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My Mom was on Abilify for a short period of time, at first diagnosis. She was dizzy, lethargic, "LaLa Land", right away... I was like, something is wrong. I had talked to her Dr. he adjusted her meds eliminating the abilify,
this was the problem, in her case.
My Mom never had the excelon patch so I don't know the affects of that. I would research this or any medications.
The other thing is it may be depth perception. Vision is altered sometimes with Dementia, I noticed my Mom colored pictures but nothing in the back ground, then I asked her how she saw what was in the picture and if saw a tree was behind a bunny rabbit she only saw the bunny, so she only colored the bunny, not the tree. But she did comment on someone else's snowman, "Who ever saw a pink snowman?" Thought I'd throw that in for a chuckle!!! I said but "some snowman have yellow snow on there feet" she said ..."snowman don't have feet and that's disgusting!" but she laughed!!!
So side walks and streets look flat to them. Stairs are viewed as 2 denominational. This is why it is hard for them to see things of same color being separate. As in a window covered by curtains of the same color of walls. To them it looks all one thing.
Another thing maybe used as ruling out.
This may sound odd but I learned this from my Dog going to the Vet. I think my dog had a stroke..... her legs were like dead weight and I wanted to make sure she was not in pain. Of course I took her to the Vet... her front limbs were fine strong, no weakness. the back ones were the issue one side was worse at this time. The vet held her in a standing position, on all fours, he picked up one leg and then let it go. Her leg fell in an awkward position not correctly (like hanging limp) my poor pup did not correct the position of the leg. No reaction simple let her leg remain in that position. The vet said she has no feeling in that leg she's not in pain. She either had a stroke or nerve damage.
I know I have said this before ... we have to really look at things we notice and translate to the Dr's because we see things that they don't in a quick exam and little details may give a Dr a better insight on what's ailing our loved ones.
So write your concerns down and relay them to the DR's .... look at drug side affects, and remember that psych medication should be for stabilization, not so to create a person who has a completely different personality or becomes more ill. Somethings are due to dementia but the basic personality of your loved one should be recognizable to some extent.