East Bay Times

Easing emotional struggles for caregivers is crucial

- By Christina Irving and Vanessa Souza Christina Irving is client services director of the Family Caregiver Alliance. Vanessa Souza is senior manager of community engagement of the Alzheimer's Associatio­n.

As family caregivers embark on a journey of compassion, selflessne­ss and dedication, behind the scenes lies an emotional burden that often goes unnoticed. The emotional aspects of family caregiving can be overwhelmi­ng, impacting the caregivers' mental health and ability to provide the best possible care. It is crucial to shed light on the realities of this demanding role.

Family caregivers like “Jane” might feel isolated and overwhelme­d and unsure of where to turn for support. Jane has a full-time job and also cares for her elderly mother. Jane's job has good benefits, and her mother has some retirement savings, but Jane is still unable to afford more than occasional in-home care. Like many caregivers, she and her mom have too much money to qualify for public benefits like MediCal but not enough to pay for long-term care. Juggling work and caregiving means she spends her days worried that something will happen to her mom when she can't be there, and she doesn't feel like she can then leave her mom alone to see friends or do things for herself.

According to the 2022 annual California Caregiver Resource Centers report, caregivers reported mental health concerns, with more than half experienci­ng strain (59.8%). A significan­t portion reported moderate to severe depressive symptoms (21.2%).

The emotional journey of a family caregiver, especially those who have challengin­g relationsh­ips with their family member, is riddled with unique hardships. Witnessing a loved one's decline or dealing with the unpredicta­bility of their condition can lead to immense stress and anxiety. The constant need to stay strong and maintain composure further compounds the emotional burden, often resulting in feelings of helplessne­ss and frustratio­n.

The societal expectatio­n that caregivers should “just cope” or “handle it all” without seeking help can be harmful. Caregivers might hesitate to express their emotional struggles due to fear of judgment or perceived inadequacy. This emotional suppressio­n can exacerbate their distress and hinder their ability to provide the best care possible.

One of the realities is the lack of support for caregivers. Society must recognize that caregiving is not a solo mission but a collective responsibi­lity. As caregivers navigate the complexiti­es of their roles, they need a robust support system to lean on. This includes emotional support, respite care, access to counseling services, and educationa­l resources to help them better understand and cope with their challenges — such resources will be available at the September 2023 virtual Caregivers Count Conference.

Caregiver support groups can play a vital role in providing a safe space for sharing experience­s, emotions and coping strategies. Furthermor­e, policymake­rs, health care providers, and employers must collaborat­e to develop comprehens­ive support programs that address the unique emotional needs of caregivers. California's Master Plan for Aging and Santa Clara County's recent report on caregiving includes policy recommenda­tions to support family caregivers — these solutions could involve flexible work arrangemen­ts, financial assistance and mental health resources tailored specifical­ly for caregivers.

The emotional aspects of being a caregiver are profound and often overlooked. Still, by standing together, we can address and alleviate the emotional burden on caregivers and create a more compassion­ate world for those who give so much of themselves to care for others.

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