<s>[INST] My mother in law has MS. She has been forgetting things and mistaking what we tell her for about a year now. Would it be ok for me to contact her Neuro and let him know before her next appt. I do not want her to know that I contacted him. She gets upset when I talk about it and denies it. I want her to get help but I don t want to start a family feud over it [/INST] Hai I think your motherinlaw started developing cognitive deteriorartion. It may be complication of MS/evolving Dementia/comorbid Psychosis. Kindly go to your nearest neurologist for evaluation. She may be required to put upon on Anticholineesterase inhibitors, Antipsychotics, behavioural therapy with neurologist advice. once neurologist clearance obtained she may also require a psychiatrist consultation. </s>