You CANNOT help those who won't help themselves. It really is that simple. Our emotional connections is what complicates things. Our morals and values of ...."it's my mom, I have to be there for her like she was for me" card gets thrown in the mix, you over try, they are stubborn and set in their ways and bottom line.....it ain't happening. I have learned through personal and professional experience, that older people are set in their ways and until THEY are good and ready, will not change. Menopause changes everything. Relationships being the number 1 effected. I have been experiencing this with my MIL for the last 10 yrs. My best friend went through the worst experience, as menopause brought out a psychotic break in her mom and she had to commit her. I also experienced this with my Eldercare client and her children. It has alot to do with pride, who they see themselves as, who they'd like to be still, the acceptance of their decline, mentally, emotionally, physically. It is also the refusal, not so much the denial, of believing that they are still the parent and refuse to be told what to do by their child or that they are being a burden to their child. You will, regardless of your age, ALWAYS be the child. SOMETIMES it helps, if you had someone else address her or if you sit and speak to her with your heart, not your anger and frustration. YOu said it yourself, you don't think she knows how much she's hurting people...........so tell her. She could also be very set in her ways and that's that. You have to get over the guilt of trying to protect her and care for her, especially if you have tried your best to no avail. It also depends on what kind of relationship you 2 had from the start. Was it good, solid or were there resentments and a lack of trust? There are many little psychosematic triggers that aid or hinder these situations in both of you. I'm sorry you are going through this, I see it often in my clients children. Bottom line..... you cannot make her help herself. Good luck T..