry with me so she called 911 and told them I was abusing her . ( I was at my own home at the time. ) The police came to the facility , she admitted that the real reason she called was to complain that I put her in AL and wanted to sell her house and steal her money . ( I was selling her house to pay for AL ) .
She admitted to lying on the 911 call. She told the police that she lied and said I was “ physically abusing her “ because she figured that would get a quicker response from the police . ( which it did with lights and sirens ) .

The facility administrator explained to the police about my mother’s dementia and had not adjusted yet . The police called me at home and told me what she did. They adviced me to try to let her know there are consequences to such a serious lie . They adviced not to visit or call her for a month or so . It helped to a degree . But that may not always work with a broken brain . Every one is different , I don’t know if there is any one effective answer to how to handle the lies . especially once they become less aware they are lying .

My mother also told a host of lies about me to the administrators , my siblings , doctors etc . because she was angry at me. She admitted to me that she lied as well .
Her words were “. What else am I supposed to do ? I had to lie because you put me in this place . “

I could write a book about her histrionics .
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BurntCaregiver Oct 23, 2024
@way

How disgusting that your mother was such a liar and manipulator even before the dementia. I'm so sorry you had to go through that. Like myself, I imagine your childhood and family life was no bowl of cherries either with a parent like that.

The administrators at the AL or any LTC facility pretty much know to expect lies and confabulations from the residents.

If your mother had enough faculties to lie and then admit to lying, there should have been some kind of consequences for that. Like having to pay for wasting police resources by calling 911. Or the facility should have no allowed her to have phone access.

Really, I think there comes a time when you just have to walk away. I saw my mother over the weekend and she started up. This time she kind of got to me and it escalated a little bit but I left before it went too far. She called my house dozens of times over the week and left dozens of messages. I got back to her in my good time on Sunday. I told her that I didn't want any more insincere, false apologies from her and that if she ever behaves to me like she did that she will never see or hear from me again in her life. So we shall see.
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With my own mother I’ve concluded that she stopped doing things because she lost the understanding of WHY she should do it just as much as she forgot HOW to do it.

Certainly dementia poked holes in her filter. She thought nothing of threatening to lie to the police or kill herself to get us to do what she wanted. Anything that got her the result she wanted became acceptable in her broken brain. No matter who it hurt or how extreme it was.

She’s always been competitive for attention too. When I fell hiking she was livid that I was referred to an orthopaedic surgeon because *everybody* knows that her knees are worse than mine. I could not weight-bear, was swollen like a melon, and she’s been walking without complaints all her life. But I should have surrendered my appt to her.

Now, when I don’t indulge her claims the way she wishes, (her dementia is advanced) she calls me fat and ugly.

She has zero concept of why it shouldn’t be all about her, all of the time, either praising her martyrhood, or fanfare for her accomplishments. I have gone Grey Rock to preserve my sanity.
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BurntCaregiver Oct 24, 2024
@Anabanana

OMG, the being livid because because you had a health problem worse than hers. This is my mother to the letter. No one's ever been as sick as her, in as much pain as her, and any health issue anyone else has ever had is dwarfed next to all of her suffering.

I took her to a doctor's appointment some time back. She was actually disappointed when the doctor told her she didn't have cancer. He was taken by surprise at her response and that's pretty unusual for a doctor because they see every human response there is.

The competing with other people's health issues, I know all about that.
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have been reading the posts, so sorry for All Caregivers here i am having the same issue with my 88 year old mom 'fibbing' also i usually look at the Dr or PT shaking my head when mom says that she walks and exercises (she does not) she says certain things that are not true to make herself appear like she is doing what she is supposed to do, following directions etc much dysfunction in my family my thought about the fibbing is, she practiced fibbing all of her life so she reverts to the familiar
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Dementia causes people to do inexplicable things because of how it damages one's brain. Because people are individuals, their dementia behaviors will also be somewhat unique to them. Trying to anaylyze "intent" will just waste your time. You already know she has dementia. There is a blurred line that comes with it. Like when my son with ADD and ODD was a teenager, my husband and I had to parse whether his choices were from his ADD/ODD or if he was being "just" a typical teenager. It was really hard to know how to discipline him.

You will need to decide how you will react/respond to what she says and does. If it were me, I would treat it all as if it were from her dementia and IGNORE it or redirect/distract her. When you give it attention you also give it power. So, don't.

You can choose to do other things, like discretely contact her FB friends (message them) to let them know that your Mom is receiving the best possible care in the circumstances. Or, you don't do anything. My Mom is 95 with early/mod dementia (and lives next door to me). Sometimes she will say her insulting confabulations to our neighbors while I'm standing right there. I just give it the old eye roll and change the subject because I've talked to them privately to let them know she has an official diagnosis and that if she says anything to them that is alarming or concerning to make sure to inform me about it first.

Dementia causes a lot of extra mental and emotional "work" for caregiving family members. It's just how it is. You're the only one who can change, so what you do with her behavior is your decision.
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You tell you
A) Mom has always been a liar
B) Mom has always seen herself as a victim

So really, what's new here?
It is just more of the same, and as you said, any tiny filters that did exist don't any more.
This is mom. Not much has changed, right? You say you have no explanation: so here is the explanation: "Nothing here has changed, it's just a bit more transparent".
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AlvaDeer Oct 22, 2024
I mean you tell US, of course. I MUST learn to read my posts before clicking them!
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I think it's because her memory is bad. I doubt she remember anything about when people do or do not visit. My mom will claim I haven't been there in 3 weeks which it total B.S. I don't care - her short term mom is gone so she just has no idea and says whatever pops into her head.

I have heard my mom say that she does or doesn't do things (like take her pills) to annoy the nurse. I'm 100% sure that she is not willfully doing that.

So, I. think dementia is the reason for all the conversational problems.
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BurntCaregiver Oct 22, 2024
@againx100

People with dementia should not have internet access. They especially should not use social media.
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Its a phenomenon known as Compulsive Lying. Snicker. My mother was a liar her whole life too. To the point nobody could tell the truth from a lie. As her dementia progressed, she'd tell stories that were obviously Confabulation, about how she was being taken out to dinner and shows every night in her Memory Care ALF. When she started lying about Nobody Comes To Visit Me 5 minutes after I left, that was lying mixed in with attention seeking and pity seeking.

If I were you, I'd reply to moms Facebook posts with something like Oh Mom, You're So Silly, We All Saw You Today! 🤣😅😆

Also, if she is lucid enough to post on FB, her dementia isn't too bad at all and it's not "confabulation" but compulsive lying and attention seeking.
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If your mother has dementia and is confabulating, she should not have internet access or social media access without strict supervision.

Whatever were calling it, confabulation, delusions, or downright lies your mother's "stories" or solicitations for pity can very easily be seen by the wrong or right people depending on the lie and who's believing it.

Scammers for example will pay some lonely senior soliciting pity all kinds of attention right up until every credit card is maxed out and every bank account is depleted down to the last cent.

Or some fanatical, over-zealous social worker, healthcare professional, or general do-gooder that sees a halo appearing over their own heads comes by the poor elder's total BS sad story on Facebook and they're compelled to help that poor senior, so they charge in with their proverbial swords drawn then the cops, APS, and the state show up and there will be trouble. These elders telling their lies to get pity and attention don't realize that if the state gets involved they often get placed against their will and there's not a damn thing their families can do about it.

Don't le your mother have anymore internet access unless she's supervised. Protect yourselves and her.
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This is a hard one. I have an older sister in her eighties that always told lies. If she got jealous or angry at me, she would pit other relatives and people against me. Later she would act if nothing had happened. I've had to deal with APS and social workers regarding my younger sister because of older sister telling lies.

She carried on like this even after my husband died. Now, she is showing signs of some loss of cognition.

I'm a firm believer that it depends on the personality of the person and if they have this type of manipulative propensity that will display this type of behavior.

In all due honesty, I'm still pretty p'od about how she has treated me. However, the good book says; I must forgive. I looked up the definition of forgiveness and it said to give up resentment. I'm still holding on to the anger. I know I need to let it go.

I don't think this answer will help, but I understand the feelings that go along with dealing with this behavior. It sounds like a complete oxymoron to accept unacceptable behavior while trying to keep up front that we are dealing with someone with an illness. I think most of us forget that there is a spiritual component involved in all this as well. I think a lot of this behavior has a lot to do with a person's spiritual state before the illness takes full effect. Also, I think they are going through the five stages of grief after being diagnosed that includes denial and shock, anger, depression, bargaining, and acceptance.

I have an alcoholic niece who loves to use the internet to gain attention. Of course, she only tells her side of the story when attacking people.
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Do you reply to her FB post? Just curious.
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Anabanana Oct 22, 2024
Let’s hope so. When my MIL convinced everyone that she was forbidden to see her grandchildren, I scrolled through old photos plus started photographing her with our kids, every time she was in our house or yard. Easter, Thanksgiving, birthdays, etc. Every time. Sent the photos around under the guise of showing our babies’ stages of growth. Golly gee, MIL is somewhere in each and every photo? What a coincidence!
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