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How should caregivers respond when their expectations are not met? The right answer will vary from one caregiver to another depending upon many factors, including the caregiver’s

personality, interpersonal style and relationships with the disappointing parties. No one answer is perfect; each has its pros and cons. Here are some things to consider when thinking

through how you should respond to caregiving’s disappointments: BARING YOUR SOUL Caregivers who feel neglected and hurt may let those feelings build up before deciding to tell others exactly

how they feel — sometimes as impassioned pleas. One advantage of this approach is the decreased pressure they may feel from releasing their pent-up emotions. Another is that friends and

family members, upon learning of the caregiver’s distress, may ride to the rescue by joining the caregiving team. But the disadvantages of this approach can also be many. If a caregiver

makes herself vulnerable by asking for help and loved ones back away, then that caregiver may feel that others simply don’t care about them, leaving them feeling more alone and disappointed

than ever. That rejection can be crushing. WAITING AND HOPING Because a care receiver’s medical condition and ability to independently function often change over time, their care needs

frequently increase. What was once a caregiving job one person could easily handle becomes overwhelming for two or three. This is an extremely sad development, but it does give primary

caregivers some amount of time before they really need others’ help. Those caregivers may therefore be content to wait for others to step up as the care receiver’s disease progresses. The

advantages of this approach are that a caregiver’s expectations — and therefore potential for disappointment — may be low in the beginning. If others don’t step up, then it’s not so bad

because they aren’t that needed. With time and further acceptance of a care receiver’s situation, many of these friends and family members do realize they need to make greater efforts. The

key disadvantage of waiting is it may give others the false sense the primary caregiver can do it all with no trouble. Others may even view the caregiver as a self-styled heroine who does

not want their help. That misunderstanding can lead to feelings of anger and embitterment — no better than the caregiver whose heartfelt pleas are outright rejected. STOP HAVING ANY SET

EXPECTATIONS A third approach is radically simple: Caregivers can decide to have no expectations of what others do. In Ginny’s case, that would mean fully accepting that her father is going

to take his frustrations out on her occasionally, her sisters have the right to make their own decisions, and her father’s doctors should be given the benefit of the doubt for doing the best

they can. It might also mean her husband should be shown grace for being oblivious and slow to respond. The advantage of this tactic is that the caregiver will take things as they come,

good or bad, relishing what she can without being consumed with disappointment. The disadvantage is that she does not want to feel taken advantage of by anyone. This is a difficult dilemma.

Will having expectations as a caregiver lead you to more self-advocacy or greater emotional pain? It is a choice that, after assessing your own situation and needs, you have the power to

make.