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What They Don’t Tell You About Caring for a Loved One With Dementia

Eva Semel by Eva Semel
July 24, 2025
in Health
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Caring for a loved one with dementia can feel like an emotional and physical roller coaster. It’s a journey full of challenges—some expected, others that creep up on you when you least expect them. While we often hear about the basic tasks of caregiving, there’s a lot that goes unspoken. The heartache, the exhaustion, the unpredictability—it’s easy to feel like you’re in over your head. So, what are the things they don’t tell you when you first take on the role of caregiver? Let’s dive into the parts that are often left out of the conversation.

The Emotional Roller Coaster

Let’s start with the most difficult part: the emotional toll. Caring for someone with dementia isn’t just hard on your body; it can tear at your heart. And it’s not always about the big moments of grief—it’s the little things that can really get to you.

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For starters, there’s guilt. You’ll feel guilty when your patience runs thin or when you’re too tired to give them your best. You might even feel guilty for feeling frustrated when you’re doing everything you can. But here’s the truth: it’s okay to feel frustrated. It’s normal. Dementia doesn’t just change your loved one, it changes your whole relationship with them. Sometimes you’ll mourn the person they once were, and sometimes it might feel like you’re living with a stranger.

And then there’s the emotional exhaustion. It’s draining, in ways you never imagined. And it’s not just about taking care of their needs—it’s also about coping with your own feelings and finding ways to stay emotionally healthy. So, don’t be afraid to seek help. Talk to someone you trust or even a counselor. If you’re feeling isolated, consider joining a support group or connecting with others in the same boat. They get it. Trust me, you don’t have to go it alone.

The Constant Need for Patience and Flexibility

Next up, let’s talk about patience. Or, more accurately, the constant demand for it. Caring for someone with dementia means you’re in for a whole lot of unpredictability. One minute they’re fine, and the next, things can go south—fast.

One of the things that surprised me was how important routine is, and yet how quickly that routine can be upended. What worked one day might not work the next, and you’ll find yourself scrambling to adjust. Patience becomes less of a “choice” and more of a survival skill. You’ll need to learn how to roll with the punches, even when you feel like you’ve hit a wall.

And let’s not forget the emotional ups and downs of your loved one. You might get a glimpse of the person they used to be, and then the next moment, they might forget your name or ask the same question ten times in a row. It’s frustrating, exhausting, and can feel like you’re constantly playing catch-up. But hang in there—accepting the unpredictability and learning to adjust on the fly is one of the most important skills you’ll develop as a caregiver.

The Physical Toll of Caregiving

Now, onto the physical side of caregiving. You’ve probably heard it’s hard work, but nothing quite prepares you for how physically demanding it can be. Whether it’s helping them get out of bed, assisting with bathing or dressing, or even just moving them around the house, it takes a toll on your body—especially if you’re doing it day after day.

You may not realize just how much of your own physical energy you’re pouring into caring for them. The constant lifting, bending, and walking can be tough on your joints and muscles. Plus, there’s the sleep deprivation. Many caregivers lose hours of sleep because of late-night wake-ups or the stress that keeps them tossing and turning. It’s easy to forget to take care of yourself when you’re so focused on your loved one’s needs.

But here’s the deal: you need to take care of yourself, too. The body needs rest, and caregivers are no exception. It might feel impossible to carve out time for yourself, but it’s essential. You’re in this for the long haul, and your health matters just as much as your loved one’s.

The Overlooked Financial Strain

Caring for someone with dementia isn’t just physically and emotionally demanding—it’s expensive too. You might find yourself taking on additional medical bills, paying for extra help, or making adjustments to your home. All of this adds up quickly, and it’s not something most people think about when they first step into the role of a caregiver.

Many caregivers end up bearing the full financial burden of their loved one’s care. While it can be helpful to have a support system, not everyone has the financial resources to absorb the costs. Exploring insurance options, government programs, and even looking into financial assistance for caregivers can help alleviate some of the financial stress.

You don’t have to carry the entire financial load on your own—there are resources out there, but it’s up to you to find them. Don’t be afraid to reach out for assistance when you need it.

The Importance of Caregiver Education

Here’s a bit of advice that could make all the difference: educate yourself. When you’re caring for someone with dementia, knowledge is power. There are a lot of things you’ll need to learn about the disease itself and how it affects behavior, cognition, and emotions.

Taking caregiver classes online is a great way to arm yourself with practical tools for handling the daily challenges of dementia care. From learning how to manage aggressive behavior to understanding how to communicate more effectively with your loved one, these classes provide a wealth of information that can make your job a whole lot easier. Plus, they’re usually designed with the flexibility you need, so you can learn at your own pace.

When you understand the science behind dementia, it’s easier to approach the situation with more compassion, patience, and confidence. Educating yourself also allows you to become a more effective advocate for your loved one, whether that’s navigating the healthcare system, managing medications, or finding the right support.

Social Isolation and the Need for a Support System

One thing that’s not often talked about is the isolation that many caregivers experience. When you’re in the thick of caregiving, it’s easy to pull away from your friends, family, and social circles. You might feel like you don’t have the time or energy to socialize, and in some cases, you might feel like people just don’t understand what you’re going through.

But here’s the thing: social isolation can be a killer. You need a support system. Whether it’s family members who can help with some of the caregiving tasks or friends who can just offer a listening ear, it’s essential to maintain connections. And remember, it’s okay to ask for help. Don’t be afraid to lean on others for support, whether that’s for a few hours of respite care or just someone to chat with when you’re feeling down.

The Challenges of Communication

Dementia can make communication incredibly difficult. As your loved one’s ability to express themselves declines, you might find it hard to understand them, and they might become frustrated when they can’t get their point across. It’s one of the most heart-wrenching parts of the disease.

But there are ways to improve communication. Simple things, like speaking slowly, using clear and direct language, or focusing on non-verbal cues, can go a long way. It’s about finding new ways to connect and show empathy. While dementia may rob someone of their words, it doesn’t take away their need for love and connection.

Letting Go of Control: The Importance of Accepting Help

Lastly, one of the hardest lessons you’ll learn is to let go of control. As a caregiver, it’s natural to want to take everything on yourself. But the truth is, you don’t have to do it all. It’s okay to ask for help, whether it’s from family, friends, or professionals. You don’t have to be the sole caretaker.

There’s no shame in accepting respite care or bringing in outside help when you need it. In fact, it’s one of the best things you can do for both your well-being and your loved ones. It’s about pacing yourself and understanding that you can’t be everything to everyone all the time.

Conclusion

Caring for a loved one with dementia is no small feat. It’s emotionally draining, physically demanding, and can feel isolating at times. But you’re not alone in this. With the right tools, knowledge, and support, you can make the journey a little bit easier—for both you and your loved one.

Remember: Take care of yourself. Educate yourself. Don’t be afraid to ask for help. And know that it’s okay to feel all the things you’re feeling. Caregiving isn’t easy, but with the right resources and a strong support system, you can do it. And you don’t have to do it alone.

Eva Semel

Eva Semel

Assistant Managing Editor

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