Part of what makes the situation with grandma even more difficult then it already is is that even before the stroke and dementia she was already dealing with mental health issues. She was the oldest of 11 children, and had to help raise them and had a abusive father. I was fortunate to have never met the man as he died a few years before I was born. The stories she's told of him, that have been backed up my great granny and her siblings would send chills down my spine. She's held onto that all her life, tried for many years to get her to go to therapy or try medication for the depression. She flat out refuses, she's not crazy and she is not taking medication for crazy people. She is a hoarder, has been for years, we try to help clean it up and if you throw away so much as the plastic rings from pop or gatoraid bottles she's in tears saying we are throwing away everything she owns. She is also a compulsive liar and a very controlling person. We are having huge huge issues with Rosie. I give her too much freedom, I'm going to get her kidnapped because I let her ride the horse by herself, she should not be allowed outside to play with her friends without me being right there and more. She has burned bridges with several of her brothers and sisters and they refuse to visit, even though everyone knows they are more then welcome to come here. We have thought about taking her down to her house to check on things, but, if we do there is a huge chance that she will get inside and refuse to leave. We finally yesterday had the first home health rehab visit. It is through them, that we can be referred to potential options for outside help. But, a lot of the programs have to have her permission where her insurance has to cover it. If she thinks she has to spend so much as 1 dollar on things she is "not being taken advantage of" and will not even consider it. Mom is her only child and she swore if she was able grandma would never go into a nursing home. We are trying, but every day that option is looking like it might be the only solution.