Solo Caregiving For A Parent With Alzheimer’s

I never planned to be here, alone in caring for my Mum with Alzheimer’s. Maybe you didn’t either. But here we are, the ones who stepped up when others stepped back.

Many people find themselves solo caregiving for a parent with Alzheimer’s or other forms of dementia. If you’re in this situation, you might feel okay with that choice, but it’s also natural to feel isolated, exhausted, or even resentful.

Being the primary caregiver means you’re juggling a mountain of responsibilities, often with little to no support.   

SOLO CAREGIVING

The Emotional Weight of Solo Caregiving   

Caring for a parent alone can take an emotional toll. You go through a lot of different emotions even in a single day. Or you’re managing okay one day and the next, you’re a mess of emotions – exhausted, isolated, even resentful.

What makes it more challenging is when your siblings have opinions about what should be done but aren’t involved in the day to day care. It’s frustrating when people tell you what’s best without living the experience.

Often, it feels like you’re being taken for granted, especially if you’re the closest in proximity. There’s also this unspoken expectation, especially if you’re a woman or part of certain cultures, that caregiving is your domain.

It’s bullshit, but it’s there, adding another layer of pressure.     

The other sacrifices – your own dreams, your own career all might have to wait. Your health? Let’s not even go there. The stress, anxiety, and sometimes depression creeps in especially if sleep becomes elusive. It can be a heavy price to pay, but you do so out of love, however invisible that is to others.  

Becoming the Solo Caregiver   

Looking back, I realise the error I made, hindsight! When Mum needed help, I just jumped in. Big mistake – not the caregiving itself, but not having a family discussion beforehand to agree on responsibilities, boundaries, and a structure for caregiving. If we’d had that conversation, I think it could have reduced the resentment, conflict, and stress that have since arisen.

I also wish we had talked with Mum about her wishes before things got too difficult, but the tone was set early on when my siblings even resisted me getting her diagnosed.   

If I could do it over, I’d sit everyone down and hammer out the details.

I took charge from the beginning. Our only family conversation was about finances, since I had to quit my job, but the day-to-day realities? The emotional toll? Never came up.  

At that time, Mum was still physically active, with memory issues. I had no idea how the dementia would progress, or the other health conditions that could develop.  

I was clueless about dementia and how deeply caregiving would impact me emotionally and physically.   

Building Resentment: When Siblings Don’t Help   

Coming from a large family, you’d think caregiving could be shared more easily, but it doesn’t work that way. Some of my siblings are completely absent— using distance or busy lives as excuses. Others promised support initially but pulled away once they experienced the reality of caregiving.

I’ve learned that you can’t force anyone to help. It’s much easier to walk away when you’re not the one living with the person who needs care.   

My expectations of certain siblings are low now. I know they’ll run at the first chance, even if they make gestures of support. They’ll show up at the beginning, make a big show of offering help – all to save face in the community. But when it comes down to it, they do the bare minimum, just enough to claim they’re “involved” in Mum’s care. 

They want others to think they’re helping.

It’s frustrating, but I’ve come to expect it.  You learn that you have one or two siblings that you can rely on & who are always there for you. Family dynamics are so important.

The Illusion of Freedom 

There are times when I feel completely trapped in my situation. When you’re not the primary caregiver, it’s easy to take your freedom for granted. I’m luckier than some solo caregivers because I do get help, but it took ages to get there.  

You learn quickly that you have zero power.

It all depends on family goodwill, which can evaporate in an instant. They can bail when tensions rise, reduce their time without warning, or take months-long “breaks” from caring. I once had Mum driven to a different city for a sibling to care for her, only to find out they’d “forgotten” to tell us they couldn’t do it that day.

You can’t make this up!

When Family Fights Get Ugly 

The most painful memories are the conflicts that have erupted over how to care for Mum. One argument in particular stands out—everyone was shouting, and it was all happening in front of her.

I’m ashamed when I think about it now.

It must have been so confusing for her, seeing us fight over her care. In the end, everyone walked away.

Because they could. I couldn’t. 

Trust: Once Lost, Hard to Regain 

Sometimes, you set your expectations too high. A trusted sibling lets you down, it starts small with little comments that start to chip away at you, making you feel small, invisible.

You try to ignore that careless comment, or thoughtless action but it sticks with you.

Just this week, a sibling did something utterly selfish that could have increased my workload significantly. It’s like they don’t think like a caregiver. I’m always planning ahead, managing time, anticipating issues.

They just… don’t.

When I pointed it out, they apologized, but the damage was done. It’s these moments that make you feel you’re being taken for granted, an afterthought, and invisible as a caregiver. 

Adjusting Expectations   

In the end, I’ve had to adjust my expectations. There are some siblings with whom I’ll never resolve the conflicts with, and I’ve come to accept that. I no longer expect them to take on any caregiving responsibilities. If they see Mum once in a while, that’s enough for me. Anything is better than nothing.  There are others that try & help, and others that try but don’t really understand what it means to be a solo caregiver.

But at the end of the day, Mum is what matters. She doesn’t understand the conflicts or the drama. She just needs care and love. And it’s my job to ensure that she gets the care she needs, regardless of the family dynamics. 

This journey of solo caregiving? It’s tough, it’s lonely, and it’s often thankless. But it’s also filled with moments of love. It’s not the path I would have chosen, but it’s the one I’m on. And for better or worse, I’m seeing it through.  

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