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Alzheimer’s and Alcoholism: How to Cope

Carol Bradley Bursack
Carol Bradley Bursack
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Carol Bradley Bursack is Answering questions
Author, blogger and eldercare columnist

For over twenty years author, columnist and speaker Carol Bradley...

Carol Bradley Bursack

Monday, January 28, 2008
View All of Carol Bradley Bursack's Posts
Recently, I received an email from a man telling me that he'd searched the Web and wasn't finding information about elderly people, particularly those with dementia and alcoholism. Finally, he found me, because I've written about the issue a couple of times. He told me some specifics and ...
  1. Alcoholism and Alzheimer\\\'s
    Anonymous
    Friday, March 28, 2008 at 09:38 PM
    Thank you so much for your comment.  My mother told me years ago that she and my father were both alcoholics; I myself am some years in recovery and I am a dedicated member of Al-Anon, which I find enormously helpful.  I am also very grateful for the alzheimer's support groups and agencies.  But I have never before seen both issues mentioned in one place!!!  My father's wine intake obviously does not help his memory in any way and in the evenings it is rather frightening.  My mother's depression and alcoholism render her unable to care for my father.  They muddle along  somehow at the moment -- thank God they have a certain amount of help.  They are lovely people and have never been willing to get help to stop drinking, so that is how it is.  To anyone who is out there struggling with this issue, I would say 1) try to get your nearest and dearest to consider getting help with their drinking; and 2) go to Al-Anon (for the families and friends of Alcoholics), Families Anonymous or Coda (Codependents Anonymous) whether your nearest stop drinking or not.  Thanks for raising the topic!  p.s. My parents' G.P. is well-versed in the vagaries of alcoholism so he understands, thank heavens.
    Reply
    re: Alcoholism and Alzheimer\\\'s
    Carol Bradley Bursack
    Saturday, March 29, 2008 at 07:42 AM

    Thank you for your kind words.

    Most alcoholics are wonderful people. They happen to have a disease that can make them much less than what they actually are. Thank God your parents' doctor understands. This is not discussed often enough which is why I get many personal emails on the subject. Few people write about Alcoholism and dementia, so they uncover me on the internet. The stigma and lack of understanding are likely two reasons the subject is so elusive.

     

    Take care of yourself, and hopefully something will happen that your parents can get some type of recovery before full-blown dementia disables them both. Carol

    Reply
  2. Alcoholism, dementia subject
    Anonymous
    Wednesday, March 25, 2009 at 02:12 PM

    I just found this article today.  Thank you so much for writing it.

     

    My brother is an alcoholic and has many treating physicians.  He takes multiple medications daily, with and without the alcohol.  His PC is well aware of his situation, but I do not believe he is actually trained in treating the alcoholic.  My brother has been through 2 inpatient 30 day stays at a treatment center, only to come out and be drunk again within 24-48 hours.  He lost his license for 2 years due to DUI's.  He had a hip replacement and didn't follow the recommendations as far as his recovery.  Rules don't apply to him, only to everyone else.  He is physically and emotionally unable to work.  Fortunately for the time being he has adequate funds to take care of his monthly expenses, needs and wants.  He does not qualify for SSD or any other disability because none of his doctors will say that his conditions are other than due to or caused by the alcoholism.  It is a very sad situation and is very taxing on our entire family as we watch him spiraling out of control.

     

    I have read many articles regarding alcohol dementia and truly believe my brother has it.  He has been treated by a psychiatrist and therapist for the last 2 years, both of whom he says are not helping him.  I told him the help starts with him helping himself and he agreed.  He has agreed to go to a different mental health facility that specializes in dual diagnosis.  I am hopeful that he will continue to go to this facility after the initial evaluation and maybe they can help him to help himself.

     

    I went to Al-Anon for a while and I agree with the other person that wrote a comment it is very good for you.  I intend to go back as not going is not helping me at all.

     

    Thanks for giving me more information on this subject.  Everything I find like this helps me to do what I can to help my brother.

    Reply
    re: Alcoholism, dementia subject
    Carol Bradley Bursack
    Wednesday, March 25, 2009 at 03:00 PM

    It's sad that his doctors don't realize that his alcoholism is a disability.

     

     He does have dual problems, as do many alcoholics. Please do go back to Al-Anon. the people and the program will help you cope. It's awful to watch an addicted person self-destruct. Yet, you are right. He has to be ready in order to be helped. Some people never are.

     

    I hope that the therapist is also schooled in AA. Treatment twice? Maybe a third time will do it. But he has to be ready.

     

    Blessings to you. You are compassionate and you care. You know this isn't a moral failing of his, but you can't fix it for him either. I'm glad you know where to go. Please let me know how you are doing.

     

    Carol

    Reply
    re: re: Alcoholism, dementia subject
    Anonymous
    Wednesday, March 25, 2009 at 03:23 PM

    Carol:

     

    Thank you for your reply.  I am so grateful to be finding all of these outlets to vent MY frustration with this situation.  I know that I can't fix him, but I would be willing to do whatever I needed to if I could.  He will run out of money eventually and I guess then he will hit the "rock bottom" that I keep hearing about with addicts.  That is, of course, if he lives that long.  Lucky for me that I went through the family program during his first 30 day program and I learned a lot about alcoholism and myself.  We grew up with an alcoholic father, but both of my brothers (2 years and 4 years younger) do not remember it the way I do.  They both have been or are alcoholics.  My younger brother quit on his own about 14 months ago and seems to be doing well.

     

    As far as his doctors, I believe that some of them do view the alcoholism as a disability but unfortunately his disability carrier nor Social Security do.

     

    Again, thank you for the article, and thank you for caring enough to reply to my comment.  I know that I am not the only person to have to deal with this, but I do get overwhelmed at times with the stress of knowing and seeing what he is doing to himself and I FEEL like I am the only one a lot of the time.  I have a wonderful and very supportive husband that I don't know what I would have done without over the last 2 years while I have been trying to help my brother.  I also have a wonderful church family that are there for me whenever I need a shoulder.  I also have an older sister (different dads) that lives in Michigan that I am very very close to and she is my biggest source of comfort and advice for what I should do when my husband is not available.

     

    Sorry for the rambling, but I just really appreciate you bearing with me.

     

    Cindy

     

    Reply
    re: re: re: Alcoholism, dementia subject
    Carol Bradley Bursack
    Wednesday, March 25, 2009 at 03:31 PM

    Cindy, it's so sad that people won't talk about this issue. There's shame for many, and it shouldn't be that way. Addiction is a disease. But I've been told that I'm one of the few people online who will discuss this (especially with elderly parents). There are scholarly papers, of course, and studies, but that is different.

     

    There is so much helplessness in watching someone you love go downhill - waiting for that bottom to come and praying it won't be too deep. But we never know. Please feel free to contact me any time. A listening ear can help, as can writing it down. You've already discovered that: )

     

     I'm glad you have so much support.

     

    Blessings,

    Carol

    Reply
    re: re: re: re: Alcoholism, dementia subject
    Cindy
    Thursday, August 13, 2009 at 05:04 PM

    Carol:

     

    I had correspondended with you about my frustration with my brother and his addiction to alcohol earlier this year.  I am sad to report to you that my brother lost his battle with alcoholism in late July.  I found him deceased in his bathroom floor.  So, alcohol 1, Cindy 0.  I am now the executor of his estate and am doing the best I can with going on with life without my brother, whom I loved dearly, but glad to not have to deal with the alcoholic side that I HATED!

     

    Cindy

     

    Reply
    re: re: re: re: re: Alcoholism, dementia subject
    Carol Bradley Bursack
    Thursday, August 13, 2009 at 06:27 PM

    I'm so sorry alcoholism won another victim, Cindy. You seem to know that it was the disease that made him act the way you hated. Your brother, you loved.

     

    Take care of yourself. You were wonderful to do everything you did, but no one could do it for him.

     

    Blessings,

    Carol

    Reply
  3. An alcoholic with alzheimer's. Help me!
    Sad
    Friday, November 20, 2009 at 12:50 AM

    My dad is diagnosed with Alzheimer's and he is an alcoholic.   He is in the beginning stages of Alzheimer's and has horrible memory problems and can't handle things like his mail and is constantly forgetting things, conversations and so forth.  He is physically weak and needs a walker.  We have put him in an independent adult community center where he can have his independence, meals, medication, entertainment, classes, physical therapy and he loves to socialize and play bridge.  He has a limited driver's license in which he is not allowed to drive more than 10 miles away from his residence.  He has been an alcoholic for years but it has been getting really bad lately.  He buys Vodka and drinks till he can't walk or talk very well.  He will fall every time he gets drunk and really hurts himself.  He broke three ribs in 5 weeks and always has cuts and Band-Aids all over his body.  His room is filled with blood spots and spills.  He was brought in to speak with two people in charge of the center and they have said that if this continues he will be asked to leave.  He is a liability to them.   He forgets about this warning and other conversations all the time.  He will call me up over and over again with the same thing.  He continues to drink and I am so afraid that he will get kicked out.  He is sabotaging his welfare and security by drinking and I can't take him in my house.  I am not sure how much to hold him responsible if he can't remember too much.  Yet, he can always arrange to get Vodka.  I have had many conversations about his drinking and he always says that he will not drink anymore and that he will go to AA.  He goes maybe a week at the most and is drinking again.  How much can I expect from him when his mind is going.  I don't want him to be kicked out because that is his salvation right now.  Recently I found him drunk at night and of course he couldn't walk.  I knew that if I left him there he would fall again and hurt himself.  I went out to my car to look for something and when I had returned I found he had fallenl into his shower and I had to get help lifting him to a wheelchair so I could take him home with me till he sobered up.  I can't expect the center to take care of him whne he is in this condition, it is not their responsibility and if I were to leave him he would fall again and hurt himself, maybe even hit his head and die.  I have taken him home a few times.  I can't keep taking him home.   My brother and I decided to help him since he couldn't help himself so I took his money and credit cards so that he couldn't buy any more alcohol.  We felt it was for his welfare and security so he wouldn't get kicked out of this wonderful place he lives.  Was this wrong to do?  I feel like he is at the point where he is not strong enough mentally to care for himself so I took this initiative.  I take him to buy whatever he needs and give him enough to play bridge.  I feel very uncomfortable in this position but I feel I have no choice.  He seems to understand and doesn't complain although he keeps forgetting that I took him money and credit cards and thinks they have been lost.  I am so exhausted and my husband is getting tired of all the time I spend taking care of him.  Please give me words of wisdom ....

    Reply
    re: An alcoholic with alzheimer's. Help me!
    Carol Bradley Bursack
    Friday, November 20, 2009 at 07:15 AM

    Under these circumstances, you did the right thing with his money. He wants to stop drinking but he has a disease - alcoholism. AA is fantastic, but since he may be too far into dementia to remember things, it's hard to tell how much that can help unless he goes through detox and treatment.

     

    Is he a veteran? The VA is used to handling these circumstances. They may be able to get him into treatment/AA and some housing.

     

    You are wonderful in understanding that he is not doing this on purpose. It's hard to tell is the memory problems are blackouts from alcohol or if they are dementia. He needs a physical by a doctor who knows alcoholism and dementia.

     

    My heart goes out to you. You are not alone. That's why I write about this issue - so people know there are others coping with this problem. Have you gone to Al-Anon?

     

    Please do check with the VA if he is a veteran. If not, try to find a doctor who can get him into treatment for his alcoholism. You will likely have to find a new home for him, unless you/he can pay the AL while he is in treatment. They may be more willing to keep him if he does get treatment for alcoholism. If the doctor thinks he's so far into dementia that treatment won't work, then he can advise you. A nursing home may be in order.

     

    Whatever happens, if he is taken off alcohol, he will likely need medical treatment, as this will be a shock to his body.

     

    Take care of yourself, too.

    Carol

    Reply
    re: re: An alcoholic with alzheimer's. Help me!
    Sad
    Friday, November 20, 2009 at 10:57 AM

    Carol,  Thank you so much for getting back with me on my concerns with my Dad!  You don't know how alone I feel and how unsure I am in dealing with my dad.  So for me to find you online was such a blessing.

     

    You had mentioned getting him a Dr. who is familiar with the Alz. and Achohol.  Who would I look for in the yellow pages?  And yes, he was in the military.  He had the opportunity to go to AA but forgets to go even when I remind him that day.  The center will take him twice a week but he forgets to go.  I really feel that he is not pretending to forget because of all the other things he can't remember. I will check with the dr. to find out his opinion about weather or not he can benefit from going in his mental condition.

     

    Who do I talk to about detox?  He has not had a drink for 3 days (unless he drank late at night, which is a possibility).  He also wanted to take the aniabuse pill that will make him sick if he drinks.  What is your opinion on that?  Do you think it will help him not to drink or will it cause him more harm thn good?

     

    Thank you so much for your help Carol.

     

    Reply
    re: re: re: An alcoholic with alzheimer's. Help me!
    Carol Bradley Bursack
    Friday, November 20, 2009 at 11:05 AM

    Please try your veterans center. They handle these things a lot, including antabuse. Alcoholic veterans usually get treatment and it seems like your dad actually wants to quit but can't. That is the disease.

     

    Maybe if he gets treatment he can get what he needs from support and AA. Definitely contact the VA and let me know how it goes. He's lucky to have you.

     

    Carol

    Reply
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