Guilt and dementia: How to manage guilty feelings as a carer

Feelings of guilt can be difficult to deal with as a carer of somebody living with dementia. Read our advice to help identify and manage guilty feelings.

Caring for a person with dementia can be very challenging. You’re likely to experience an extreme range of emotions, one of which is often guilt. 

You might feel like you’re not doing a good enough job of caring or setting up support for a loved one, or you may be struggling to accept help. These feelings are completely normal, and very common. 

It’s important to identify and acknowledge any feelings of guilt, so you can start managing and working through them. Here are some common situations that might lead to guilt, along with some advice on managing your feelings. 

7 ways carers may feel guilt, and how to manage them:

1. Feeling that other carers seem to manage better than you

Meeting up with other carers at support groups or reading about other people’s experiences might make you think other carers are coping better than you are. You may feel guilty you haven’t lived up to your own expectations or those of the person with dementia, or to the expectations you believe other people have of you. But remember, there’s no such thing as the ‘perfect carer’, and it’s important not to be too hard on yourself.

Are you being realistic about what you can achieve? If not, can you reduce any of the expectations you have of yourself, or get any more help? 

Sometimes letting family and friends know how you feel and asking for support may give them the opportunity to help out.

2. Feeling bad about how you treated the person before they were diagnosed

Sometimes, carers feel bad about how they behaved towards the person before they were diagnosed with dementia. For example, you might have shown feelings of irritation or criticism towards them without realising that they were showing signs of dementia. 

Try to remember that you weren’t to know that they had dementia and you couldn’t have foreseen what the future held. 

Dementia can have a profound effect on a person’s behaviour and without advice, guidance, or the knowledge of an underlying condition, these changes can be very difficult to understand.

Bear in mind that everyone gets frustrated with their partner or family members from time to time too.

3. Feeling guilty about getting angry or irritated

If you feel angry and frustrated, you might occasionally direct this towards the person you’re caring for. Many carers find it hard to forgive themselves in this situation, especially if they have said something hurtful.

Try to remember that caring can be very stressful, and anger or frustration are natural for everyone in this situation. Taking some time for yourself to do something that you enjoy – such as reading or cooking – can help to calm these emotions. Exercise and relaxation techniques, such as deep breathing, can make you feel less anxious and less stressed and can relieve your anger and frustration.

At times when you do find yourself becoming angry or frustrated, it can help to leave the room for a while to allow things to settle.

4. Feeling guilty for wanting time apart

You may feel guilty about having time to yourself, but everyone needs to recharge their batteries now and again. It’s very important for carers to enjoy some time away from their caring role.

Many carers find that giving themselves some time apart and doing things that make them feel happy and positive, makes them more able to fulfil their role.

If the person you’re caring for can't be left alone, ask friends or family whether they could pop in for a short time, or whether they could come and stay with the person for a few days.

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Discussions about Guilt in our online community, Talking Point...
Discussions about Guilt...

5. Feeling shameful about accepting help from others

Many carers feel they should be able to manage without any help. But looking after a person with dementia can be exhausting, physically and emotionally. 

You may be able to free up some valuable time by accepting respite care, such as help in the home, daycare services, or residential care services. This will give you more energy and may enable you to go on caring for longer.

Even if the person with dementia is initially upset about others becoming involved, they may well come to terms with the idea. The first experience of separation often makes carers feel guilty and unable to relax, but in time you will probably get used to it and will start to experience the benefits.

6. Feeling guilty about the move into a care home

Some carers may feel that moving the person into a home is a betrayal. You might think you’ve let the person down, or that you should have coped for longer. You may have previously promised the person you would always look after them at home and now feel forced to break that promise.
 
Remember that any promises were probably made in a completely different situation. The move to a care home also doesn’t need to mean that you give up your caring role completely – it’s just a different way of caring.

Some carers find residential care helps them to have a better relationship with the person, as their time together can be more special, less stressful, and more like it used to be.

7. Mixed feelings about the person’s death

When someone with dementia dies, many carers say they initially feel some sense of relief. Then they feel ashamed or shocked that they have had these feelings.

Rest assured, relief can be a normal reaction. Many carers go through much of their grieving process throughout the illness, as they notice each small deterioration in the person.

Talk to people about your feelings and remember there is no one ‘right’ way to feel when someone you have been caring for has died.

Do you have experience of dealing with guilt or any advice for anyone who might be struggling with these feelings? Let us know in the comments below, and help other people realise they’re not alone.

This article was first published on 7 November 2018, and last updated in May 2023.

Looking after yourself as a carer

Supporting a person with dementia can be positive and rewarding, but it can also be challenging. Read our advice on how you can make sure you're looking after yourself, as well as the person you're supporting. 

Find out more
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231 comments

Hi my husband has lewy body which he's had about 5years first 3he was very slow movements then memory started to go now with in seconds it's gone can't do anything without help only feed his self ,he can still walk about very bent and slowly ,he had a fall in Dec last year which caused him to have a build up of fluid so he is on water tablets which restricts us going out so much as I like to go out and meet other people so with all this it's making me very bad tempered and he sometimes he retaliates as he has shown anger to do with lewy body we did try for day care last year but he got very angry and aggressive so I gave up on that as I thought how can I enjoy time and he my hurt someone,so in Feb he went into respite for 2weeks he is on risspirdone to help him stay calm has been good but when in care home for first 2days he would not let anyone near him after he was excepting help but not happy ,I did not feel refreshed as it back to 24/7 and been told he needs nursing care so he is referred to mental health social worker so they hopefully find a care home that understands so he can have more respite as I'm sure once he is happy I can still care for him at home to enjoy ,I do feel guilty as we loved our holidays so I keep thinking about would be nice to have one on my own is this normal as I think that's why I feel anger towards him I try to think it's not him it's the dementia, but so hard been married 56years .

My wife has vascular dementia and a stoma bag she has no idea what it is and is always pulling it off she is now in residential care with a one to one it kills me every day to see her this way she doesn’t know any family it’s such a destroying disease for her and us

My husband was diagnosed one year ago with( behavioral )Fronto tempo dementia ...FTD. He tried to work for 5 years, knowing he was slowly failing at his job. His rewards for great work became pull ins for discussions with managers and team peers. Danger of being fired got him in to see a specialist and 7 months later a final name for his problems. Much financial costs could have been avoided by one simple MRI that showed the front half of his brain disappearing. It showed everything we needed to know about his symptoms and behavior. For 8+ years he grew distant, forgetful, very irritable and easily angered. He drank whiskey by the cupsful all evenings and often passed out. Nothing l said mattered more than his whiskey. Family, far away, no longer got visits from us, friendships faded as he chose to isolate us. Soon no Xmas tree, no decorations and no life outside the home made me resentful of lack of consideration and appreciation for taking over nearly all inside chores. He messed up paying bills, forgot due dates, birthdays, and gre so full of rage he needed anti-psychotics to calm him and help sleep at night.
Now he rests and l lie awake overwhelmed by all that needs repaired in our home. We recently lost $15,000.00 to hackers. No way to recover it, he is 59 , and l am 67 with nerve muscle degenerative disease making me weaker still with aging and caregiving. Rarely does any one help me with the needed work around here. I have made needs known and it's like talking to a ceiling fan. Nothing but air returns., l long for a few days to myself to actually get some things done around here, but don't see it ever happening in good old usa. I home cared both parents and in law family members until they went to better place. It's a lost virtue evidently.

My wife has gone into long term care for Alzheimers, i feel lost, and have let her down.i dont know what do without her.

My beautiful mother was diagnosed in her mid 60's with dementia. Her condition escalated in that she became very verbally aggressive, amongst others things, and needed to go into care. She is now in the final stages of the disease and I am beyond devastated. She has battled this condition for 8 years and the guilt and sadness I have takes over every aspect of my life. A constant sadness waves over me and I cant do anything to help her. I feel the end is coming and the pain of losing her is so great yet I know she has no quality of life. I'm so torn.

Hi all my mum is 67 and has dementia she had early onset and was diagnosed in 2014 she has deteriorated now and her hygiene is getting poor I’m her only daughter my dad passed away at 58 and I work full time with 2 young children and I just feel so guilty I don’t see my mum enough I have her at weekends to make sure she has a good dinner etc but I feel so stressed to see her like this as every time I see her I feel I’m losing part of my mum she does argue things with me now and gets snappy but then also cry’s which makes me so sad we have asked for help so many times now I just hope they can finally give some help for the simple things that will relive me so I can have the mum and daughter relationship again

The advice I just read on guilt is exactly how I've been feeling since placing my dear mother in care. Yes, I promised her that I would always look after her. But, yes, this was a totally different situation. My husband and I looked after my mam for eleven years. Doing a her cleaning, laundry, shopping and cooking her meals since she became unable to do all these things herself. And this was fine by us until her dementia started. And then, after she fell and broke her hip and shoulder her dementia progressed dramatically. I was her sole carer for three months after she came out of hospital, 24 hours a day. It was so hard. Until I just couldn't cope any longer. She is 92 and I'm 68 myself. The guilt has been so hard to bear. And every time she asks to come home, I get the guilt knots in my stomach. Everyone tells me I've done the right thing placing her in care, and that I need to look after myself as well. But I'm still feeling dreadful about the whole situation. She is in a lovely home which is very close to where I live, which means I can visit every day. But ever day I feel this profound sadness.

Please help me I feel guilty putting my husband in a Care Home I can’t sleep thinking about him if he eat or or if he was aggressive to the carres.i was alone looking after him and I can do it anymore that’s why he’s in the care home but still I can sleep I always try to eat please help me what shall I do to worried to much for him he’s in the care home now .

Dear Araceli

I’m really sorry to hear that you are struggling with feelings of guilt because your husband has had to go into care, and you are finding it difficult to cope with these feelings.

When a person with dementia goes into residential care, you may experience a range of feelings including relief, sadness and guilt. These feelings are normal and may change over time. You may be worried about how the person will settle in, and whether the care they receive will be good enough.

A move into residential care is a big change in a relationship, and you may miss having the person around. You may also feel that you are no longer able to play an active part in their care. All of this may contribute to feelings of guilt and sadness. If you’ve been a carer for a long time, the move to residential care can have a big impact on you. Some carers find they feel lost and have a sense of emptiness. Other people may expect a carer to be able to get on with their life quickly after the person goes into care and may not appreciate how they might be feeling.
You don’t stop being a carer just because someone has moved into a care home. If you still want to be involved in caring for the person, such as helping with mealtimes, speak to the care home staff and discuss how you can work together. You will know the person’s likes, dislikes, hobbies, routines, life history and more. All of this is important for helping care home staff to support the person. If the person has communication difficulties, you may also wish to use our support tool This is me (1553). This is an easy-to-fill-in form to record these details and help staff understand the person better – see alzheimers.org.uk/thisisme. At first, you may want to take some time away from caring altogether. The care home should support you with this and welcome you back when you’re ready. However much you are involved with the person in their new home, make time to take care of yourself and your needs. Consider attending a support group. The care home may have a group for family members and carers. These can help you to talk about your feelings and the changes you’re going through. accept your own feelings in your own way – there is no right or wrong way to feel.

Please find the link to the form (This is me) https://bit.ly/2yIcg2Q

Remember we are here for you and if you feel it would help you can talk things through with one of our helpline advisers. you can contact us 0300 222 1122. We are open Monday Tuesday and Wednesday from 9am to 8pm and Thursday and Friday 9am to 5pm, also Saturday and Sunday from 10am to 4pm.

Another place where you may be able to get support from people who can relate to your situation is the Alzheimer’s Society online forum ‘Talking Point’ (which is used internationally). The forum is a place where people affected by dementia can share their experiences and receive support: https://forum.alzheimers.org.uk/

It might also be a good idea to speak to your GP who could arrange for you to have some counselling.

I hope this helps but please do contact us any time if you need some support.

Kind Regards

Mary
Helpline Adviser (Alzheimer's Society)

My mother has always resented my husband, I’m an only child and he “took me away from her” the day he married me, 46 years ago. The dementia means there are no holds barred now and she openly admits that she can’t stand him and won’t allow him in the house. She tells me I’m stupid to have married him, yet he was, until a few months ago, a huge part of our caring, family team. When she had a house fire {not her fault} it was him that worked every day till he dropped to get her home again from the temporary care home that she hated. I’m afraid that when she starts saying the most awful things about him I get angry. It’s as though she knows how to turn the knife. I’m really sorry but I find it hard to believe this is only dementia, that makes it more difficult to ignore. He’s the most wonderful husband, father and grandfather. He has advanced prostate cancer and is fighting it bravely. How do I deal with my mother’s attitude? I love her dearly but this hurts so much. I try to change the subject but that doesn’t work.

I'm looking after my brother [59yrs] who has Downs and dementia. He has forgotten how to walk and is now bedridden. Wherever he put in the bed he remains and cannot right himself . The only time he moves is to raise his knees. He is sleeping/dozing most of the time. He's angry and shouts and screams a lot. If I moisten his lips with food or drink he may eat or drink something but it's getting difficult. He has been checked by a doctor. Is this behaviour unusual and is there anything more I can do to help him.

I’m sorry to hear about your brother. You are supporting him well and we can only suggest some ways to try to increase his enjoyment of life. Physiotherapists can advise on exercise for people at all stages of dementia and may be able to get him moving a bit more. Home visits can be arranged. His GP or consultant can refer him to the community physiotherapy service or the hospital physiotherapy department. Shouting and screaming may be the result of seeing things that make him scared. Offer as much reassurance as you can. If you can establish what he is trying to communicate, you might resolve the problem. Maybe distract him with calming activities such as a hand massage, stroking a lifelike pet or by playing his favourite music. It is quite common for people with dementia to spend a lot of their time sleeping. If he is sleeping a lot but it isn’t having a negative impact on him it is often best to just go with it. People can lose understanding of eating and drinking. Keep trying to tempt him to eat a little of his favourite foods and drinks. Little and often works best. Do call us on the Helpline if you need to talk more about his care: 0300 222 1122.

(Helpline advisor, Alzheimer's Society)

I needed to see this right now. My poor mum has just been sectioned as a result of her dementia. Part of the problem with her illness is the outright refusal there is anything wrong with her, which has made it impossible to get her any treatment. And her partner can’t deal with her aggression and mood swings.
I know she’s in the best place she can be right now but I feel so guilty. She can’t understand why they won’t let her go home. It breaks my heart.
I’m praying for a miracle.

I removed my 80 year old Mum out of full time Supposedly dementia Care after 4 years of intermintent deglect.
I followed the correct chanels, safe guarding, local authority Adult Care. My mother self funding her placement.
Mum has been bed bound for 3 years.
Myself and my 2 brother's dreading what we would find when visiting.
Caring for her now she isn't walking shop lifting ! Bring taken advantage of is somewhat easier.
Frontal lobe dementia behavioural challenges. Sexually inappropriate you name it we have lived it.
Guilt plays no part as a care giver now she has been removed. My mother doesn't recognize any of us. . But she is cared for now by us.

I recently lost my dad in May. I was his carer for 3 years. He developed dementia after mum passed away. The dementia didn’t take him, he developed cancer in his bile duct, 3 weeks diagnosed then he passed away. I did feel a sense of relief. He enjoyed his life, even with dementia, he had a better social life than me. He was know as Sir Harry Sinatra because he always sang My Way on the karaoke. He was very well known in our little town, and was well looked after by friends! I used to take him everywhere. I did feel guilty for feeling slightly relieved, but there was no way I would put him in a home, he would have been devastated. He needed his familiar surroundings. He went into respite for 2 weeks and tried to escape!!! Told the careers I’d put him in Jail...he did have a sense of humour, but this was his feeling. He thought I was his wife! So to have to put him in a home would have made me feel more guilty. I feel sad that he’s no longer here, I miss looking after him, but could tell the dementia was getting worse, and it was getting worse for me being the carer, but wouldn’t have it any other way, hence the reason I was slightly relieved he passed when he did. He was 86. RIP dad, always missed, always loved, and forever in my heart 💔 (still grieve for mum and dad) 💔

If you are a carer who is struggling to cope, do not overlook the option of having a full-time live-in care worker. Having someone else there to carry the brunt of the care work means that you can remain actively involved (unlike with a care home) but can also look after your own health and wellbeing. My company already provides this for several clients and I'm sure other companies do too. Anyone can contact me if they would like to discuss this care option.

I can relate to a huge amount of this from a guilt perspective - guilt that I’m not there enough, guilt I should try harder, guilt I get angry and frustrated at dementia and therefore my mum, guilt that I don’t feel like I’m balancing everything well enough - mum, dad, work, our two year old, my own family unit etc. One thing I am slowly learning though is that self care needs to be a priority if I’m to continue to do any of this well and that’s not something I’m great at. I put myself last always and then feel exhausted with all of it. Dementia is one of the hardest things to live through from a loss and long goodbye perspective, we all need to remind ourselves we are coping amazingly considering the circumstances and let go of negative guilt!