Thank you so much for this reference Teri, the article is loaded with good ideas and explanations to make some sense of this. And the link to caregiver burnout is helpful as well. Shadowing is, right now, the most challenging behavior, and it is absolutely constant. No wonder I am on the edge of burnout. Lack of family help is frustrating and discouraging. Her separation anxiety causes panic at even the mention of non-family outside help. I read somewhere about precipitating a crisis in this type of situation. Not sure about that though...