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Data:
Session duration: 60 minutes. Location: therapist's office. Client appeared worn down and reported increasing difficulty caring for his mother, who has dementia. Client stated, "She's not the same person anymore, and I don't know how to deal with it." He described changes in his mother's personality, including confusion, agitation, and lack of recognition of him on some days. Client expressed feelings of grief and guilt, stating it feels like he is grieving her even though she is still alive. He reported being exhausted from caregiving, as he has been handling most of it alone and feels guilty about taking breaks. Therapist introduced the concept of anticipatory grief and validated the client's emotions. Therapist also discussed communication adjustments, such as validating his mother's emotions rather than correcting her, and addressed the importance of setting boundaries and seeking support from others. Client was encouraged to consider respite care and involve family members more in caregiving responsibilities.
Assessment:
Client is experiencing anticipatory grief and caregiver burnout, which are impacting his emotional well-being. He is making progress in understanding and validating his emotions and appears receptive to strategies for improving communication and setting boundaries. Client responded positively to interventions and seemed less overwhelmed by the end of the session.
Plan:
Client will research respite care options in his area and practice one of the communication strategies discussed during the session. Therapist and client will meet again in two weeks to review progress and continue addressing caregiving stress and anticipatory grief. Treatment will focus on further developing coping strategies and exploring additional support systems.
We had a 60-minute office session today. Tom came in looking really worn down and said it's been getting harder and harder to take care of his mom, who has dementia. He said quote 'She's not the same person anymore, and I don't know how to deal with it' unquote. He talked about how his mom's personality has changed so much, she used to be warm and funny, and now she's often confused, sometimes agitated, and she doesn't recognize him some days. He said it feels like he's grieving her even though she's still here, and that makes him feel guilty.
We spent some time talking about how that grief is real and valid. It's called anticipatory grief, and it's completely normal when someone you love is changing due to dementia. I reassured him that it's okay to mourn the person she used to be while also caring for the person she is now. We also talked about the stress of caregiving, he's been doing most of it on his own, and he's exhausted. He said he feels like he can't take a break without feeling guilty.
We worked on some communication adjustments that might help. I explained that trying to correct her or bring her back to reality often just causes more distress for both of them, so instead he can try validating her emotions and going along with where she is.
What else, oh yeah, we talked about boundaries and how he doesn't have to do this alone. I suggested looking into respite care or asking other family members to step up more, because he can't pour from an empty cup. His homework is to research respite care options in his area and to practice one of the communication strategies we talked about. He seemed a little less overwhelmed by the end, like he finally had permission to take care of himself too. We'll meet again in two weeks to check in.
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