Family Tension and Caregiving

If you read some of the posts I have written in the past regarding caregiving issues, you may think that everything is pretty much black and white for my sister and I. It would seem that we have a set plan and then follow it to the “T” and then share that information with you. But, of course I wouldn’t be truthful if I didn’t say that alot of things that we do are out of trial and error. We’re still learning and growing along the way. We’re also burdened with many responsibilities other than our parents’ caregiving needs. There are  times when we fight like cats and dogs, other times we get frustrated with other members of the family and times where we just cope with things on our own.

Resentment and Responsibility

I know every family is different. Families differ in values, culture, dynamics, size, attitudes, etc. You get the drift. As I’ve mentioned in the past, I come from a big family. There are 3 boys and 3 girls. I’m the youngest, Josie is the middle child. Our other sister that helps out on the weekends is the 2nd oldest. While alot of the responsibility falls  on our shoulders, so have the differing views and attitudes regarding our parents’ care. All of my life, Josie has always been the “rock” of our family. For whatever reason she’s always been the one to take care of things. In many families, the oldest child usually takes on that role. Not so in our case. But since our dad’s stroke 9 years ago, I took a more active role in the decision making that goes with regards to their care.  So, in a way, I’ve been Josie’s side kick. But with that, also comes our very independent, and assertive personalities. We’ve both expressed frustration and resentment towards other members of the family that have not taken a more active role in the decisions and the care of our parents. Of course, we also understand that for some of them, whether by distance, lack of understanding or all of the above, they cannot be here. So, on we go with our daily routines and do the best we can. It isn’t easy though and caregiving is something that goes unappreciated sometimes or if you have it worse, always!

My Way, Your Way, No Way

Since Dad got sick last month, tension between my sisters and I has grown a bit  but mostly with myself vs. Josie,  my other sister vs. Josie and then a little bit with Josie and I vs. our other sister.   While I know that tension is a normal thing that occurs between family members regarding the long term care of parents, it can be quite frustrating. Before, Mom’s needs were really our main focus. Yes, Dad had his needs too, but he was, for the most part, independent. Now, both he and Mom need constant care. So I can only assume that the workload that’s increased is a main factor behind our squabbles.

One thing, is that I am very head strong. I don’t like answering to anyone. I’m very independent. Sometimes that’s good, sometimes it’s bad. Josie’s the same way. So when we disagree on things or she’s venting and I take her the wrong way, we start fighting. Part of it is, that she likes things done her way. She’s very particular. I don’t like anyone hovering over my shoulder. Can you see where this can go?

Coming to Terms and Acceptance

With strong personalities, disagreements are bound to occur. So, luckily for us, we understand that and we don’t stay mad at each other for too long. For some families, this might be a challenge especially if you add a stubborn personality to the mix. For us, I think a lot of it is that our lives have been put on hold. I can’t speak for my other sisters, but for myself. From my point of view, it’s a bit unfair for my daughter. Since my dad has come home, I’ve been spending most of my weekends with my sisters trying to help out. Instead of taking my little girl to the park, or out to Seaworld, to the beach, I’m dragging her over to their house. Obviously, she enjoys seeing her grandparents and I really think she should because I don’t know if she’ll remember them much when she’s older. But at the same, time I can’t really have a normal life with her or my husband. My husband and I haven’t had a “date” night in awhile. But, if I think about how different my life is compared to peers, I can see a mixed blessing. It’s something I can share my friends and others who may need my help and advice in the future. It also gives me something to teach my daughter about caring for loved ones.

So how do I accept things? I try to think about the future I want to provide for her. I’m working hard at our business and try to remain positive through all of this despite all of the setbacks. 

Goals

With each new challenge, new goals arise to tackle that challenge. I think that the biggest challenge for us thus far is the financial one. I’m working on medi-cal (medicaid) for our parents as their funds deplete with all of the prescription, housing and caregiving costs. Hopefully with this help, we can apply for IHSS (In home support services) which is offered down here in San Diego. IHSS will help us with the extra caregiving help which we all need! 

What do you think your major issues are with other family members? How do you handle them?

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Caregivers and Depression


According to the statistics of various California Caregiver Resource Centers, 60% of caregivers show signs of clinical depression. I’m sure this is similar throughout the country. Even after the caregiving ends, for many people, the depression lingers.


My sister Josie and I are no strangers to this. Even though we are now considered “indirect” caregivers to our parents (because we have a live-in caregiver), we still have our own issues dealing with their plight. I honestly think that if we did not have each other to deal with this situation, there is no way we could handle their situation without some emotional or physical consequence from it.

Heavy Burden

Caregiving is something no one can truly understand unless they have been there themselves. It is in some ways, harder than raising children. Granted, I am a fairly new mother, but when you are dealing with adults who are dependent on you, it is an entirely different situation. Adults are already “set” in their ways, they can be more fragile physically and meeting their emotional needs is not the same as calming your children down.

When you have two as opposed to one parent who may have physical needs, this already difficult task, is compounded twice with you having to satisfy two very different needs. This is our case. However, even caring for your spouse or one parent can be just as challenging. You go through feelings of guilt, anger, resentment, sadness, and confusion. We go through at least one of those emotions everyday.

Signs of Depression

  • Changes in eating habits
  • Sleep affected
  • Feeling tired
  • Lose interest in things/people that once brought pleasure
  • Easily agitated or angered
  • Chronic Pain, or conditions that headache that won’t go away.
  • Thoughts of death or suicide

These are just some of the conditions that could lead to a diagnosis of depression. All of us may have had these thoughts one time or another so it doesn’t necessarily mean that you are depressed. However, if you are depressed,you don’t just “snap” out of it either. Eventually, you start to feel better if you are able to find a method that works for you, whether that be medication or therapy of some form.

Treatment and Coping

I had concerns about depression in the past and told my doctor about my stress before. This was around the time before I had my daughter and my mom was newly diagnosed with Alzheimer’s Disease. She felt I had strong enough symptoms to prescribe me Paxil at one point. However, despite her concerns, I felt that this was something I could handle with other alternatives. I never did get the medication partly because, I think that too many people nowadays choose to become “pill poppers” instead of problem-solvers. Granted,I do think if it is so severe that it can’t be handled by other means , then a person should be medicated. But for me, I think it would’ve made things worse so I chose other alternatives and consulted with my family and husband.

Here are some methods you can consider to help you deal with caregiving stress:

  • Respite Care – This can come in the form of state assistance or out-of-pocket. You can even consider volunteers(family, church members, etc.)This can make a huge difference even if it is only for a short-time, it gives you a breather.
  • Adult Daycare: See my article on Community Options For Caregivers for this alternative and others for your parents.
  • Caregiver Support Groups: You can check the local senior center, or your local senior advocacy group for dates and times. Also, sometimes you may find announcements in your local paper or smaller publications.
  • Church and other support systems: We all have our havens,maybe yours is with your local church. Sometimes you meet people who share the same experience as you, or people who know of others who are. It’s a great way not only to network, but to help you get out.

Of course, there are a ton of other things you can do, even taking a stroll at the park is enough to help ease your anxiety or tension. The point is, take time out for yourself, even if it seems impossible.

Sometimes I do get sad and anxious. In fact, today, I had a breakdown. Reality struck me that my mom has changed, and that things eventually will get worse. There are times, especially at night when I go to bed, where I feel an onset of anxiety. I fear getting a call in the middle of the night about my parents,other times I fear something bad happening to my husband and daughter, or even myself.

How do I deal with it? I look to my Christian faith (even though I’m not an avid church goer), and I try to remain optimistic. My sister and I take turns “venting” to each other. So, in that regard, that is our own form of therapy. We also laugh constantly, and sometimes, for no reason at all. We are quite the characters! We also surround ourselves with positive influences. These influences include: spending time at the beach, being around happy people, reading inspirational books and poems, watching funny movies and just try to make the best of a difficult situation.

Of course, we do have our times when we feel like giving up. I think that’s normal for anyone to feel. How about you? What have been some of your challenges? Do you feel depressed?
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