Globe Syndicate

For release Friday, April 25, 2003


The Sandwich Generation . . . Helping Your Aging Parents

by Carol Abaya, M.A.


CAREGIVERS FACE DEPRESSION
EVEN AFTER LOVED ONE DIES

Question: My grandmother died six months ago from Alzheimer’s. . My mother, 59, took care of her for two years. Now she’s depressed and refuses to leave her home. We all need help.

Answer: Yes, you do. Your mother needs grief counseling, often available at your local hospital. Call the discharge planner’s office. Or a clergy might help.

According to the Family Caregiver Alliance a recent study found that 41% of former caregivers of a spouse with Alzheimer’s disease or another form of dementia experienced mild to severe depression up to three years after their spouse had died. This situation is also relevant to anyone caring for a loved one on a daily basis.

Caregiving itself does not cause depression, nor will everyone who provides care experience the negative feelings that go with depression. But in an effort to provide the best possible care for a family member or friend, caregivers often sacrifice their own physical and emotional needs. The emotional and physical experiences involved with providing care can strain even the most capable person. The resulting feelings of anger, anxiety, sadness, isolation, exhaustion - and then guilt for having these feelings - can exact a heavy toll.

Unfortunately, feelings of depression are often seen as a sign of weakness rather than a sign that something is out of balance. Ignoring or denying your feelings will not make them go away. Your mother shouldn’t feel guilty she is depressed. It happens often. She should get professional help as she is young and has many years ahead of her.

Question: I am so overwhelmed by all my responsibilities (an 84-year-old mother, a husband, teenage son, and work). I have trouble getting out of bed each morning. People tell me “It’s all in your head. Snap out of it!” I can’t!

Answer: You are showing signs of depression, maybe even more severe clinical depression. It’s common in caregivers who neglect themselves.

First you need to change your own priority list, putting yourself on top. People rarely “snap out” of a depression. But little steps can be made day-by-day - without drugs.

Some TIPS from the National Institute of Mental Health:
• Set realistic goals in light of the depression and assume a reasonable amount of responsibility.
• Break large tasks into small ones, set some priorities, and do what you can as you can.
• Try to be with other people and to confide in someone; it is usually better than being alone and secretive.
• Participate in activities that may make you feel better, such as mild exercise, going to a movie or ballgame, or attending a religious, social or community event.
• Expect your mood to improve gradually, not immediately. Feeling better takes time.
• Let your family and friends help you.
• Positive thinking can replace the negative thinking that is part of the depression. Try biofeedback’s mind over matter therapy.
• Respite care relief, positive feedback from others, positive self-talk, and recreational activities are helpful in avoiding depression.


Are you juggling doing errands for your aging parents, your children, yourself and working at the same time? Are you tired, stressed out and upset that your once vibrant parent is now frail and needy?

Do you feel alone? Rest assured you are not alone! The Sandwich Generation is dedicated to the 50 million Americans who may have elder/parent care concerns and/or responsibilities.



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Do you have a question? Send it in. Although letters cannot be answered individually, appropriate letters will be answered in this column whenever possible. Letters may be edited. Send letters to Ms. Carol Abaya, mail direct to her at PO Box 132,Wickatunk, NJ 07765-0132 or contact her through her web site: thesandwichgeneration.com.

Carol Abaya is an international-award-winning journalist and creator of the unique magazine The Sandwich Generation: You & Your Aging Parents.

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