After Maria Turner鈥檚 minivan was totaled in an accident a dozen years ago, she grew impatient waiting for the insurance company to process the claim. One night, she saw a red pickup truck on eBay for $20,000. She thought it was just what she needed. She clicked 鈥渂uy it now鈥 and went to bed. The next morning, she got an email about arranging delivery. Only then did she remember what she鈥檇 done.
Making such a big purchase with no forethought and then forgetting about it was completely out of character for Turner, then a critical care nurse in Greenville, South Carolina. Although she was able to back out of the deal without financial consequences, the experience scared her.
鈥淚 made a joke out of it, but it really disturbed me,鈥 Turner said.
It didn鈥檛 stop her, though. She shopped impulsively online with her credit card, buying dozens of pairs of shoes, hospital scrubs and garden gnomes. When boxes arrived, she didn鈥檛 remember ordering them.
Six years passed before Turner, now 53, got a medical explanation for her spending binges, headaches and memory lapses: Doctors told her that imaging of her brain showed all the hallmarks of chronic traumatic encephalopathy. CTE is a degenerative brain disease that in Turner鈥檚 case may be linked to the many concussions she suffered as a competitive horseback rider in her youth. Her doctors now also see evidence of Alzheimer鈥檚 disease and frontotemporal dementia, which affects the frontal and temporal lobes of the brain. These may have roots in her CTE.
Turner鈥檚 money troubles aren鈥檛 unusual among people who are beginning to experience cognitive declines. Long before they receive a dementia diagnosis, many people start losing their ability to manage their finances and make sound decisions as their memory, organizational skills and self-control falter, studies show. As people fall behind on their bills or make unwise purchases and investments, their bank balances and credit rating may take a hit.
Mental health experts say the covid pandemic may have masked such early lapses during the past year. Many older people have remained isolated from loved ones who might be the first to notice unpaid bills or unopened bank notices.
鈥淭hat financial decision-making safety net may have been weakened,鈥 said Carole Roan Gresenz, interim dean at Georgetown University鈥檚 School of Nursing and Health Studies, who co-authored a study examining on household finances. 鈥淲e haven鈥檛 been able to visit, and while technology can provide some help, it鈥檚 not the same 鈥 as sitting next to people and reviewing their checking account with them.鈥
Even during times that aren鈥檛 complicated by a global health crisis, families may miss the signs that someone is struggling with finances, experts say.
鈥淚t鈥檚 not uncommon at all for us to hear that one of the first signs that families become aware of is around a person鈥檚 financial dealings,鈥 said Beth Kallmyer, vice president for care and support at the Alzheimer鈥檚 Association.
Early in the disease, Kallmyer said, dementia robs people of the abilities they need to manage money: 鈥渆xecutive functioning鈥 skills like planning and problem-solving, as well as judgment, memory and the ability to understand context.
People who live alone may be the most likely to slip through the cracks, their lapses unnoticed, Kallmyer said. And many adult children may be reluctant to discuss personal finances with their parents, who often guard their independence.
About 6 million Americans are living with Alzheimer鈥檚 disease, the most common cause of dementia. for a range of conditions associated with declines in mental abilities that are severe enough to interfere with daily life. There is no cure. Alzheimer鈥檚, which killed more than 133,000 Americans in 2020, is the seventh-leading cause of death in the U.S.
Many people have mild symptoms for years before they are diagnosed. During this stage, before obvious impairment, they may make substantial errors managing their finances.
In , researchers linked data from Medicare claims between 1992 and 2014 with results from the federally funded , which regularly surveys older adults about their finances, among other things. Her study, published in the journal Health Economics in 2019, found that during early-stage Alzheimer鈥檚, people were up to 27% more likely than cognitively healthy people to experience a large decline in their liquid assets, such as savings and checking accounts, stocks and bonds.
Another study, published in JAMA Internal Medicine in November, linked Medicare claims data to the Federal Reserve Bank of New York/Equifax Consumer Credit Panel to track people鈥檚 credit card payments and credit scores. The that people with Alzheimer鈥檚 and related dementias were more likely to miss bill payments up to six years before they were diagnosed than were people who were never diagnosed. The researchers also noted that the people later diagnosed with dementia started to show subprime credit scores 2.5 years before the others.
鈥淲e went into the study thinking we might be able to see these financial indicators,鈥 said Lauren Hersch Nicholas, an associate professor of public health at the University of Colorado, who co-authored the study. 鈥淏ut we were sort of surprised and dismayed to find that you really could. That means it鈥檚 sufficiently common because we鈥檙e picking it up in a sample of 80,000 people.鈥
For decades, Pam McElreath kept the books for the insurance agency that she and her husband, Jimmy, owned in Aberdeen, North Carolina. In the early 2000s, she started having trouble with routine tasks. She assigned the wrong billing codes to expenditures, filled in checks with the wrong year, forgot to pay the premium on her husband鈥檚 life insurance policy.
Everyone makes mistakes, right? It鈥檚 just part of aging, her friends would say.
鈥淏ut it鈥檚 not like my friend that made that one mistake, one time,鈥 said McElreath, 67. 鈥淓very month I was having to correct more mistakes. And I knew something was wrong.鈥
She was diagnosed with mild cognitive impairment in 2011, at age 56, and with early-onset Alzheimer鈥檚 two years later. In 2017, doctors changed her diagnosis to frontotemporal dementia.
Receiving a devastating diagnosis is hard enough, but learning to cope with it is also hard. Eventually both McElreath and Maria Turner put mechanisms in place to keep their finances on an even keel.
Turner, who has two adult children, lives alone. After her diagnosis, she hired a financial manager, and together they set up a system that provides Turner with a set amount of spending money every month and doesn鈥檛 allow her to make large withdrawals on impulse. She ditched her credit cards and removed eBay and Amazon from her phone.
Though not a micromanager, Turner鈥檚 financial adviser keeps an eye on her spending and questions her when something seems off.
鈥淒id you realize you spent X?鈥 she鈥檒l ask, Turner said.
鈥淎nd I鈥檒l be like, 鈥楴o, I didn鈥檛.鈥 And that鈥檚 the thing. I鈥檓 aware but I鈥檓 not aware,鈥 she added.
In 2017, Pam and Jimmy McElreath sold their insurance agency to spend more time together and moved west to Sugar Grove, in the Blue Ridge Mountains. They worked with a therapist to figure out how to ensure Pam is able to continue to do as much as possible.
These days, Pam still signs their personal checks, but now Jimmy looks them over before sending them out. The system is working so far.
鈥淎t first I was mad, and I went through this dark time,鈥 Pam said, adding: 鈥淏ut the more that you come to accept your problem, the easier it is to say, 鈥業 need help.鈥欌
Jimmy鈥檚 gentle approach helped. 鈥淗e was so good about telling me when I did something wrong but doing it in such a kind way, not blaming me for making mistakes. We鈥檝e been able to work it out.鈥
Tips for Helping a Loved One
It鈥檚 not easy to broach financial management issues with an elderly parent or other relative experiencing cognitive trouble. Ideally, you and they will have these conversations before problems develop.
As an adult child, you might mention you鈥檝e been talking with a financial adviser about managing your own finances to ease into a conversation about what your elder is doing, said Beth Kallmyer of the Alzheimer鈥檚 Association.
Or suggest that allowing a shared financial management arrangement would eliminate the hassle of tracking and paying bills.
鈥淥ften people are open to the idea of making their lives easier,鈥 Kallmyer said.
Whatever the approach, it鈥檚 important to plan and take steps to protect assets.
鈥淧art and parcel of any legal or estate planning is protecting oneself in the event of incapacity,鈥 said Jeffrey Bloom, an elder law attorney at Margolis & Bloom in the Boston area.
Specific steps depend on the family and their financial situation, but here are some to consider:
Encourage the parent in need of help to sign a financial power of attorney.
These authorize you or another person to act on a parent鈥檚 behalf in financial matters. The terms may be narrow or broad, allowing you to make all financial decisions or to perform specific duties like paying bills, making account transfers or filing taxes.
A 鈥渄urable鈥 power of attorney allows you to make decisions even if your parent becomes incapacitated. In some states, power of attorney documents are automatically considered durable.
Put assets in a trust.
A is a legal vehicle that can hold a range of assets and property. It can spell out how those assets are managed and distributed while people are alive or after they die.
鈥淲e do believe in the power of attorney, but we believe in the trust as an even better tool in the event of incapacity,鈥 Bloom said.
Trusts can be tailored to a client鈥檚 concerns and provide more guidance than a power of attorney document about what money can be spent on and who has access under what circumstances, among other things.
You might be a co-trustee on major distributions, for example, or there may be rules that provide for you or others to review and be notified of any changes, Bloom said.
The Alzheimer’s Association recommends working with an attorney who specializes in trusts to ensure all laws and regulations are followed, Kallmyer said.
Have your name added as another user on a parent鈥檚 bank accounts, credit cards or other financial accounts.
This may be a convenient way to make payments or monitor activity. But a shared account can be problematic if children are sued, for example, or wish to withdraw the money for their own use.
The funds typically belong to all parties whose names are on the account. Unlike a power of attorney, the child isn鈥檛 obligated to act in a parent鈥檚 best interest.
Each of these setups may help protect a parent鈥檚 assets. But parents may not welcome what they see as interference, no matter how well meaning family members are. Typically, they can refuse to permit children鈥檚 access to their financial information or revoke permission previously granted.
Finding a balance between protecting someone and usurping their rights is hard, said Bloom. The only way to ensure financial control is to go to court to establish guardianship or conservatorship. But that is a serious step not to be taken lightly.
鈥淵ou only want to do that if there鈥檚 a major risk.鈥
