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Hi everyone, long time lurker first time poster. My dad is about to move his mother with dementia in with him so he can take care of her. The problem is that she's a narcissistic and emotionally abusive. I'm absolutely terrified for him and have tried discussing all the other options available until I'm blue in the face, but he's not having any of it. He's such a wonderful son with a generous, kind heart, and although we have some incredible memory care facilities out here (I'm ready to pack my bags and move in if they'd let me!) I think he's convinced himself he's the worst son in the world if he doesn't bring her into his home first. She's never been cruel to me, but I can't forgive what she's done to him, so this is absolutely tearing me apart. Has anyone had any experience with situations like this where a family member with dementia moves in with a caregiver and the relationship between the two improves? Any advice on what I can do to help once she's out here? My other big struggle is that I can't stomach the thought of seeing her, so although we'll always be there for my dad and he can come to our house or we go out with him, I will not go to his house or anywhere she may be. Should I force myself to suck it up for the sake of my dad? Thank you all for your objective opinions, I'm so desperately lost and destroyed right now.

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What sort of magical thinking is this? No, it won't improve and it will definitely get worse, if not from the narcissism but the dementia alone will burn him to a crisp. The way he will come to this conclusion is if you stay out of it 100%. No enabling.

"Any advice on what I can do to help once she's out here? "

DO NOT get involved. Your family seems to have problems with having healthy boundaries and defending them. You tell your Dad that you will absolutely not help out in any way shape or form, period.

You participating in the care will result in 3 sick people. If you help you will delude your Dad into thinking it's "working". Don't get involved and don't feel bad or guilty to tell him NO. You've been warned.
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Reply to Geaton777
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Okay, here's the straight skinny: No narcissistic emotionally abusive parent with dementia ever in the history of mankind has improved after moving in with a child who is hellbent on his last chance at getting love, attention and approval from that parent. EVER!

Plus once dad gets his mom moved in and later decides he's got to get her out of his home because his own health is suffering, he may not be able to get her out. She's a tenant, claims to be an abused elder, calls adult protective services, she's nuts but he has to prove it to get her into another place, hopefully a facility. He's too sick by then to do anything, but there she is, holding court in the front parlor and rallying forces to oppose her cruel son and diabolical grandchild (you). This is not an exaggeration. Check the legal advice on this as well as various posts on this site.

My advice on helping once dad does this foolish thing is not to help at all. Make that clear to him at the beginning. If you do get involved in helping, it will suck you in like a leech at the bottom of quicksand. You will empathetically want to help dad more and more. You will not be able to do so because nothing helps this sorry situation. You won't be able to unstick yourself from it. Then your dad will resent you for not helping.

Considering your strong feelings, do not be where she is at all. I've had a relative who was so repeatedly cruel and hurtful that even after she died, I would not have my name associated with hers and refused to have my name in her obit! There is nothing to be gained by being nice to bad people. I learned it too late; don't be like me.

Advise dad right now that you won't be helping around the house, filling in when he can't leave her alone, bringing food, taking her to appointments, or anything else. He's on his own. Please come back and let us know how things are going. We care.
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Reply to Fawnby
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Have dad sign up here at the Agingcare forum so when he's at the brink of a nervous breakdown, we can advise him on what to do to save himself.

I hope he's ready and willing to bathe his mother, clean up blowouts and toilet her many times a day. This is something most of us are not prepared for, nevermind a male caring for his mother. Dementia is an other worldly condition as it is, which dad is fully inexperienced with. Then throw narcissistic personality disorder on TOP of it and oh boy. He's in for a world of hurt. My mother was always nasty, but she became truly monstrous once dementia settled into her already sick brain. It was very ugly and I never visited her (in Memory Care AL) alone. I needed a buffer to keep her acting somewhat civil.

As far as you're concerned, you can offer to take dad OUT once in awhile, away from the bedlam inside his home, and have a calm meal together at a restaurant. Dad can hire in home help on HER dime to get respite for himself, and get her into Memory Care where she belongs when he cries Uncle. Make CERTAIN he has medical AND financial POA for the woman or else his hands will be tied forever and he'll always be a caregiver slave, God forbid.

Wishing you the best of luck with a difficult situation.
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Reply to lealonnie1
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So, to answer your main question the answer is no. My borderline personality disorder mom has Alzheimer’s and as it’s progressed she seems to have forgotten much of the eternal laundry list of perceived grievances that she spent her whole life fixated on and raging about. But I still don’t like her, she’s just less annoying to deal with.

The only thing I can think of to recommend to you is to work on thinking about and then accepting that your dad is choosing this. Whether or not it’s a good idea at all, which it’s not, for whatever complicated mix of thoughts, emotions, and fears he’s bound and determined apparently.

Do shore up your own boundaries by thinking ahead of time what you will or will not do for him. You’ve made a great start with the visiting rules but it’s going to get really hard when he’s suffering. Think now about how you can show him love and support without getting sucked in to “just one thing” or “just for one afternoon”. I’m sorry your dad is putting himself in this position and he’s lucky to have you on his side, even if he can’t say no to her right now.
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Reply to Slartibartfast
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HotMessExpress 22 hours ago
I'm so sorry you're in such a heartbreaking situation, and I really appreciate you sharing your insight. I've already started asking things like who they plan to call in case of last minute appointments, things like that and I feel so cold hearted, it helps to see that's an ok thing to ask as much as I hate it. Thank you again, and I hope things get easier for you and your mom.
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This is your dad's life to live, not yours to control for him. You have kind and loving intentions for your dad, but obsessing about it to the point of being "terrified, lost, and destroyed" doesn't do anyone any good, so just accept this and move on, for both your sake and your dad's. If anything, badgering him until you're blue in the face may be causing him to dig in his heels to prove you wrong.

Let him do what he feels compelled to do. If you don't want to visit him there, invite him to see you at your home, and be supportive of him. If and when he decides that the situation is unhealthy, you can help him find alternatives. I'm sorry you aren't able to change his current plan, but it's not a permanent situation, so you can help him bail out later if necessary.
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Reply to MG8522
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It will not get better. There is never improvement in a relationship with an NPD. There is only setting boundaries and sticking to them. Read the book Boundaries. NPDs live to hurt others. My mom asked me to move in with her and I said absolutely not. Thankfully she got so very, very bad that I cut off all communication with her for years (and started to heal from the abuse) before she ended up violent and we had to do two IVCs to get her a psych eval and started on meds. I picked her up from the hospital and drove her straight to a care home. She complained bitterly and it took a long time for her to settle in. My kids visit her about two to three times a year and only when they want to. They do not visit her alone, but only when I go. I visit her two days a week and I am her POA. She still insults me and blames me, but she is settled into her new home. It's been 2 and 1/2 years almost. Have your dad watch the Surviving Narcissism videos on Youtube by Dr. Les. They helped me a lot. They explain how kids of NPDs seek approval and are often kinder people than their parents. It lays out steps to start to heal.
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Reply to JustAnon
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HotMessExpress May 19, 2026
Thank you so much for your advice and I'm sorry you've had such a tough situation as well. I'll check out those videos, and share everything with my dad. Thank you for your response!
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This is not good. Dementia takes away the filter. They also can't be reasoned with. I have not heard that Narcissists get better when they have Dementia of anykind.

Ask Dad if this does not work for him, he will place her. He is important here too.
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Reply to JoAnn29
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HotMessExpress May 19, 2026
Thank you for the information and the reminder that he's important too. I think it'll be helpful that he sees that perspective as well. I greatly appreciate your time and response!!
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If your Dad is hell-bent on this, perhaps he could make it for a fixed period with a review date, for example 6 months. A planned ‘review’ is easier than just waiting for things to get so much worse that they are unbearable. It could be worth getting documentation set up in advance by a local lawyer, to deal with what to do when a negative review comes up.
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Reply to MargaretMcKen
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Let your dad’s choices be his own. You’re wisely enacting boundaries by not interacting with someone you know to be unhealthy for you. Continue to do so. Don’t listen to dad vent or complain about her, at least not much at all. He needs to accept what you have. No, she won’t be better. But dad is an adult free to choose what he wants to do
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Reply to Daughterof1930
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Find a copy of "Never Simple" by Liz Scheier. It's pretty much a textbook on how to cope with a mentally ill parent as they age.
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