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is this considered a hallucination or delusion?
My hubby was watching Tv and called me into the LR. He asked to to ask the cat to stop laughing at him. Our cat was curled up in a ball sleeping.
He did this months ago though my other cat was pointing at him and laughing. Really freaked me out.
My mother has Frontotemporal Dementia and has pronounced hallucinations (both visual and auditory), delusions, and paranoia. The anti-psychotic med her neurologist prescribed worked wonders but, at home, she refused to take any medication. She's been in memory care for a year and is stabilized on her meds so these issues are largely reduced but she still has occasional auditory hallucinations and a specific delusion.
I said that to say your husband's behavior sounds like a hallucination - either visual or auditory or mixed. It is unnerving to witness, to say the least. When she was still at home Mother would say out of the blue - "Those animals on the wall are turning into a line," or, "Do you see the little girl in the corner crying?" When I said I didn't she was surprised. Sometimes I'd be with her in the kitchen and she'd step out of the room. When I looked around the door she was having an animated conversation, including nodding her head with....no one. The most bizarre one was when she prepared dinner for a number of family members from out of state (who weren't there). I wasn't present but my step-father said she "talked" to each person as she set out food - entire conversations - and was walking around very quickly that turned into 30-hours of constant movement. She was very upset later, thinking because she didn't have meat that the men wanted, they all left angry at her. That's when she called me very agitated saying, "Well my name is mud" - and I didn't realize it was a hallucination until things didn't sound quite right. I asked to speak to my step-father and he said, "None of this happened."
The delusions are the worst because she thinks they are absolutely true. Many dementia patients accuse their spouses of having an affair, as did my mother. It began with the person being one of her sisters-in-law in another state, then any house cleaner that came to their home, but it got worse - the day she left the house and was picked up by the police, which led to her having to go to memory care - she told the police she had to leave the house because her husband was having an affair with her daughter. As her only child and us being so close all our lives, that was devastating for me. The medication definitely helps and some days when I visit she is thrilled to see me but other times she sits, glaring suspiciously at me and is very cool and aloof. It's like a dagger in the heart. When she was in the hospital after the police found her, she told the personnel there that "My daughter is dead," later telling my step-father that "I died in a traffic accident while going to xyz city." To this day she'll ask me, "Did you drive here?" When I say yes she says, "I thought something happened to your car."
This disease is so cruel.