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gladys,

i would say it is a combinaton of things with lbd we really dont know how much

they really do know/understand, i would think she understands that something is

seriously wrong with her, she is scared, she is tired, she is confused, she is

depressed etc. i would call her doctor and consider a antidepressant, dad did

well on zoloft he started out at 50mg that helped with depression/aggression and

dr jekyl/mr hyde issues. i hopethis helps hugs. sharon

Gladys Stefany wrote:

Mom has been having some major crying jags lately and we don't know

what is

causing them. Neither does she. It's heartbreaking. Has anyone else

experienced this?

Gladys

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Dear Gladys,

Love your name - very unusual and poetic. Also my mom's name. My mom (LBD with

Parkison's) has crying jags from time to time. Can cry for hours - sometimes

very heavily, sometimes more just weepy and whimpery. It occurs for what seems

to be no reason, but for her (and every person is different, of course) we

usually figure out a cause. Sometimes sadness when she is " with it " to realize

she can't walk anymore, doesn't see her son much, is failing, etc. Sometimes

when intense they signal pain, discomfort or even infection (most often a UTI or

respiratory) that she can't describe. Sometimes " just " the dementia which kicks

off behaviors that can't be traced to anything else. Sometimes changes in

environment, too much stimulation or over-exhaustion.

When this happens, I try to determine what is new or different - meds,

location, visitors, tiredness level, physical ailment, a cross word from

someone, etc. If none of the above, and she is not too far gone, diversion can

help. When that's impossible, and the crying continues for a long time, she may

need help calming down, in which case the MD allows us to give a very small dose

of Seroquel in addition to her regular dose. I do try to avoid that, as Seroquel

is powerful, even in small amounts.

Is there anything different, new or distressing in your mom's situation?

Possible new physical concerns? Do the crying jags occur regularly, only

occasionally, are they intense?

I'll be keeping you and your mom in my prayers.

Lin

Gladys Stefany wrote:

Mom has been having some major crying jags lately and we don't know what is

causing them. Neither does she. It's heartbreaking. Has anyone else

experienced this?

Gladys

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Thanks, Sharon She's been taking Zoloft before bed for about a year and a

half. Perhaps we need to increase it. I just don't know what to do.

Gladys

-- Re: crying

gladys,

i would say it is a combinaton of things with lbd we really dont know how

much they really do know/understand, i would think she understands that

something is seriously wrong with her, she is scared, she is tired, she is

confused, she is depressed etc. i would call her doctor and consider a

antidepressant, dad did well on zoloft he started out at 50mg that helped

with depression/aggression and dr jekyl/mr hyde issues. i hopethis helps

hugs. sharon

Gladys Stefany wrote:

Mom has been having some major crying jags lately and we don't

know what is

causing them. Neither does she. It's heartbreaking. Has anyone else

experienced this?

Gladys

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My Mom did well on Remeron for depression. It also helped her sleep. She

no longer needs it.

" Gladys Stefany "

<agoramom@...

> To

Sent by: <LBDcaregivers >

LBDcaregivers@yah cc

oogroups.com

Subject

Re: crying

02/19/2008 04:07

PM

Please respond to

LBDcaregivers@yah

oogroups.com

Thanks, Sharon She's been taking Zoloft before bed for about a year and a

half. Perhaps we need to increase it. I just don't know what to do.

Gladys

-- Re: crying

gladys,

i would say it is a combinaton of things with lbd we really dont know how

much they really do know/understand, i would think she understands that

something is seriously wrong with her, she is scared, she is tired, she is

confused, she is depressed etc. i would call her doctor and consider a

antidepressant, dad did well on zoloft he started out at 50mg that helped

with depression/aggression and dr jekyl/mr hyde issues. i hopethis helps

hugs. sharon

Gladys Stefany wrote:

Mom has been having some major crying jags lately and we don't

know what is

causing them. Neither does she. It's heartbreaking. Has anyone else

experienced this?

Gladys

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Yes -- my mom had this symptom as well... That was one of the first

symptoms that made us finally realize something was wrong, in fact.

Because she was always 'the strong one' -- so when she had these crying

spells we became that much more concerned... It was a daily occurence

for my mom to cry for almost her entire journey. Everytime I walked

into the room she would start crying... We did find improvement when

she was given Celexa (anti-depressent) -- the tears didn't go away

entirely, but she was less weepy - just a bit teary. It's definitely a

symptom of LBD IMO... In mom's early stages when she was able to

communicate, I'd ask what was wrong and she would tell me that she

didn't know. She didn't know why she was crying... Also, I'd imagine

just knowing something was wrong and not able to know what it was must

have been heart-wretching... but I believe it's more of a symptom

rather than a reason for the crying... but that's just my opinion... Is

your mom on an antidepressant? Which one? Did you notice a difference

when she started? There was definitely an improvement w/ my mom - but

again, it never entirely went away...

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Hi ,

I just posted to Ron and Gladys about our experience with anti-Ds. Lexapro

really helped my mom for many years. Now it's hard to know . . . and given my

concern about too many brain-affecting meds, I am seriously considering D/C it.

Hope all is well at your end.

Lin

wrote:

Yes -- my mom had this symptom as well... That was one of the first

symptoms that made us finally realize something was wrong, in fact.

Because she was always 'the strong one' -- so when she had these crying

spells we became that much more concerned... It was a daily occurence

for my mom to cry for almost her entire journey. Everytime I walked

into the room she would start crying... We did find improvement when

she was given Celexa (anti-depressent) -- the tears didn't go away

entirely, but she was less weepy - just a bit teary. It's definitely a

symptom of LBD IMO... In mom's early stages when she was able to

communicate, I'd ask what was wrong and she would tell me that she

didn't know. She didn't know why she was crying... Also, I'd imagine

just knowing something was wrong and not able to know what it was must

have been heart-wretching... but I believe it's more of a symptom

rather than a reason for the crying... but that's just my opinion... Is

your mom on an antidepressant? Which one? Did you notice a difference

when she started? There was definitely an improvement w/ my mom - but

again, it never entirely went away...

Welcome to LBDcaregivers.

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Hi Gladys - i can't seem to read my messages in the proper order, so my replies

are disjointed. i did not realize your mom was already on an anti-D. While an

increase in the Zoloft might be indicated, do consider causes for the crying

other than depression and anxiety. And, if the crying has increased rather

quickly, check physical status as well.

I do believe in the value of anti-Ds, but also in eliminating other causes for

this behavior. checking everything before increasing a med (except of course in

an emergency) is a " rule of thumb " - in part because all these meds affect both

mind and body, and because in many cases, as with anti-Ds, it may take weeks to

note any effect, time that other causes - if they exist - could be addressed.

Let us know what you decide.

Prayers,

Lin

Gladys Stefany wrote:

Thanks, Sharon She's been taking Zoloft before bed for about a year and a

half. Perhaps we need to increase it. I just don't know what to do.

Gladys

-- Re: crying

gladys,

i would say it is a combinaton of things with lbd we really dont know how

much they really do know/understand, i would think she understands that

something is seriously wrong with her, she is scared, she is tired, she is

confused, she is depressed etc. i would call her doctor and consider a

antidepressant, dad did well on zoloft he started out at 50mg that helped

with depression/aggression and dr jekyl/mr hyde issues. i hopethis helps

hugs. sharon

Gladys Stefany wrote:

Mom has been having some major crying jags lately and we don't

know what is

causing them. Neither does she. It's heartbreaking. Has anyone else

experienced this?

Gladys

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Hi all Just to clarify: even though the term " sundowning " seems explicit to

time, that's not how the phrase is used clinically. It refers to certain

increases in delusional thinking, emotional behavior, etc. that is regular and

appears at approximately the same time daily - AM or PM. My mom " sundowned " just

about every day for 4 months - at 11 AM. It does seem to occur more frequently

to people at close of day and often related to the circadian rhythms, but there

are lots of variations. Rest and diversion generally help. If they don't - or if

the timing is all over the map, chances are the behavior is related to another

problem.

Lin

Gladys Stefany wrote:

No It's not " sundowners " . It happens around 2:00 every afternoon. Then

she usually takes a nap and wakes up happy.

Gladys

-- Re: crying

Yes -- my mom had this symptom as well... That was one of the first

symptoms that made us finally realize something was wrong, in fact.

Because she was always 'the strong one' -- so when she had these crying

spells we became that much more concerned... It was a daily occurence

for my mom to cry for almost her entire journey. Everytime I walked

into the room she would start crying... We did find improvement when

she was given Celexa (anti-depressent) -- the tears didn't go away

entirely, but she was less weepy - just a bit teary. It's definitely a

symptom of LBD IMO... In mom's early stages when she was able to

communicate, I'd ask what was wrong and she would tell me that she

didn't know. She didn't know why she was crying... Also, I'd imagine

just knowing something was wrong and not able to know what it was must

have been heart-wretching... but I believe it's more of a symptom

rather than a reason for the crying... but that's just my opinion... Is

your mom on an antidepressant? Which one? Did you notice a difference

when she started? There was definitely an improvement w/ my mom - but

again, it never entirely went away...

Welcome to LBDcaregivers.

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I always said my husband " sunupped. " Most of the

time, his worst times were in the morning, and he

often improved during the day.

June

--- l pratt wrote:

> Hi all Just to clarify: even though the term

> " sundowning " seems explicit to time, that's not how

> the phrase is used clinically. It refers to certain

> increases in delusional thinking, emotional

> behavior, etc. that is regular and appears at

> approximately the same time daily - AM or PM. My mom

> " sundowned " just about every day for 4 months - at

> 11 AM. It does seem to occur more frequently to

> people at close of day and often related to the

> circadian rhythms, but there are lots of variations.

> Rest and diversion generally help. If they don't -

> or if the timing is all over the map, chances are

> the behavior is related to another problem.

> Lin

>

> Gladys Stefany wrote:

> No It's not " sundowners " . It happens around 2:00

> every afternoon. Then

> she usually takes a nap and wakes up happy.

>

> Gladys

>

> -- Re: crying

>

> Yes -- my mom had this symptom as well... That was

> one of the first

> symptoms that made us finally realize something was

> wrong, in fact.

> Because she was always 'the strong one' -- so when

> she had these crying

> spells we became that much more concerned... It was

> a daily occurence

> for my mom to cry for almost her entire journey.

> Everytime I walked

> into the room she would start crying... We did find

> improvement when

> she was given Celexa (anti-depressent) -- the tears

> didn't go away

> entirely, but she was less weepy - just a bit teary.

> It's definitely a

> symptom of LBD IMO... In mom's early stages when she

> was able to

> communicate, I'd ask what was wrong and she would

> tell me that she

> didn't know. She didn't know why she was crying...

> Also, I'd imagine

> just knowing something was wrong and not able to

> know what it was must

> have been heart-wretching... but I believe it's more

> of a symptom

> rather than a reason for the crying... but that's

> just my opinion... Is

> your mom on an antidepressant? Which one? Did you

> notice a difference

> when she started? There was definitely an

> improvement w/ my mom - but

> again, it never entirely went away...

>

>

>

> Welcome to LBDcaregivers.

>

>

>

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