I’m not sure I have any new coping strategies to add, but here goes.
My difficulty as a carer is that, my partner’s personaility literally changes during the day - almost every day. He has FTD, and it’s as if he’s separated mentally into two extremes of his pre-dementia personality.
Almost every day he gets up very late, refusing to eat, as his “bad” dementia self: angry, cruel, paranoid. He also takes foolish risks. He’s dramatically deteriorated physically: he used to be very active, playing tennis regularly at 70+ and taking the dog for long walks: now he’s frail and unstable; has frequent falls, and refuses to use mobility aids. This morning he was out in the garden in trainers and no coat, using loppers (he likes trimming things: I think it makes him feel in control). It’s no good telling him he’s making poor choices: it just makes him hostile.
Only yesterday I was telling my daughter some kind of residential care might be appropriate; but later in the day - as he usually does in the early evening - he morphed into his “sweet” dementia self: affectionate, dependent, probably a bit frightened of what is happening to him, appreciative of everything I do. There is no way this person should be anywhere but home. He also pulls himself together for “outsiders”, so only I see the other side.
I know I should be grateful some of his personaility remains, but I feel so disorientated. I don’t think I have any new suggestions to offer to cope with the personality traits I’m dealing with. Obviously I try to show his “sweet” self as much love and reassurance as I can, hoping some memory of that will carry over into the darker times. As for the other times, like everyone else I tell myself “It’s not him, it’s the illness.” If he’s being verbally combative, I try not to engage with his arguments, but ask him not to talk to me like that. Unfortunately, although his verbal communication skills are seriously affected by the illness, the one time he seems to speak reasonably fluently is when he’s angry - but his arguments often don’t make sense, so trying to counter them just ramps up the conflict. Better to walk away.
Ho-hum. I’m afraid I don’t have any answers.