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Mumsnet has not checked the qualifications of anyone posting here. If you need help urgently or expert advice, please see our domestic violence webguide and/or relationships webguide. Many Mumsnetters experiencing domestic abuse have found this thread helpful: Listen up, everybody

Leaving a partner with dementia

350 replies

Pamtechnicon · 16/09/2021 12:04

I grew up with dementia: my demented DGM lived with us for years when I was at primary school. Even as a young child I saw how torn and exhausted my DM was, trying to hold everything together and look after our mad granny and her tendency to wander the street in a state of undress or set light to things. In retrospect I can see that me and my siblings were left pretty much to bring ourselves up much of the time while DM tried to look after her DM. Not knocking it, it made us independent, but not ideal.

Life went on. My DP and I met in our 40s and have been together 21 years. It became clear after the first couple of years together that his parents' were declining into confusion and dementia. Our lives became dominated by the need to keep an eye on them and sort their issues out. Whenever we booked to go abroad one or other of them would have a crisis: go missing, have a heart attack, set the kitchen alight, get locked out... DP's DF died first and he wanted his DM to live with us. I said no. She was doubly incontinent and I knew I'd be expected to do all the intimate care and domestic work. Instead I supported him to support her and the family finally agreed that they'd have to pay for a care home. I know you're not supposed to say it but it was a huge relief when she died. I think we both felt as if we'd got our lives back and we had a few really good years.

My partner was offered an early retirement deal in 2019, when he was 63. I was in a position to give up work too. The plan was for us to have a few years travelling and exploring the world free of parental care. Then Covid came along. He seemed to suffer quite badly, being a sociable sort of person. He began to struggle with Zoom and FaceTime: he couldn't remember names and sometimes didn't recognise people. This year it's been noticeable that he tells the same stories again and again and people are beginning to let him know they've heard it before.

Several people have asked me whether he's seen a doctor for tests. No one's mentioned dementia but that's what we're all thinking. He can't remember our dog's name and calls it by the name of a dog he had before I knew him. He gets agitated and confused and shouty over things he has taken in his stride all his life.

He had to go to hospital for an X-ray a couple of weeks ago and because of Covid I couldn't go in with him. It seems he got lost and ended up in a behind-the-scenes service area. He was quite defensive, apparently, when staff tried to help him. One of them phoned me and asked me to go in and help calm him. They thought he had MH issues but when I told them my suspicions they said ah, right, that made sense. When we got home I had a talk with him and told him what I thought was going on and of course he denied it all and was furious and upset and yelled at me and told me I'm the one who's losing it. He's never shouted at me before and it was a taste of how the future is going to be, and I don't want it.

I've talked to our GP who said he'd call DP in for a follow-up on the hospital procedure and assess him when he's there, but the GPs are rushed off their feet trying to cope with more pressing things. I will push but I don't expect much. I'm also trying to prevent DP from driving: I've seen him having little blank moments and it terrifies me.

I really, really don't want to lose another decade of my life to dementia. I want a last bit of independence before I get too old to enjoy spending days exploring foreign cities or walking long-distance footpaths or exploring Europe in a camper van — all things we'd planned to do together but are now out of the question. None of his siblings wanted to be involved looking after their parents. I can't see much help coming from them. DP has an adult DS who's been in the US for the last few years and isn't the type to help.

I'm beginning to feel increasingly certain that I want to get out. I have full-time work for the foreseeable future and enough money and pension coming to mean it'll be possible for me to live relatively comfortably independently. But what kind of partner walks out on someone when they most need support? Am I an utter shit to even be thinking about it?

It's been a loving relationship but he would always, whenever the topic of marriage came up, say that he didn't want to marry again because he didn't want to feel tied down. That suited me. I've been totally independent all my life and I didn't want to be tied down either.

We'd agreed that we'd marry if and when one or the other was gravely or terminally ill, mainly to protect financial interests. But neither of us really wanted to do the 'till death do us part' thing. I suppose in theory this gives me a get-out clause. Has anyone else felt this way? Does anyone know anyone who left a partner with dementia or similar?

The only person I can think of is a distant acquaintance who left her partner after he'd had a major motorbike accident that had left him severely brain-damaged. I can remember people calling her selfish for leaving but I didn't blame her.

OP posts:
nomoneytreehere · 16/09/2021 17:52

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Porcupineintherough · 16/09/2021 17:54

but social services cant make you actually be a carer

No they can't but the truth is, if you live with someone with dementia, you will start doing care for them. What else are you going to do? Sit idly by whilst they try and fail to make a cup of tea, wave and smile when they set off to the bank in the pouring rain at 8.30pm at night in their pajamas, ignore them whilst they tear the house apart looking for the passport they no longer have?

2bazookas · 16/09/2021 18:03

I am really sorry for both of you, what a wretched situation.

Some of our couple-friends have been through this. In each case, the dementia partner was still mobile when they had to go into residential care to protect the physical safety of the caring partner. In each case, the loving carer had concealed the escalating aggression/violence and when the truth came to light it was a terrible shock to family and friends who knew them well, saw them often, had no idea how tough it had got.

 Years ago,  people used to conceal the fact a family member had cancer  because that disease carried so much stigma.   We got over that, but  I'm afraid dementia has replaced it ; the disease families deny and cover up because they  feel such guilt and shame  that they can't cope.   Well, it should not be like that.  As the  post war generation live long enough to get  dementias, we're going to see it in unprecedented numbers; as common as cancer.    Carers/partners  like you  SHOULD be able to openly  express their  real feelings and the awful  issues  and decisions   you face  , and  what's happening out of sight  behind the front door.  

   What I'm really saying is, that   I hope for both your sakes that  your partner will end up in residential care  sooner rather than later. 

Before anyone gets hurt. And that if you left him to precipitate him being taken into care before his illness breaks you, I would not judge or criticise you for that.

Charley50 · 16/09/2021 18:09

"But I would be interested to know if anyone on this thread would like to live once they have been diagnosed with dementia as I certainly would not."

I also have an advanced directive. I've stated that if I have dementia and don't know who I am, am doubly-incontinent etc, then I want no treatment for anything; eg. Antibiotics for pneumonia. In that way I wouldn't be killed as soon as I got dementia, but when it's worsened. I really can't imagine anything worse than many years like that, for myself or my Carers.

Spiindoctor · 16/09/2021 18:10

The most difficult thing imv is that the carer is usually exactly that - the one and only carer who is responsible for everything for the patient and basically puts their life on hold for however many years to 'devote' (they aren't really devoting, they are forced through lack of options and guilt) themselves to someone else. It wouldn't be so bad if the someone else was happy and grateful but they are quite possible miserable and depressed due to the illness.

If there were eg several siblings who lived nearby and shared the care, so when not with the patient they had fulfilling interesting lives it would be different but I've never seen this, it is the DM/ the wife/ the husband who is stuck.

My DB was assessed with the Montreal test -
www.dementia.org/diagnosing-dementia-the-montreal-cognitive-assessment
by the psychiatrist. This is in Scotland.
I would look into carers going in to help DP as imv it's unlikely he could care for himself - food, cooking, washing, housework, car journeys, remembering day to day stuff. DB had carers several times a day. The DVLA demanded his licence as soon as he was diagnosed, (not that that would have stopped him without others watching him)

tsmainsqueeze · 16/09/2021 18:12

@Pamtechnicon

To those who say I'm selfish, I would want him to leave me if I developed this horrible disease. I wouldn't want him to have the final stage of his life marred by having to feed me and wipe my arse and endure the endless repetitive chats and have to be constantly on the look out for disasters. I'd far rather he got to enjoy his life as fully as he could and leave me to professionals. If you love someone you don't want to tie them down or make their lives miserable, surely?
I don't think you're selfish , i don't think i could do it either. In your position i think i would probably keep some small presence in his life , if he would allow me too ,just to keep an eye on him. I consider a dementia diagnosis different to a physical disability from ie a car crash,i would stay for that , but i think an illness such as dementia where at some point he probably may not know who you are is bloody hard work for 1 person.
countrygirl99 · 16/09/2021 18:12

My mum has alzheimer's and is in complete denial. It's a nightmare.
She has got angry with my dad for not doing the ironing or similar when he can barely stand without his walking frame. And not just a bit cross, full on totally losing it, screaming angry and then walked out when he fell on the floor - 94 and very frail . But an hour later she has come back forgotten she was cross and wonders why dad has phoned for help and got angry again because "I just went out for dome fresh air".
I have had her sobbing on the phone that she doesn't know where dad is when he's been in hospital for 3 weeks. Called DB who is local, he's gone round and she can't understand why as she's already forgotten she was upset. Then she gets angry because " we are making out she's mad and forgetting things".
Dementia is hard, bloody hard, on anyone caring.

PollyPaintsFlowers · 16/09/2021 18:15

This probably sounds quite horrible but if your DP didn't want to marry you because he didn't want to be tied down then I don't see why there should be any expectation for you to now be tied down due to his sickness. He can't have it both ways.

I agree with this

ICouldHaveCheckedFirst · 16/09/2021 19:32

No judgment from me.
Good plan to get him checked out, so you all know what you are dealing with. Then you can make an informed decision.

GoWalkabout · 16/09/2021 19:39

I honestly think the sooner and the more decisively the better. Tell him and other people 'I have been unhappy and think about leaving for over a year', move more than 30 minutes away and resist any more contact than a meet up for coffee once in a while (if he wants to). There's a danger your care and input will mask his symptoms and build up a dependency that makes it harder for you to leave. If things go pear shaped for him now, all at once, then he is more likely to get himself set up with routines and help whilst still more able. No one else is you. I wouldn't judge you.

MsJinks · 16/09/2021 19:57

Decide what you can realistically cope with and halve that is a tip I got re elderly parent care. No good to man or beast to sacrifice yourself on the alter of dementia- to those who want folk caring for them for 20 years when you’ll not really know who they are by the end I think you really wouldn’t- my parents long and happy marriage leaves my mum thinking she wore my dad out with just the physical care - my grandparents lost their retirement to dementia and my grandad to a head attack years before my Nan, who couldn’t even understand he’d gone. It’s a horrible disease that takes many professionals ultimately to be able to manage one person - no one person can care round the clock. If you stay you’ll do a bit more, a bit more, nothing will be sorted and it will be harder to help ensure his wellbeing- let alone yours. It’s just impossible for you to provide what he will need over time and really more people trying to care full time, or too much of their time should recognise this - it’s really more for their own benefit than the person with dementia.
I hope you find your way through OP - you’re already arranging things for him, so clearly not heartless and running, you’re doing amazingly really with recognising, planning and ensuring his well-being. Lots of wishes to you.

gogohm · 16/09/2021 20:01

If course you can walk away but there are other potential causes, some reversible. He's very you if similar age to you so not a certainty by any means. If it's a hereditary form early onset could make sense ...

Take care whatever you decide

Spyro1234 · 16/09/2021 20:10

You only have one precious life, of course you can leave

SweetBabyCheeses99 · 16/09/2021 20:15

“he denied it all and was furious and upset and yelled at me and told me I'm the one who's losing it”
“ I would want him to leave me if I developed this horrible disease”
So tell him that you are the one who’s losing it, and that you must leave him so that he can carry on without you.
He didn’t want to marry you because he didn’t want to be tied down! So definitely not selfish to leave him. Has he made a will though?

StillWalking · 16/09/2021 20:19

Following with interest as my DH is going down the same road. However, we are married which makes a difference. Do what you need to do preserve your own sanity and well being .... I wish I could do the same.

scoopgalore · 16/09/2021 20:20

What a depressing thread Sad

DominicRaabsTravelAgent · 16/09/2021 20:28

What a depressing thread

It's generally hard to find many laughs in a thread about Dementia.

Runrigdan · 16/09/2021 20:31

I think in your shoes I would walk away, and do it sooner rather than later.

myheartskippedabeat · 16/09/2021 20:35

My parents friends had this and he moved into residential care which was much better
Have you spoken to your GP? That would be a good start x

Yesitsbess · 16/09/2021 20:57

@Charley50

"But I would be interested to know if anyone on this thread would like to live once they have been diagnosed with dementia as I certainly would not."

I also have an advanced directive. I've stated that if I have dementia and don't know who I am, am doubly-incontinent etc, then I want no treatment for anything; eg. Antibiotics for pneumonia. In that way I wouldn't be killed as soon as I got dementia, but when it's worsened. I really can't imagine anything worse than many years like that, for myself or my Carers.

Thankyou. I have been (gently) talking to both my mum and my nan about this. My Grandad at 98 had horrible pneumonia as well as dementia and my nan has since been his carer (she's now 88).

She had a breakdown after having to put him into full time care because she felt she had broken her vows. She is fit and healthy, plays table tennis but she had the last decade of her life curtailed because her husband suffered from this cruel disease. He is not a small man (she is tiny) and he frequently got lost and fell resulting in her hurting herself trying to pick him up.

He has not known if it's Christmas or Tuesday for at least 5 years. Has no idea who I am, rarely wakes for more than a few minutes a day. She is still a vibrant and social woman who knows she has a finite amount of life left to enjoy, he would not have wished this on her as he loves her to his very marrow.

Make a living will people.

Charley50 · 16/09/2021 21:03

compassionindying.org.uk

gofg · 16/09/2021 21:09

I'm not in the UK but I am rather astounded at all these people caring for others with dementia. Of course some do that here, but it is more usual for people who really need full-time care to go into a rest home.

No matter how much you love someone you shouldn't have to devote years of your life to providing full-time care to someone with advanced dementia - there must be other options?

OP - I'm not sure what to think in your situation. I think you need to know a bit more about what is happening/likely to happen before you make a decision. Deciding to leave the moment someone appears to be ill does sound a bit heartless to me, and I am a bit inclined to think that if you have a long term partner the "in sickness and in health" part should still apply.

Porcupineintherough · 16/09/2021 21:22

@gofg I guess you are lucky enough to live in a country with good social care and health provision. People in the uk dont want to pay for that so instead we have - this. Sad

PermanentTemporary · 16/09/2021 21:29

There's a patch between 'this person is fine' and 'this person needs professional care'. It can go on for years. I don't believe there's a country in the world where families aren't dealing with that gap, though I'm sure the threshold for professional care varies.

candycane222 · 16/09/2021 22:11

Hes already started being horrible to you. You are right to be clear in your mind, now, that that kind of behaviour - which would of course be classed as abusive if he was doing it knowingly - is not going to be acceptable to you, and that is why you must go. If he does have awareness (and it dounds like mostly he does) then he would still rather treat you like that than face facts. It isn't really a good sign, is it? That he is already seeing you as a target for his fear and frustration.

And that's even before the doul-crushing 'prison warder' role and physical care begin.

As others have said upthread, he can afford the care he needs.

At least people who are legatees stand a chance of a financial benefit if they take on care (call me nasty, but surely that is a sometimes a consideration when relatives are trying to work out what to do)- you are free from that.