The Caregiver’s Brain

Posted by bill2001 @bill2001, May 27, 2025

Greetings Friends,

I have not posted here in six months. My wife’s dementia has been moving at a snail’s pace. The days, weeks, and months have melded into a fuzzy blob of time, and one day is exactly like all the others.

I am nine and a half years into care giving, and the word “decade” will soon be added to the divisions of time used to describe my ordeal. Despite what I have read on this site over the years, I believed that my stint as a caregiver would not last this long.

I have been locked into care giving for so long now, that time feels like it has stopped. Friends and family are celebrating graduations, getting married, having children and grandchildren, taking vacations, getting new jobs, moving, even retiring; their lives go on and mine has stopped. The more time that passes, the more shocking it is when someone finally deigns to call or visit and update me on their (mostly normal) lives.

Nine-plus years of lost progression is immense. That is enough time for a student to go through medical school or law school. It is enough time for families to grow by multiple children and grandchildren. It is enough time for people to move more than once or twice. Even our cat: She was three and a half years old when this began, and she is thirteen years old now. Friends and family have progressed, scattered, and moved on without us. Sadly, it is also enough time for pictures of my wife and me (before her dementia) to seem nostalgic now.

Surprisingly, I am far less depressed than during my wife’s earlier stages. The simple explanation is that I have finally entered the Acceptance stage of grief. I believe there is more to it – care giving and forgoing my own shallow pursuits in life has rewired my brain. Care giving for nearly a decade is a whole different experience from care giving for a year or two. It is long enough for your expectations and priorities to completely reset.

I am very grateful for this reset in my brain. It may be a survival mechanism; whatever it is, it is a welcome change in me as a care giver. Here are some examples to help you re-frame your ordeal (as I have):

I have friends that visit a certain expensive theme park at least once a year, but usually much more frequently. Their travel stories were always enjoyable; I must admit that I felt a bit of envy and “woe is me” because a trip like that would be impossible with my wife’s condition. I was missing out. Over the past year or so, their stories no longer evoke envy. I am truly happy for them and enjoy their adventure stories more than ever. But I no longer want to go. Seriously – those trips seem trivial to me now, and I would actually RATHER take care of my wife in the comfort of our home. I cannot make sense of my own feelings and how they have changed, but I kid you not.

Similarly, my wife and I visit far fewer sit-in restaurants than before. Dining out was nearly a hobby for us. Any bit of good news – no matter how small – would be celebrated by dining out. But this is far more difficult now due to her incontinence and communication deficiency. Dining out is risky business and quite depressing without a conversation partner. However, over the past year or so, I really do not miss it. The noise, the fuss, and the cost loom large: I would RATHER cook, or grab take out and watch our favorite YouTube travel channels. I don’t feel like I am compensating or settling; I really just would rather have a cozy meal at home.

I am not trying to sugar-coat the losses that we caregivers suffer, and the sacrifices we make. I would love to be free to travel and dine out again whenever I want, but I am finding myself much more “ok” with skipping these activities and spending my time at home and in my back yard. Case in point – I look more forward to mowing the grass in the sun than going to some restaurant and spending $100 to have the same old conversations about nothing. Perhaps I am just getting older myself, and this is part of it.

My brain has been rewired to my situation. Activities that I used to “miss out” on just seem like a waste of time and money. They now seem shallow and pointless. Maybe that will change if care giving ends, but I welcome the brain reset. My own brain is helping me cope with this ordeal. For instance, I am far happier with a simple walk around the block with my wife, listening to a good album, or preparing a good meal for us. The simple life was forced upon me, and like the Borg, I have adapted. Although it may sound stifling, it is indeed a blessing to feel true joy about daily activities at home.

I wish you all the best. If you are stuck in this situation too, you may find it gets easier as your brain resets. This may not happen for everyone (or on the same timeline), but there is hope that you will find it easier in the future.

All the Best,

Bill2001

Author of “The Cavalry is Not Coming”

Interested in more discussions like this? Go to the Caregivers: Dementia Support Group.

Profile picture for kjc48 @kjc48

@jeanadair123 Looks for his wallet and finds his phone. There is nothing humurous about this disease but I chuckle this morning reading that line in your post, becasue that's what my husband does. I sound like a broken record everyday, "do you have your wallet, do you have your phone, do you have your key, do you have your bookbag. We have a process now where we lay everything in one place. Not sure how long that will last but we're trying to adjust to the new normal. If that's what this is called. I agree, just the mere fact that your husband wakes up and sees your beauty, is a wonderful coveted thing. Interesting, my husband tells me that too...........and for now, that's a blessing for us to hold onto.

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For a while I had a sign on the garage door wallet, keys, cap etc.
This doesn’t seem to help anymore. Yesterday was his appointment with the neurologist which the mri confirmed that he has moderate dementia. We have a choice to continue the way we are or take one tablet of Aricept at night or two Namenda? I would like to ask if anyone else’s other partners have taken either of these? Both of these can provide some noticeable difference within 30 days while slowing the progression. Aricept has been on the market since 1996 and Namenda since 2003. Cognitive function can be improved but will not cure of course. Any info would be appreciated. I might add that the dr said he wished all his patients were as happy. 😁Thanks

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My husband has been on Aricept since 2015 and added namenda in 2020. He had some problems with nausea at first when taking the Aricept but that went away in about a week. His progression from MCI to medium dementia has been very slow. I don't see any downside to those drugs. He is cheerful, as well.

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Profile picture for jeanadair123 @jeanadair123

For a while I had a sign on the garage door wallet, keys, cap etc.
This doesn’t seem to help anymore. Yesterday was his appointment with the neurologist which the mri confirmed that he has moderate dementia. We have a choice to continue the way we are or take one tablet of Aricept at night or two Namenda? I would like to ask if anyone else’s other partners have taken either of these? Both of these can provide some noticeable difference within 30 days while slowing the progression. Aricept has been on the market since 1996 and Namenda since 2003. Cognitive function can be improved but will not cure of course. Any info would be appreciated. I might add that the dr said he wished all his patients were as happy. 😁Thanks

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@jeanadair123 My husband has been on Aricept for almost two years. He has had no noticeable side effects. He is in the moderate dementia stage. He can't use an iPhone though he does to play with it. He can't read more than a greeting card. He seems stable in this stage and we have not seen any progression to speak of. I think that Aricept has slowed the progression of his dementia. I wouldn't want to take him off of it to see what happens. He tried Namenda and it made him nauseated and he started hallucinating. So we stopped that.

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Profile picture for ocdogmom @ocdogmom

@jeanadair123 My husband has been on Aricept for almost two years. He has had no noticeable side effects. He is in the moderate dementia stage. He can't use an iPhone though he does to play with it. He can't read more than a greeting card. He seems stable in this stage and we have not seen any progression to speak of. I think that Aricept has slowed the progression of his dementia. I wouldn't want to take him off of it to see what happens. He tried Namenda and it made him nauseated and he started hallucinating. So we stopped that.

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@ocdogmom thank you for your response. My husband really doesn’t know how to use his phone. I just check it every now and again to delete all the spam, as far as reading he seems to be OK although there are some words that he has a problem with nothing that I would consider major. His main issue is keeping up with what people are saying he says that they talk too fast. It really is a hard decision when one has to decide on behalf of someone else what is the right thing to do? I am going to chat with his cardiologist and his oncologist for their opinion before I decide because from what I’ve read it does help with memory . thank you.

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A new day or so I thought? Things have been going relatively well with a few bumps here and there.
I write today because I feel I cannot tell my friends what I write here as much as they love me they really don’t understand. Today I wonder is this the next step and am I at the stage when I must watch my husband 24 hours?
The reason I write is because at breakfast I always delete any spam from my iPad it doesn’t take long while I am doing this my husband said there is something wrong, he has peanut butter toast every day for breakfast and he had opened a new container of B12 tablets, he had proceeded to take the cotton out of the bottle and spread it on his toast with the B12 tablets. I ask you is this the next stage? Thanks for listening.

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I'm new on this journey but what I'm already seeing is that my husband's cognitive events undulate; some weeks he is really good and stable, other days and weeks they get worse and I'm worried about "is this it?" My husband has MCI but one day he put the golf cart keys in his sunglasses case. That is more a sign of dementia and I thought, oh no. This is it. But it wasn't.

I would suggest - like we all must do to some degree - is wait and see. Maybe this is the next stage, maybe it was an isolated event. Only time will tell. Which of course why this is all so scary and stressful. No one can predict.

Hang in there. Sending hugs of comfort.

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Profile picture for jeanadair123 @jeanadair123

A new day or so I thought? Things have been going relatively well with a few bumps here and there.
I write today because I feel I cannot tell my friends what I write here as much as they love me they really don’t understand. Today I wonder is this the next step and am I at the stage when I must watch my husband 24 hours?
The reason I write is because at breakfast I always delete any spam from my iPad it doesn’t take long while I am doing this my husband said there is something wrong, he has peanut butter toast every day for breakfast and he had opened a new container of B12 tablets, he had proceeded to take the cotton out of the bottle and spread it on his toast with the B12 tablets. I ask you is this the next stage? Thanks for listening.

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@jeanadair123 it indicates a level of not paying attention to what he is doing. Ever open the wrong drawer and wonder why you did that. Try words toast and peanut butter to make him focus. That said some days can be better, some worse. Adequate sleep ( a lot), nutrition, exercise, water intake and no urinary tract infections help.

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I think we all question is it just a mistake or something more. My husband started getting lost several years ago and then little things begin to happen over time. I cannot deny it now. At first it was really difficult when he thought I was a girlfriend and he thought numerous people took care of him. We have good days and more difficult ones as he had another person in his life for years.

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I does help to have my husband say I love you and I am so grateful you are here with me. Even if he quizzes me when he looks at our wedding pictures to see if I am the one in them. The brain is such a mystery. Educating myself and hearing what others go through really helps me to see I am not alone in this journey.

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Profile picture for pamdg @pamdg

Wish you were my neighbor so we could get together for a glass of wine. Other than the dog as we had to say goodbye to ours two years ago you described my life perfectly.

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@pamdg I would love to have you all as neighbors! I fortunately have a good friend facing the same journey and we can laugh and cry together!

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