Dealing with a Spouse with a “Mild Cognitive Impairment”

Posted by tryingtimes10 @tryingtimes10, Dec 31, 2024

My husband was diagnosed with MCI in 2019. He is pretty independent, just forgetful of time, dates, location of places, anything electronic & events from our life together (we’ve been married 52 years). It’s all just getting to me. I find myself wanting to be alone so I’m not continuously reminded of these changes. Because my friends/family are out of state, working, or involved with their own families, I really have no one to talk to so I’m seeing a therapist twice a week to deal with the sadness, anger, grief I have over his condition. I just wonder if other women find themselves in this position & how they are dealing with it.

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Profile picture for Cxctucson @cxcordon

I appreciated your comments about sharing this challenge with friends. On top of everything else, I have felt very hurt by comments by three close friends who displayed a real lack of empathy/compassion bordering on distain/disgust because my husband tends to repeat some of his favorite stories. We are talking about occasional encounters and stories of a few minutes duration. The reaction says more about them and their fears but it still hurts. I now avoid these folks. They know the diagnosis. I would never say such an unkind remark, especially to the spouse/carer. I am in the process of trying to make some friends who are kinder and more understanding, as I said in the beginning - on top of everything else.

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I hear you! So called friends who diminish our daily mind bending experiences. And then they tease or just cut off the friendship with our loved ones “weirdness “ as they put it is heartbreaking.
I try very hard to not discuss our situation with anyone that is not walking their own battles. Its just safer emotionally. Yes it does make me very very lonely.
Even my daughter does not want to hear my frustrations because she would like me to get a divorce and says I'm choosing this path.
Best to you all, i pray for each person i read about. Hugs

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Profile picture for Mickey5455 @mickey5455

My spouse of 52 years was diagnosed with MCI last year. We have 3 children who all live out of town. We speak to all three together at least once a week. After our last phone call, my husband lit into me for taking over the conversation and leaving him out. He doesn’t hear well and has a hard time keeping up with the conversation. We have had this issue before and I told him as soon as he wants to say something, I will be quiet. This time he was dosing for most of the conversation and then was very upset after we hung up. I told him I want him to participate but I really don’t know how unless he tries to say something and then I let him talk. I told him moving forward I would say “what do you think” or “how does that sound to you” to try to give him the opportunity without it being on him to join in. A lot of times when he does have something to say it’s totally out of context, but we know the problem and just let him talk. Any suggestions as to how to handle this. I want him included in the conversation but the hearing (he has hearing aids) and the comprehension level is a problem. I really feel he knows he has a problem and wants to take it out on me. I’m a fixer and want to have a solution.

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I find the bit about communicating with our kids (even the
who live nearby) difficult. During catch up calls I want to hear what’s new on their end and don’t want to overwhelm them with tough new or sound like a broken record.
There is such a disconnect between how their dad is actually doing and how they think he’s doing.

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Profile picture for ktcosmos @ktcosmos

I find the bit about communicating with our kids (even the
who live nearby) difficult. During catch up calls I want to hear what’s new on their end and don’t want to overwhelm them with tough new or sound like a broken record.
There is such a disconnect between how their dad is actually doing and how they think he’s doing.

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Thank you for your thoughts. We had a good call with our daughter tonight and I needed to prompt my husband with things to say. At least he felt like he was taking a part in the conversation. Our children really don’t understand the day to day challenges we face. I look at each day as another challenge and try not to let it get to me. Just writing about it, seems to help. Again, thank you for your response. It’s nice to know I’m not alone.

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Profile picture for ktcosmos @ktcosmos

I find the bit about communicating with our kids (even the
who live nearby) difficult. During catch up calls I want to hear what’s new on their end and don’t want to overwhelm them with tough new or sound like a broken record.
There is such a disconnect between how their dad is actually doing and how they think he’s doing.

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PLEASE, Please, please communicate honestly with your children! The first we learned of my father-in-law's rapid decline between Easter and 4th of July when we visited we were shocked by the personality changes and the strain in the household. His Mom, uncle, cousins, neighbors...didn't want to stress us out or worry us, in spite of weekly calls amongst many of us.

Three weeks later, my mother-in-law showed up unannounced at our door, over 200 miles away, for an extended visit, leaving Dad's brother to care for him, because she was overwhelmed - mostly be personality changes. Needless to say we jumped into action, but we would have preferred to help make choices before a crisis.

30 years later, the same thing happened to my daughter and her husband. Even though my daughter had worked in memory care for 10 years, and she had been trying to push the family into action for 2 years. Mom wandered away from home, sans cell phone and jacket, in 0F temperatures - it took the family and local PD 5 hours to find her (safe.) The care choices at that point were limited, and led to a far-too-early fatal outcome for my son's Mom (and my friend.)

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Reading the posts re: communicating with family about spouse's/family member's actual condition. I have been hesitant to do that although I really want to - more for my sake than his. When one nephew calls randomly, my husband just says he's "status quo". When I am asked, I say he's "ok" or "so-so". He doesn't want people to really know what is going on with him. Reality is he is declining health wise and mentally. Not super bad but it sure makes my life with him very difficult. I think family should know. My problem with doing that - when he does talk to people - like family and doctors - he puts on this image of being "fine". Even told one of the doctors a few weeks ago he knows what's going on around him (not really) and he understands his days are not forever. Last time he went to church with me, he looked horrible! He started not doing so well and I wanted to leave but NO! We had to stay. Anyone that looked at him knew he was not well. But he puts on that smile and tries to talk like everything is fine. So I feel if I tell people what is really going on at home where they don't see him, they'll think I'm nuts or just maybe bad-mouthing him. I feel like I'm in a no win situation.

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Profile picture for maryb86 @maryb86

Reading the posts re: communicating with family about spouse's/family member's actual condition. I have been hesitant to do that although I really want to - more for my sake than his. When one nephew calls randomly, my husband just says he's "status quo". When I am asked, I say he's "ok" or "so-so". He doesn't want people to really know what is going on with him. Reality is he is declining health wise and mentally. Not super bad but it sure makes my life with him very difficult. I think family should know. My problem with doing that - when he does talk to people - like family and doctors - he puts on this image of being "fine". Even told one of the doctors a few weeks ago he knows what's going on around him (not really) and he understands his days are not forever. Last time he went to church with me, he looked horrible! He started not doing so well and I wanted to leave but NO! We had to stay. Anyone that looked at him knew he was not well. But he puts on that smile and tries to talk like everything is fine. So I feel if I tell people what is really going on at home where they don't see him, they'll think I'm nuts or just maybe bad-mouthing him. I feel like I'm in a no win situation.

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You really need to be open with folks, you need the support. My husband also said he didn't want me announcing his condition, however I told him I needed the support. I limit who I tell what, depending on circumstances and need to know basis.

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Profile picture for Mickey5455 @mickey5455

My spouse of 52 years was diagnosed with MCI last year. We have 3 children who all live out of town. We speak to all three together at least once a week. After our last phone call, my husband lit into me for taking over the conversation and leaving him out. He doesn’t hear well and has a hard time keeping up with the conversation. We have had this issue before and I told him as soon as he wants to say something, I will be quiet. This time he was dosing for most of the conversation and then was very upset after we hung up. I told him I want him to participate but I really don’t know how unless he tries to say something and then I let him talk. I told him moving forward I would say “what do you think” or “how does that sound to you” to try to give him the opportunity without it being on him to join in. A lot of times when he does have something to say it’s totally out of context, but we know the problem and just let him talk. Any suggestions as to how to handle this. I want him included in the conversation but the hearing (he has hearing aids) and the comprehension level is a problem. I really feel he knows he has a problem and wants to take it out on me. I’m a fixer and want to have a solution.

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When our whole family gets together, my husband usually doesn't join into the conversation. He can't comprehend what is being said. It is so sad to see him sit there with no expression on his face. Not even confusion. More like he has just shut down. You have given me some ideas on how to get him more involved. I just don't know if cognitively he is able. I'll try.

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My heart goes out to you. I’ve found trying to get my husband to engage in the conversation is a combination of hearing and also understanding. By coaxing him with ideas he’s been able to participate more. He needs a lot of help with ideas and sometimes says things totally out of context. Our children are very understanding on our phone calls and I wish I could help you more.

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Profile picture for ktcosmos @ktcosmos

I find the bit about communicating with our kids (even the
who live nearby) difficult. During catch up calls I want to hear what’s new on their end and don’t want to overwhelm them with tough new or sound like a broken record.
There is such a disconnect between how their dad is actually doing and how they think he’s doing.

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I don’t think as parents we ever stop wanting to protect our children, regardless of their age, of the harsh realities of the not so pretty parts of our daily lives when we live with dementia. Even though they are adamant about wanting to be there for us, and help anyway they can, we still find it hard to share the realities of our days. Our daughter left yesterday to enjoy a nice vacation trip… there is no way I would tell when I talked with her that her dad left home yesterday, drove into town, saw a couple of policeman parked on the side of the road, and stopped to ask for help because people have a hit out on him. He experiences delusions. This was a first for him, but it may have also been a blessing in disguise because I have been trying to stop his driving completely and now thanks to his actions yesterday I may be able to. He even ask me this morning about selling his truck. I have not shared this with any of our three children. They live busy lives and have teenagers to keep up with, there is nothing they can do. As long as I can handle my husband’s day to day on my own I will.

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Profile picture for tryingtimes10 @tryingtimes10

Thank you for your kind response. My husband is linked with a cognitive neurologist who sees him twice a year at this time. He is always willing to entertain my questions in between times. Trying to deal with this has made me a physical, emotional, & mental wreck. I struggled with health problems before this but since, I can’t sleep & have dropped weight making me now underweight. I don’t know if the me that was will ever return. I’m seeing my physician & the psychologist because I am not dealing well with this MCI. It was the last thing I expected to deal with. It’s certainly not one of the conditions you consider when you take your vows & promise for better or worse, for sickness & health. I’m just really struggling right now. Thanks for listening.

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I can tell you that i have cried so many "silent tears" where no one is aware. It is very lonely and hard place to imagine being in. I have been through all the stages of grieving even though my sweet husband is still alive. The MCD is not severe at this point but i see it increasing daily. It is scary, tramautizing, and i feel that nobody understands the impact it has on me or him. Although my husband seems ok with the circumstance to a certain degree. His biggest complaint would be not being able to walk due to parkinsons. He doesnt recognize that he has cognitive decline. I go to counseling a few times a month to vent and woe is me. It helps get things off my mind. I feel like the world is a different place now. My perception of life is different than it was before. I have little support from family and i have to pay counselors for support. I find myself being more cynical than i used to be.

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