The Caregiver’s Brain

Posted by bill2001 @bill2001, May 27 7:06pm

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.

Very difficult decisions.

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Profile picture for pamela78 @pamela78

I read over my last comment and realize how self-centered it sounds, but I needed to get some things off my chest. That doesn't mean I'm totally miserable or pity myself for what my husband is going through. I'm a homebody by nature, so I'm more content than some would be to just hunker down. I need to work on making myself get out more. I, too, find a trip to the grocery store enough excitement for one day or a couple of hours spent with a good friend. There are so many in much, much worse situations than mine, and I'm grateful for the life I've had and still have. My husband is a good, kind man, even if he can't remember my birthday or his grandson's name. But despite the gratitude there are times when negativity takes over and has to go somewhere--like to this forum. A friend once said, Patience is a virtue. The only virtue.

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I totally agree!

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Thank you for expressing the journey of care giving for a loved one. We have gone through the same trip for 12 yrs. I was hoping that we would be able to take another vacation but realize that is impossible. He sleeps almost the whole day and night. He wakes up to eat and then goes to bed to sleep more. We go to the doctors and to the store to pick up pre-ordered food. It’s lonely but you learn how to cope, We were lucky because we have good memories of a different time,

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Profile picture for pamela78 @pamela78

What everyone says here is so meaningful and it's a little scary too. Feeling at peace with the circumstances you can't change is a great coping mechanism, if nothing else, but it also sounds like surrender. Maybe I'm still in the resistance stage, churning inside because my life has become so circumscribed. My brother died a couple of years ago at 86. (I'm eleven years younger than he.) Now that my husband has dementia, I realize that my brother did too but no one in the family mentioned it. When my sister-in-law went off on trips to Croatia or the Caribbean, I was a bit miffed because I thought she was abandoning her responsibility. I'd go spend those days when she was gone with my brother and we had many heart-felt, deep conversations for which I'm extremely grateful, but I soon realized just how difficult it was to care for someone in his condition. He had other problems as well, heart disease and brain injury. I understand why my sister-in-law had to take what seemed to me at the time self-indulgent vacations. If I could afford it and had someone to stay with my husband, I'd do the same thing. I don't want to give up my life to stay home with a partner who can no longer carry on a genuine conversation and repeats the same things endlessly until I think I'll go mad. These comments from loving spouses make me feel guilty, which I'm prone to do anyway. I keep getting advice to take care of myself as well as my husband, but how exactly is one supposed to do that when the greatest freedom is taking the dog for a walk? I didn't understand why my sister-in-law was bitter and often angry. She never failed in her care giving but it was clear that she wasn't happy. My husband and I are at what appears to be the beginning of a slow decline. He's been losing ground for perhaps five years or so and got a diagnosis of dementia and Alzheimer's two years ago. He denies having any problem at all, is losing his hearing again (his hearing aids no longer work and he refuses to do anything about it), and I feel like a dog left all day on a chain. I hate the way this sounds but it's the truth, something I value more and more the older I get. A year ago I was diagnosed with an ascending aortic aneurysm. Not the clock is ticking for me too and I want a life while I can still have one. I'd never leave my husband and intend to care for him for as long as it takes, but this is just about the hardest thing I've ever done, and I thought getting a PhD as a single mother with three kids was a challenge.

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Hi Pamela! I feel the same way. I try to do things to fill my day - of course some house cleaning, yard work, cooking meals, time to exercise, talk with friends or family on the phone, and of course with my husband. He naps in the morning so I have some time to myself and he goes to bed by 8:30 so I have some evening time to myself as well. I do my grocery and just about all shopping I need to do online. I like scary movies and will watch one at night. Or maybe a comedian show. Facebook to look at what family has posted and of course those adorable animal videos. Play outside with the dog. If I fill my day enough I don't miss the life I expected to have. My health has taken some serious hits, so I have to contend with that as well, and even if my husband could do more, I can't do as much as I could before. I do get angry from time to time that my life is so limited now and that I've been relegated to this caretaker role, but I've kind of given up and succumbed to the phrase "it is what it is." And I try to remember that in the whole scheme of things, I'm pretty blessed. If you can get some help a couple days a week, you could get out and about a bit. I know what you mean about the conversations though, some days I'm patient enough to tolerate the repetition and questions, other days I just don't say much. I spoke with a memory care professional who gave me a lot of resources so I can plan for all the different scenarios that I might face. And she said to never say never because there could be a point where he has to go into a memory care facility and you might even want to end the marriage if there is really nothing left of the man you married. We have to be realistic. Some days I just need some wine to make it better. And our dog really is a lifesaver. I don't know if I could make it without her to talk to and play with, etc.
So don't feel guilty at all, it's perfectly natural. We're still hanging in there doing what we need to do. If sometimes we feel a little pissy about it, we're allowed. Who wouldn't.

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Profile picture for LinaXYL @linaxyl

Hi Pamela! I feel the same way. I try to do things to fill my day - of course some house cleaning, yard work, cooking meals, time to exercise, talk with friends or family on the phone, and of course with my husband. He naps in the morning so I have some time to myself and he goes to bed by 8:30 so I have some evening time to myself as well. I do my grocery and just about all shopping I need to do online. I like scary movies and will watch one at night. Or maybe a comedian show. Facebook to look at what family has posted and of course those adorable animal videos. Play outside with the dog. If I fill my day enough I don't miss the life I expected to have. My health has taken some serious hits, so I have to contend with that as well, and even if my husband could do more, I can't do as much as I could before. I do get angry from time to time that my life is so limited now and that I've been relegated to this caretaker role, but I've kind of given up and succumbed to the phrase "it is what it is." And I try to remember that in the whole scheme of things, I'm pretty blessed. If you can get some help a couple days a week, you could get out and about a bit. I know what you mean about the conversations though, some days I'm patient enough to tolerate the repetition and questions, other days I just don't say much. I spoke with a memory care professional who gave me a lot of resources so I can plan for all the different scenarios that I might face. And she said to never say never because there could be a point where he has to go into a memory care facility and you might even want to end the marriage if there is really nothing left of the man you married. We have to be realistic. Some days I just need some wine to make it better. And our dog really is a lifesaver. I don't know if I could make it without her to talk to and play with, etc.
So don't feel guilty at all, it's perfectly natural. We're still hanging in there doing what we need to do. If sometimes we feel a little pissy about it, we're allowed. Who wouldn't.

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This is so comforting. It's so nice to know that someone else is having the safe feelings as I do. Yesterday I went to an event for senior citizens where there were lots of tables and people with information about various supports for folks like us. I meant to stay only a few minutes but it was such a happy gathering I stayed about two hours. Then I met my daughter for a glass of wine and we talked for a couple of hours. I don't see her as much as I'd like, so that was great too. All in all, a pretty good day. I even met a retired social worker who said he'd love to come visit my husband to give me a break. My son-in-law and grandson have suggested a weekly visit too, so I'm getting my ducks in a row. I think we have a ways to go before things get really bad. For now I've work on patience when listening to his repetition and supply the words he's struggling to find. Not what I expected but not terrible. And I have my Chihuahua, who doesn't like my husband but loves me. He creates havoc sometimes but I don't know what I'd do without him. Just having him beside me when I read or have a cup of tea is very calming. Best wishes to you and your pooch.

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Profile picture for LinaXYL @linaxyl

Hi Pamela! I feel the same way. I try to do things to fill my day - of course some house cleaning, yard work, cooking meals, time to exercise, talk with friends or family on the phone, and of course with my husband. He naps in the morning so I have some time to myself and he goes to bed by 8:30 so I have some evening time to myself as well. I do my grocery and just about all shopping I need to do online. I like scary movies and will watch one at night. Or maybe a comedian show. Facebook to look at what family has posted and of course those adorable animal videos. Play outside with the dog. If I fill my day enough I don't miss the life I expected to have. My health has taken some serious hits, so I have to contend with that as well, and even if my husband could do more, I can't do as much as I could before. I do get angry from time to time that my life is so limited now and that I've been relegated to this caretaker role, but I've kind of given up and succumbed to the phrase "it is what it is." And I try to remember that in the whole scheme of things, I'm pretty blessed. If you can get some help a couple days a week, you could get out and about a bit. I know what you mean about the conversations though, some days I'm patient enough to tolerate the repetition and questions, other days I just don't say much. I spoke with a memory care professional who gave me a lot of resources so I can plan for all the different scenarios that I might face. And she said to never say never because there could be a point where he has to go into a memory care facility and you might even want to end the marriage if there is really nothing left of the man you married. We have to be realistic. Some days I just need some wine to make it better. And our dog really is a lifesaver. I don't know if I could make it without her to talk to and play with, etc.
So don't feel guilty at all, it's perfectly natural. We're still hanging in there doing what we need to do. If sometimes we feel a little pissy about it, we're allowed. Who wouldn't.

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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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Thank you for posting some hope.

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Bill,

Your telling is a piercing poem. As I read it, I see you holding a mirror and, almost unwillingly, I see I am standing behind you, looking for my own image in the background. “The Calvary is Not Coming” was piercing, too. Much learning in that telling.

Your writing cuts through my unknowing. It has helped me glimpse inside my caregiver friends’ hearts and lives in ways I’ve never experienced until now.

All I know to say is ‘thank you’, but the gift is worth more than those words convey. It is my sincere hope you will keep writing and sharing.

Peace to you this day,
April

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Thank you for your heartfelt post and sharing your journey. I too am approaching 10 years with the decline of my husband, although the first two were spent in frustration wondering “ what the heck is going on?” , without any real diagnosis - I think we both were in denial. I too am finding that I am more at peace with the situation in general as time has marched on. I used to get so sad when I would see other couples, many much older than I, having engaged, fun conversations in restaurants, planning activities together, while I am sitting with my dear spouse who struggles with the most basic conversation and activity. The Lewy Body dementia with Parkinson’s has impacted both mental and physical aspects so his mobility is limited, his voice is thready and hard to understand at times. As it has become more and more challenging for us to go places our world has gotten smaller. It is is easier and more beneficial to enjoy the simple things at home together, and when we do go out, I no longer feel the pain I did at seeing other couples living what appears to me to be “full and happy lives”. I can just appreciate that they have that time together and I pray that they know how blessed they are.
Overall, my depression is less than it was in the early years about our situation, even as the situation has slowly become much worse. I guess that is the peace of acceptance? I do find that I want to find some kind of balance, where I take some time and have freedom to do things that I would like to do in my life while I still can, and also be here and be fully present for him. I know I am missing out on many of the things that I would choose to do if he didn’t have this horrible health situation. His decline is so slow, I don’t want to “wait” to live MY life and then find out that I waited to long, and am unable to physically or mentally do the things that I wanted to do. Trying to do trips with him now, is frankly more work than it is worth for me. Any type of air travel would be arduous and stressful. I don’t even know if he would be able to enjoy it, it would also be very tiring for him, and let’s be honest, he wouldn’t remember anything from the trip, so what would be the point? I also wonder if it is easier for me to take advantage of this time, before he gets worse, for me to do some trips and activities on my own. As he declines, it will only get harder for me to be able to get time away and find respite care for him. It’s hard to know what to do and how to balance my own self-care and life goals with his needs. I don’t know if anyone has all the answers, but if you do, please let me know!

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Profile picture for boppi @boppi

Thank you for your insight. I have been in this for almost three years now and I have found myself not as panic striken as before and wondering why. I am still trying to plan trips and travel and go places that we have enjoyed but the effort to do so is getting to be harder than the pleasure those activities produce and our life seems to be slowing down. My husband is 82 and I am 74, in not great health so I am now seeing the end of our lives and realize I want to take the years slower with calm instead of breakneck fun. I miss what was, but am finally starting to enjoy where we are in life. I am thankful for that before the real hardships start

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It seems we go through phases and I’m finding myself better able to cope with my 82 year old husband’s dementia at age 71. We started this journey almost 4 years ago and I am so grateful the progression has been slow as the beginning was quite shocking. Constantly adjusting has finally become day to day recognition of changes and identifying ways to manage them with love and respect for the man I married 35 years ago. I miss our travel and sometimes feel housebound, but like many have noted, it’s easier to provide the comfort needed by being home. I am grateful for the time we have and try to stay focused on the present rather than dwell on what may come and when. I do think it’s stages of grief we are dealing with and accepting what we cannot change helps us focus on the time we have left. Best to all of on your own journeys.

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