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Here is an important clue. Her mania is her adrenaline rush from confrontation. Not taking her meds? Oh boy. I feel sorry or your son, grandchilren, and you. Been there, done that.
SIL managed to destroy my brother's career, lost their big beautiful California ranch, and everything they owned. I let them come live with us, he worked, she wouldn't, we did, .... oh heck same scenario except we got no money out of them. And oh she sat her happy bum around and lounged in our hot tub(which was for me medically so I could work). She hid food because it was hers, fought with my brother as soon as he would walk in. I never got to use the tub, why....because I was too busy cooking and cleaning.
Best day came when she said I am leaving, he said here are the keys to the truck, pack up. It was their only vehicle that we helped them buy. After that he was a changed man, happy, out going. I carted him to work and back for a bit until he could get another vehicle. He got back on his feet, got his self respect back, is now a private contractor for the Govt. currently living in a palace in Kuwait.
Maybe there need to be some family dynamics changes or she needs to get on meds and stay on them(which she won't). Your son needs some support and maybe he will see how damaging this woman is. Maybe he feels trapped in a bad situation.
No, you are not being mean. Lock it up, lay down some new house rules. She will either comply or leave, I have a funny feeling she will leave. Hugs to you and your family, this is a bit more serious than a hot tub issue. You can PM me if you want to.