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UTIs in the elderly often cause a rapid change/decline in mental status, and it amazes me how often people don't know this.
However, 40 is not elderly. Not even close. OP needs to get their mother to a doctor asap for a thorough exam. Either she truly does have early-onset dementia, she's using drugs, or she's having a mental break or other mental health disorder. Or a combination of things. Either way, she needs prompt assessment and treatment.
If she won't go to the doctor with OP, then it's time to call adult protective services or your local elder support organization for advice.