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Personality changes in caregivers

Mitsu2
Mitsu2 Member Posts: 25
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I read a very interesting comment in a Facebook caregiver group about how taking care of a person with dementia causes changes in the caregiver. Basically, the constant hypervigilance and responding to unpredictable and alarming behaviors over time produces emotional flattening and fatigue because our nervous systems aren't designed to be in a constant state of arousal. It probably has a connection with release of adrenaline and cortisol in the stress response.

Also, when a person has to focus on just getting by from day to day, and has nothing to look forward to, and is socially isolated, all of it takes a toll. The person posting this said it can takes a long period of recovery after caregiving to regain a normal level of emotional and social functioning. Anyway, it was a different perspective, and interesting for me to consider as a retired psychotherapist and sole caregiver for my husband.

Comments

  • Stan2
    Stan2 Member Posts: 142
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    I am interested in your insights as a retired psychotherapist.

    I have come to the conclusion that nobody, who has not been in this situation can fully understand the level commitment and personal immersion that is required for this role. I have become tired of well meaning professionals offering useless advice.

    Do you as a caregiver have any different opinions than you had as a therapist?

  • Mitsu2
    Mitsu2 Member Posts: 25
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    I'm still in the midst of this so I'm just coping day by day right now. One of my first insights was how often dementia is misdiagnosed as anxiety and depression in the early stages. Most clinicians, including me, don't routinely assess cognitive functioning and memory in younger people (fifties and sixties). I'd know more about what to look for now.

    Another perspective is something I learned with treating people who experienced trauma and abuse. The behaviors and emotional responses such as numbing emotions, fight or flight responses, keeping a distance from others so they don't get hurt again, were adaptive and useful as survival skills. But they didn't serve them well in their new life, and keep them from joy and close relationships. Maybe it will be a similar process in recovering from effects of caregiving. I'm also thinking that calming physical activity is crucial.

    There is so little help and difficulty accessing services. I've had to explain that I can't use telehealth therapy, which I'd really like to do, because I have no privacy because of shadowing behaviors. It's hard for people to un\nderstand that I'm the sole caregiver right now and my husband can't be on his own for more than a few minutes.

  • Mitsu2
    Mitsu2 Member Posts: 25
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    My son calls every day and we talk about my husband, but we also talk about positive family activities, world events, culture and local issues. It's really a lifeline!

  • persevere
    persevere Member Posts: 137
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    What a great thread. I’m not sure what final changes my personality will undergo but as with all of us I have lived through emotions I never knew I had. Everything from near breakdown to realizing what true love is. One minute I’m seriously considering MC, the next minute I’m saying never. Something that has happened though is that this has helped me grow outside of myself. The full time caring of another person for so long and with such intensity at times causes you to sacrifice at levels you never thought possible. And on a spiritual level my DW was very devoted. Me not so much but I always find myself talking to someone in my head. And so I always wonder. Did we do something bad? Did we do something good? Is this our way of getting into heaven? Or will I go the other direction because of when I lose my temper or say something harsh. I dunno. But I do know that when it’s all over there will be people who will never be a part of my life again and others who I will hold dearly.

  • Belle
    Belle Member Posts: 140
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    Yes, 100%, this!!! I thought it was just me but after being a caregiver for multiple people, including DH for the last 12 years, I want it to be about me for once. Well, right now I want anything to be about me even for a little bit…My instinct is to want to help/volunteer and I did volunteer work for a long time but now I have zero interest in that except for making donations to organization I want to support.

    Back to the original question. Yes, my personality has changed or maybe it's completely vanished as everyone else's needs have superseded my needs and wants. My hobbies no longer interest me. Even enjoyable things feel like a chore. Depressed? Probably, who wouldn't be after 12 years of caregiving?

  • tboard
    tboard Member Posts: 226
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    I am a full time caregiver for my DH who suffers from mixed dementia. I was forced to retire a few months ago. I can not count on uninterrupted blocks of time but am able to work on various hobbies throughout the day. Last summer I spent a lot of time gardening. This winter I put my sewing machine on the dining room table and have been puttering away at various projects. I have also been knitting and crocheting and I manage to get library book fairly often. I make it a goal to do something or make something everyday. Yesterday I did some cooking and finished a sewing project I started last week. It is hard to concentrate on anything with constant interruptions so I limit my self to projects that are ongoing and that can be interrupted. I know that I will be a mess when this is all over but at least for now I can channel some of my creativity.

  • Maru
    Maru Member Posts: 280
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    I am responding as a person of faith and more than average knowledge of Christian theology…Bad things happen to good people all the time. Without going into Biblical teachings, it is sufficient to say that mankind is imperfect…physically, mentally and spiritually. Christians believe in a merciful and forgiving God and losing your temper will not send you to hell. All of life is a journey. We all do good things and bad things on that journey. As for me, I have decided to take this part of the journey as an act of reparation to my husband for all the times when I was a bitchy, hateful wife. I think of this as my proving ground…and, yes, I occasionally lose my temper or say something harsh. I ask for forgiveness and try harder. Lifting all caretakers up in prayer this morning.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more