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It can be challenging to identify emotional and mental abuse, as there may be no physical marks or indications that abuse is happening. Though it can be difficult for the elderly to discuss their abuse, you can try to ask the person if she feels threatened or scared by a caretaker or a person she is in contact with. Do this one on one, out of the vicinity of anyone else, so the elder feels safe and able to discuss any emotional and mental abuse she may be experiencing. Start by asking, "Are you being treated well?" or "How do you like your caretaker?" You can also let the person know you are available to talk about any issues she may be having, noting: "Please know you can reach out to me if there are any issues with your care." Sometimes the elderly person cannot verbally express their experience of abuse and may instead withdraw from others out of fear or anxiety. She may also appear depressed and refuse to leave her room or go outside to socialize with others. Any negative changes to the person's demeanor should be taken as a sign that something is wrong and you should consider if the person is being neglected or mistreated. This could be a refusal to go for daily walks, a change in appetite, or turning down visits and contact with others. These disruptions in routine could be a sign that the person is suffering from emotional and mental abuse and is too afraid to let anyone know what is going on. Note if the person appears frightened around certain individuals, with wide eyes, nervous ticks, or a lack of eye contact. These signs could indicate that the person is fearful around someone due to abuse. The person may also express other signs of agitation, such as biting her nails, pulling at her hair, fidgeting with her clothing, or stuttering on her words when she speaks to you in front of her abuser.
Ask the person if she feels threatened or scared. Note if the person appears withdrawn or depressed. Pay attention to any changes in the person's routine or demeanor. Check for signs of anxiety, agitation, or fear around others.