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Caregiving and the Sandwich Generation

This post was originally published by Mental Health America – National.

November is National Family Caregivers Month. Caregivers are the cornerstone of families. From personal care to emotional care, and everything in between, caregivers are selflessly pouring into those around them. This November, we applaud and uplift our caregivers, recognizing they are deserving of support and care, too.


The term “sandwich generation” refers to young to middle-aged adults who are simultaneously raising children and supporting their aging parents. Nearly a third (29%) of caregivers are a part of the sandwich generation. Being a sandwich-generation caregiver can be exhausting, expensive, and emotional. Juggling it all isn’t easy, but there are ways to make it easier.

FAST FACTS
Americans in their 40s are the most likely to be a part of the sandwich generation. More than half (54%) in this age group have a living parent aged 65 or older and are either raising a child younger than 18 or have an adult child they have helped financially in the past year.
Men and women, as well as adults across racial and ethnic groups, are about equally likely to be in the sandwich generation.
Sandwich generation adults are somewhat more likely than other adults to say they’re very satisfied with their family life.

Loss of personal time

Parenting and caring for an aging parent take a lot of time and energy on their own – when you’re in the middle and trying to do both, it can feel impossible to make time for anything other than caring for others.

Family conflict

Providing care for an aging parent is often stressful. While it can be a time for siblings and other relatives to come together and provide mutual support, the transition often brings out intense emotions. You’ll probably find yourself having disagreements with other family members about parental care decisions, financial responsibilities, and even bringing up old childhood disputes.

Dealing with complex emotions

While you may be your parent’s caregiver now, you’re still their child. Experiencing the role reversal so directly can bring about a lot of big feelings. You might be experiencing anticipatory grief – anxiety, dread, or sadness as you await their passing. You may also feel a sense of loss of independence as you’re increasingly needed as a caregiver, which can bring up feelings of guilt. Anger and resentment are common, too. All of these feelings are normal when facing such challenging circumstances.

Feeling like a failure

It can be impossible to live up to your own standards when you have so much on your plate. As a sandwich generation caregiver, you might feel like you can’t be the parent you want to be to your children or the caretaker you want to be to your parent. There’s only so much you can do in a day, and perfection just isn’t achievable.

Cultural pressures and expectations

Every culture and family has varying norms and expectations when it comes to older adult care. Many individuals consider caregiving to be a cultural expectation, and there may not be a real decision about whether to take on caregiving responsibilities – it’s simply a given. If you’re a caregiver in this situation, you may feel more alone than others, especially if your workplace, friends, or other support systems don’t understand your obligations. It’s also common to feel some resentment or bitterness about feeling pushed into this role.

Lean on your family or other members of your cultural community during times like this. It’s likely they’ve been in a similar situation and experienced the same feelings that you’re dealing with now. Make time to connect with your parent as their child, such as going for a walk, running non-care-related errands, or doing something else that doesn’t have your caregiver identity front and center.

Taking care of yourself

Caring for an aging parent and parenting your own child at the same time is heavy. A lot of emotion, energy, and coordination go into each role independently, and it can be especially difficult to try to manage both at the same time. If you’re doing your best to manage as a sandwich generation caregiver and you consistently feel like you can’t stay afloat, take a mental health screen at mhascreening.org to determine if you’re dealing with symptoms of a mental health condition.

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