How caregiving can alter dreams and goals

“I don’t want my mother to die,” said Valerie, my 62-year-old psychotherapy client, “but, when she does, I am looking forward to finally getting back to the rest of my life.” She had put her

work and social life on hold for four years to care for her mother, who was steadily declining from dementia. As her mother entered the late stages of the disease, Valerie began allowing

herself to think about resuming her old life, including taking trips with her close friends and asking her old boss at a financial services firm for her administrative job back. In her mind,

she was coming to the end of a long journey to the faraway land of caregiving and would soon be returning home. But after her mother died, “home” did not feel homey and Valerie did not

resume being the old Valerie. Though she had assumed caregiving was just a side excursion from her “real life,” it turned out to be a transformation. Her favorite activities and even old

identity now felt foreign to her. She went on one weekend trip with her friends, but found they complained a lot about things, such as the quality of meals and hotel accommodations, that no

longer mattered much to her. Her boss offered to hire her back, but she realized that completing forms on a computer all day was not going to feel meaningful. She politely turned him down

and started thinking about the work she was now meant to do. Many caregivers, overwhelmed by the responsibilities and worries of day-to-day caregiving, dream as Valerie did of one day living

as they once lived, picking up where they left off with old relationships and important pursuits. For some, this occurs. After a period of grief about losing their care receiver, they slip

back into their old lives seemingly without missing a beat. For many others, the dream they had now seems strange and misguided. They see the world differently. They feel differently about

themselves. It can be unsettling for caregivers to think that caregiving — especially when it lasts for years — may change them. They have committed themselves to doing good, not necessarily

to transforming themselves. Yet change is frequently inevitable and unavoidable. How can caregivers prepare themselves to expect and manage the changes at hand? Here are some ideas: ALLOW

THE JOURNEY TO TAKE YOU As the old cliché goes, “travel broadens the mind.” Seeing new sights, tasting new foods and perhaps hearing new languages stimulates new thinking. The traveler

doesn’t return home and unsee the soaring California redwoods or untaste bittersweet Mexican chocolate or a crusty French baguette. They retain a greater sense of the natural beauty of the

world and human possibility that enriches their lives.