A little background: We travel with my Alzheimer's mom, who is 90, and she has some ailments, too. I do these trips to make memories together and to get out of the house. My mom is not a good respite candidate (there have been aggressive moments trying this out) and I'm an only child and childless myself; so, getting family help or other help won't work very well for me. We use a wheelchair on trips; although, she can walker herself around the house. Trips have worked for us in the past and we do at least two a year. We just got back from a major trip out West by car. She had three bad episodes on that trip and it was a three week long trip; this has been our longest adventure yet. I didn't consider 3 outbursts really that bad. She is on a mood swing medicine. She will act out at home, as well. I feel the outbursts are getting stronger and lasting longer and are more frequent, now. It's this last trip that has me scared some from taking other trips, now. In the past my mom was relatively decent in public, but on this last trip she had a few situations which were not pleasant. She did some screaming and she called a waiter a fat *** (excuse me for being explicit, here) in a restaurant. I apologized and the waiter got a very good tip from us and I also apologized to those sitting around me. This whole episode made me feel like I should do take out meals if I do another trip. I don't want to expose children to this problem, either. It could give them nightmares about their grandparents or whatever. At Disney World I love the table service restaurants, but now I don't know what to do based on this incident on our last vacation. I carry cards that have an apology note on them and a slight explanation of her condition to pass out if I need to do it. I don't want to leave a restaurant once we have gotten started, either. There was another episode on this last trip where she was screaming out the word help (one of her pet phases she likes to say over and over) at least 25 times in a resort in the late evening. This could have been construed as us harming her; because, she would say it louder and louder. I could not get to the bottom of the situation and calm her down. Usually, the word help means she wants something like a snack or a drink or potty, but not this time. She tired herself out and it stopped, but I never did get to the bottom of that situation. I do carry a doctor's note about her condition, but who knows in these situations if that would be enough for us not to be in trouble, here. Anyway, the reason for posting is to see how you deal with similar situations (meltdowns and so forth) and whether this may be the time to stop vacations all together. My mom enjoys most of the trips even if she doesn't remember every detail. I would hate to pull the plug. I know there are plenty of parents, here dealing with autism and such. What do you really do when the bad moments occur.