Despite diagnosis and attending quite a few clinics, my mother is in total denial that there is anything wrong with her. When she did the initial memory assessment, she breezed out saying she had passed with flying colours and that there was clearly nothing wrong with her and that the consultant had said she was amazing for her age. I’ve always suspected that mum has always suffered from Narcissistic Personality Disorder so lying has always come naturally to her. Throughout her life, she has always made up stories where she was the hero and saved the day or that she was especially gifted or that she was always very popular and everyone looked to her for advice. She refused carers for a while, although I got around this by changing and shortening the times they attended. As mum has recently been prescribed Donepezil, I have arranged that they visit briefly to ensure she actually takes it. She wasn’t taking her blood pressure and thyroxine tablets either. She rang me and said she found it amusing that someone had to come and give her her pills - especially as she “never had to take any before” She’s been on medication for years! I know she doesn’t eat well - she’s lost loads of weight - as I’ve had to chuck out loads of food that I had delivered but she is adamant that she cooks for herself every day and allegedly goes shopping by herself every week. She hasn’t been able to go for nearly a year as she kept losing her bank cards and any cash she had so I know she’s been nowhere. I arranged for meals on wheels so at least she has the opportunity to eat something hot but she rang me today and told me that it’s a complete waste as she prepares everything she needs and “I don’t need the food as it’s not as though I’ve lost my marbles and I can go out anytime to Sainsbury’s” She’s told the volunteer delivering the meal that she won’t be requiring it anymore, although I’ve confirmed that this is not the case. Mum is clearly living in a total fantasy land on one hand but seems to be able to keep herself and her home clean and dresses appropriately. As with any sufferer, there’s no reasoning with her or logic to her statements but she often turns it on to me and accuses me of trying to make out that she’s stupid and that she resents my interferences as “I’m quite capable of looking after myself.” This is so wicked to admit, but I’ve thought about taking her to the supermarket, shadowing her and waiting at a discreet distance when she gets to the till to see if it actually dawns on her that she can’t cope. If I hadn’t have put all these resources in place, she would have lost her independence months ago and if I cancel meals on wheels, I do suspect she might just starve herself to death.