4 Unspoken Struggles Of Dementia Caregiving

An elderly woman, representing a caregiver, is seated with her hands on her face, visibly distressed. She stares into the distance, conveying emotional exhaustion. Behind her, an elderly man with a walker is blurred, symbolizing the caregiving responsibilities. A search bar graphic across the middle asks, "Are these normal thoughts for a caregiver?" highlighting the unspoken struggles of dementia caregiving.
Caring for someone with dementia can bring up tough, unspoken thoughts that many caregivers feel guilty about. Discover the 4 common yet hidden emotions caregivers have, and learn why it’s completely normal to feel this way.

4 Common Thoughts Dementia Caregivers Have (But Don't Talk About)

Let’s get real about dementia caregiving. If you’re here, you probably already know that caring for someone with dementia isn’t exactly the picture-perfect experience we all imagine. Sure, there can be moments of joy and connection, but the truth? There’s a whole lot of stuff we never talk about. And as caregivers, it’s easy to feel like these thoughts make us bad people. But guess what? They don’t. You’re not alone.
So, today we’re diving into some of the real, unspoken thoughts that many caregivers have but don’t dare to say out loud. I’ve heard it all from Careblazers who’ve worked with me, and I want to take a moment to let you know that these feelings are completely normal. Feeling guilty? Shameful? We’re going to tackle that today and remind you that these thoughts don’t make you a bad caregiver—they make you human. Let’s get into it.

1. It’s Okay to Be Grossed Out by Dementia Care

Alright, let’s start with the one that most caregivers try to push to the back of their minds: feeling grossed out by caregiving tasks. Whether it’s bathing, toileting, brushing their teeth, or feeding them, dementia care can get messy—literally. And that’s okay.

You might be thinking, “What’s wrong with me? I should be able to handle this without feeling disgusted.” But I want you to know that you’re not alone. There are many aspects of caregiving that can be physically and emotionally overwhelming. As the disease progresses, you’ll probably have to provide more hands-on care, and sometimes it just gets to be a lot.

I know because I’ve been there. When I was caring for my mom, there were times when I felt totally grossed out by some of the tasks I had to do. It wasn’t easy. But those feelings don’t mean you’re a bad person—they mean you’re human. It’s perfectly normal to feel this way.

2. Having Negative Thoughts About Your Loved One Is Normal

Here’s another tough one: negative thoughts about your loved one. Whether you’re thinking, “I wish they were easier to deal with,” or “I don’t even enjoy spending time with them anymore,” these thoughts happen. And I’m here to tell you—they’re normal.

You don’t have to enjoy every single moment with your loved one to be a great caregiver. It’s unrealistic to expect yourself to be happy all the time, especially when caregiving becomes all-consuming. We’re talking about real life here. It’s okay to acknowledge that sometimes, your loved one may drive you up the wall.

But let’s get one thing straight: these negative thoughts don’t make you a bad caregiver. It’s the nature of dementia—it’s hard, and it can feel like an emotional rollercoaster. What matters is that you keep showing up, even when it’s tough.

3. Wishing Your Loved One Was Dead Doesn’t Mean You’re a Horrible Person

Alright, now we’re going to get into the thought that almost no one wants to admit: wishing your loved one was dead. Yes, I said it. And you know what? It doesn’t make you a terrible person for thinking this.

Caregivers confide in me all the time, saying they’ve had this thought, and it comes with so much guilt and shame. But here’s the thing: this thought usually doesn’t come from a place of cruelty. Instead, it’s often about wanting relief—both for your loved one and for yourself.

Maybe you’ve watched your loved one’s quality of life decline to the point where it’s heartbreaking. Maybe you’ve had the very human desire to reclaim your own life, free from the 24/7 demands of caregiving. According to the Alzheimer’s Association’s 2023 report, 72% of family caregivers feel relief when their loved one passes away. That’s a huge number, and it tells us that this feeling is far more common than we realize.

This thought doesn’t mean you’d ever do anything to harm your loved one. It simply means you’re human, and you’re carrying a heavy burden. Give yourself permission to feel this way without judgment.

4. Not Wanting to Be Intimate with Your Loved One Is Totally Normal

Let’s talk about intimacy. It’s not uncommon for caregivers to experience a loss of sexual desire or feel uncomfortable being physically intimate with a spouse or partner who has dementia. And guess what? That’s okay.

Caring for someone with dementia can shift the dynamics of your relationship in ways you never expected. You’re no longer interacting with your spouse or partner in the same way you used to, and that can naturally impact your physical and emotional connection.

Many caregivers confide in me that they don’t feel the same way toward their partner as they once did, and they’re scared that it makes them a bad spouse or partner. But I’m here to tell you that this is a common experience, and it doesn’t mean there’s something wrong with you. It just means your relationship has changed, and that’s a part of this journey.

The Reality of Dementia Care: It’s Okay to Feel What You Feel

Now that we’ve gone over these four tough thoughts, I want to drive home the point that none of these thoughts make you a bad caregiver. They make you a human being, and they reflect just how challenging caregiving can be. You’re doing something incredibly difficult, and it’s okay to feel all of these things—without guilt or shame.

I hope this post has helped you realize that you’re not alone in these feelings. Caregiving is hard, and it’s important to talk about the difficult stuff, not just the moments of joy.

How Can You Cope with These Thoughts?

So, how do you cope when these thoughts pop up? Here are a few tips:

  • Acknowledge your feelings: The first step is to acknowledge your thoughts without judgment. They’re there, and they’re normal.

  • Reach out for support: It can be helpful to talk to someone who understands, whether it’s a friend, therapist, or fellow caregiver. You’re not alone, and sharing your thoughts can lift some of the weight off your shoulders.

  • Join a support group: I’ve created the Care Collective for caregivers just like you. It’s a space where we have weekly support groups, live Q&A sessions, and a 24/7 community to connect with whenever you need it.

  • Practice self-compassion: Give yourself grace. Caregiving is tough, and it’s okay to take time for yourself.

What Would You Add to the List?

I’d love to hear from you. What thoughts or experiences have you had as a caregiver that you’ve felt guilty about? Do you suspect other caregivers feel the same? Share your thoughts in the comments—I want to create a space where we can all talk openly and honestly about these challenges.

Remember, you’re not in this alone. If you want ongoing support, you’re welcome to join our Care Collective community, where you’ll find support groups, expert advice, and resources to help you through the caregiving journey.

Sending you so much love.

Final Thoughts

Dementia caregiving is one of the hardest things a person can do, and it’s filled with unspoken struggles. But you’re not alone, and you’re not a bad caregiver for having these tough thoughts. Let’s start the conversation—because the more we talk about it, the less guilt and shame we carry.

Thank you for everything you do for your loved ones, and remember to take care of yourself along the way.

Watch On YouTube

Want to watch the in-depth video that inspired this post?

Click the video below to watch. ↓

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Are you seeking deeper, more personalized support in your caregiving journey? Discover our Care Collective program, designed exclusively for caregivers like you. By joining, you’ll gain access to weekly support groups, engage in expert-led Q&A sessions, and connect with a vibrant community of caregivers who truly understand the challenges you face. Don’t navigate this path alone—CLICK HERE to learn more and become part of a supportive network dedicated to empowering caregivers with knowledge, compassion, and resources. Join us today and transform your caregiving journey!

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