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[Warning: Extremely long post.]



I'm my 64 y/o mom's healthcare POA; she had a major stroke last year and is paralyzed/in a nursing home currently that I'm trying to get her out of.



I'm 44 and single, work from home and moved back to my home state when she had her stroke last year. My mom has some mental illnesses (depression/anxiety/hoarding/undiagnosed PTSD due to a major traumatic event) and our relationship has always been..'different'.



First, let me say that the past year has been SO challenging. However, the past few weeks I personally think we've made great progress as I've checked a ton of things off of the tasks list that had been taking months to do. **Let me also say that we normally have way mostly good days despite all of the 'issues' from the past and the news ones going on as a result of the stroke**.



However -



This past weekend wasn't the greatest. Although I spent almost the whole weekend with my mom (visiting with her, taking her out places in a city an hour away like to the park/restaurants, etc.) she was just having a few bad days and many of you know what that's like. (Why does this always happen on holidays by the way???) Crying. Complaining. Agitation. Picking nonsensical arguments that just go around in circles. (She told me I don't know how to take care of her because I never had kids. She KEEPS saying I can't do a, b or c because I didn't have kids which is a new statement she makes post stroke so I had to tell her this weekend to STOP making these 'because you didn't have kids' comments anymore.)



Anyway, in reflecting over this past weekend, I've been going through the motions a bit I guess you could say. I'm a bit irritated that my mother couldn't just try to practice more gratitude and enjoy the weekend she had out. I'm kinda hurt by these constant comments about not having kids despite me knowing this has everything to do with suddenly something going on with her (perhaps her coming to the realization I'm officially getting too old to conceive and won't be giving her grandchildren perhaps?). I'm physically a tad exhausted because of all the prep work I did in order to be *completely* free to spend ~3 days straight and out/about with her. And ultimately, I'm feeling both "loss" and "lost". I feel the loss of the parent I once had. Again, she is not always mean - she's 'ok to nice' 90% of the time. But when she is mean, it hurts. And I feel like I'm getting a slightly new mom if that makes sense, and that the new one is different because they never made some of the comments the one this one makes. I'm feeling "lost" because I miss my old apartment and city...BAD. I loved the city I used to live in and I never wanted to move back to my home state and I'm still adjusting to being back in this place; to be honest I don't want to be living here in another 10, 5, or even 2 years. I had a life I really liked that I left. In addition, I suffer from my own depression and have gained 25 pounds in the past 7ish months. Going from an 8 to a 14 when I was a 6 most of my adult life has me looking in the mirror and not knowing who I am looking back at these days. (I'm only 5'2".) Despite the depression, I always did love one thing - travel...and now I can't seem to get that feeling of 'wanting to travel somewhere.' It has disappeared. It's hard to describe but I'll just say that I want the desire to take a trip but instead all I feel is guilt that I'd be doing something I love while my mom is sitting in a horrible nursing home and can't join me. So instead I just feel...nothing. Emptiness. I can't think of really anything I 'want' to do anymore. I'm starting to feel like I'm losing my mom but also somehow, some way, losing my own sense of self as well. And I don't know why this is happening.



This was a (very) long vent. But it's also me seeking to get answers on this question - who can relate?

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I agree you are grieving because of the changes in your mother as well as your own life . Please also bring up with the therapist that you would feel guilt for doing things like a trip etc . without your mother . Yes your mother’s situation is sad . But stopping your own life is not going to make her better .

Please set boundaries and live your life as much as you can . I curtailed my own life for many years and when my mother died , on top of grief , I was unexpectantly hit with such anger towards myself for neglecting my own life, career, (family at home ) .

Keep in mind that you can be a caregiver from a distance if you would like to live somewhere else . Whether you move or not , imo it’s not a good idea for you to have Mom live with you 24/7. She needs far too much physical care .

The lost feeling is because you aren’t living your life . You are too busy trying to improve your mother’s life . I understand getting her in a better facility . But aside from that you have to live your life. Don’t spend the bulk of your life trying to make your mother happy . I did that and when she died I had to pick up the pieces of my own life and learn to live again . I forgot how to live . I was lost because I wasn’t looking after my parents anymore ( Dad died first ) . I thought when they passed I would be free to live my life again . But I unexpectantly didn’t know how . I still struggle . Caregiving for my parents gave me an anxiety disorder . Since you already had depression before your mother’s stroke, my advice is ….do not have her live with you . Best of luck .
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PsalmsTestimony May 2023
Thank you for sharing. Your points really hit home with me. I don't want to feel 'lost' like this forever. Due to my own depression, I'd already started 'losing' pieces of myself it felt like, many many years ago actually. Just one by one I started losing friends and losing interest in doing anything. Travel is the only thing that remained honestly. I went on a trip last fall with a friend and I cried so much on that trip but I knew that would happen because it was to a place my mom and I usually go every year. I am still glad I went because I did some relaxation/spa time in and I also got some time to see what it feels like to grieve when someone can't do the things with you you used to do together. I wanted to go back again this year but I thought about all of the sadness from the last trip and now it suddenly feels totally unappealing to go there without my mom anymore; my favorite domestic city I used to visit like twice a year I now don't quite feel the same about. I am sad to hear about the anger you had for yourself. I hope you have forgiven yourself. And can see much of the good that came out of what you did because I am sure you were doing what you thought was best at the time. At the same time I absolutely hear your warnings to me. As I just mentioned a few minutes in another post, you may already know my story which is that I won't bring my mom home unless I can get a live-in caretaker for her. Even if I find one, by that time there is no guarantee I will go that route as I am focusing on also just simply finding a better NH or an ALF for her. I have read a lottttt of caregiving posts here and elsewhere and I understand the reality that her care needs would likely increase over time meaning a limited amount of time in the home with me anyway, as well as a costly waiting period if she were to decline and need to go back into a facility. All very very real considerations.In the meantime I am discovering new ways to incorporate boundaries appropriately. If my mom wants to have a 'really mean time' with me, I will let her know I won't tolerate it and I will take a break from her but will still pay for the nursing agency to come take her out of the facility once a week as that's an important perk for her to keep in my opinion. When she's really upset/sad/frustrated about something I do my best to not 'take on those feelings'; I will encourage her the best I can but I try not to become how she feels and instead separate how I feel from her own separate emotions. Sometimes after a long, say 8-hour day out doing things with her she wants to make yet another stop and now sometimes I just say 'no'. No explanation, just a 'no' will do now instead of going into the 'why', or giving in with a 'yes'. The little changes are helping. But this is a long journey. And I honestly starting 'losing' my life due to the depression many years ago. I think I'm just starting to 'wake up to' how severe it has gotten now that all that occurred has happened.
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You have received a great deal of wonderful advice. I am just going to address the weight issue. I suggest you find a not too drastic approach to begin to lose the weight that is likely causing you more angst. That is one issue you can have total control over. I know it is not easy which is why I suggest an approach that you feel you can follow realistically. If you start perhaps just weigh yourself once a week. I wouldn't try to remove many food groups but focus on eating healthy choices and perhaps incorporate some exercise such as walking for half an hour. You still will have the issues with your mother but if you can find a small but important way to empower yourself you may find a better mental energy to tackle the issues with your mother.
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PsalmsTestimony May 2023
I appreciate you coming into this thread and mentioning an issue I referenced in my original post that is indeed very important to me. I just got back from an hour and a half in the gym and it's the one thing that makes me feel accomplished right now. That may sound like a lot, but I work from home and I sit for a very very long time so for now I look forward to an hour or more when working out however I don't beat myself up if all I eek out is 30 minutes a few days a week, even if those 30 minutes is a beginners' walking video done on YouTube at home.

I totally agree about the physical activity being the one thing I have control over and that can help me tackle the issues with my mom. I do look forward to being able to fit back into my clothes at some point this year God willing.

To add to the weight issue, I have very very high blood pressure myself (stroke level) that started in my early 20s but mine is controlled via meds. I did some research recently and realized the birth control I'd been on for 2 decades might put me at a higher risk of stroke. So I talked to my doctor about it and she immediately agreed I should come off. Only issue is I have horrible (teenager like) acne and that's why I got on it in the first place. I'm going to see a dermatologist as soon as I can, but add having acne like I was 15 again to the weight gain...at 44 years old at that...and again..I just don't recognize myself anymore.

So...1 day at a time. I definitely feel loads better not just when I've done a day of working out, but when I've been able to eat fairly well. I'm not cutting out much right now outside of sugary drinks (which I'm not big on anyway) and white carbs (bread/pasta) but I even still allow those rarely. I've never been a huge 'dieter' so I won't be doing that. I made a cherry crisp from scratch last week but I use home made oat flour and I freeze small portions of it and only eat a bit here and there.

Long story short, I'm trying to make small changes over time so I totally acknowledge the progress will take quite a bit of time as I am looking to improve my nutrition and fitness overall so I can be as healthy as possible to be able to take care of myself and ultimately also my mom.

Thanks again for your post.
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You obviously too are suffering from depression and I'm hoping you're seeking help for that. And you're mourning the loss of your mom(even though she's still alive)as she's not the mom you once knew, and you're also mourning the loss of the life you once had and have now lost, and even the loss of who you used to be.
So of course you're feeling a bit lost, I would be too. It's a lot.
I think finding a good therapist or counselor(in person)would be helpful at this point, as they can help you work through all these feelings you're having and sort through them in a healthy way.
Then perhaps some kind of support group with folks going through similar things. Even a Grief Share meeting would be helpful because you are in fact grieving the loss of many things.

Next I must ask....why are you trying to get your mom out of this nursing facility? Surely you're not thinking of trying to care for her yourself in your home are you? That will most certainly push you over the edge as her care is now 24/7, and there is NO way that you'll be able to do it yourself.
I get that you're wanting to help your mom any way you can, but at what cost? Your health, your sanity, your finances, giving up your life and happiness???
Think about that. You matter too in this equation, in case you've forgotten.
Until you take better care of yourself there is NO way that you'll be able to take care of someone else. That's a fact!
It's why when you take an airline flight that the flight attendants always tell you to put on YOUR oxygen mask first, because otherwise you will be no good to help others.

So please, do now what is best for you as you have so much living yet to do. I'm sure your mom would not want you being miserable because of her.
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As already stated by many I think that "grieving the loss" of your mom is the wrong approach or maybe just the wrong word choice by your therapist. It sounds more like accepting your new reality and relationship dynamics which you are working on. It's natural to have setbacks because we are human.

I moved my mom to AL in April and I'm going through waves of grief, acceptance, anger....rinse and repeat. It helps me to go back to logic when I get too stuck although I allow myself to cry and wallow a bit as needed. My logic tells me that mom is better off where she is at, when she says something hurtful that it's likely the dementia (although some of them are her honest opinions that she is no longer able to filter and I just try to accept them and try to become better at caregiving). I am also reaching out to get some therapy guidance for the first time in years.

I agree with finding a new therapist. If she is no longer helping you it's time to move on. Maybe she was great at the beginning but perhaps she also met her limit with her abilities to help you and can't or won't admit it.

I wish you well. Caregiving is tough as the veteran caregivers on this forum know. Don't lose yourself-give what you can but set limits. You're being a good daughter but that is not your only purpose in life.
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PsalmsTestimony May 2023
Thank you for your insight and particularly for your kind words.

Everyone is giving me more to think about with respect to my therapist specifically. Not sure if this is helpful or not, but because of my mom's mental illnesses, my therapist has been mentioning the grieving part of 'never' having hard a 'normal' mom since almost Day 1 I started seeing her (way before my mom's stroke). She has stated it's because I treat my mom as someone I can have rational expectations for when instead I need to see/accept her as someone who is irrational, can't take care of or make decisions for herself, is unable to to understand or empathize with me most of the time, and that ultimately therefore never served in the 'mother role/capacity'. I guess for my therapist she has always seen my inability to maybe grieve the loss of never having had a normal mother-daughter relationship in life as a hindrance to me self-actualizing/moving forward in life, hence she always states my goal to grieve the loss of never having had a 'true' mother that was there for me and acted in the mother sense should be a major focus.

I understand both your and AlvaDeer's points and will truly consider all of this going forward as I do indeed really want to get the best out of therapy that I possibly can.
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Psalms, Your post tells me that you have come to a little peace with "how things are", and with how they'll likely remain. But sad to see there's so far to go.

It's been a while. Remind me if you were seeking help with a GOOD strong counselor? I honestly think that's the answer. By strong, I mean a counselor who will shake up your world, who won't sit collecting 100-dollar bills while listening to your retelling of the same-old week. A counselor who will help you change your habitual ways of thinking.

I have several times been through counseling when I was stuck like a dray horse walking in circles. As uncomfortable as it could be, the best ones were the ones who rattled my tree so hard that the old fruit stuck in the branches fell right out. There has to be room for new growth.
Old habitual ways of thinking have to go. For me, it was exceptionally uncomfortable, because while I was in PAIN, it was a pain I knew and understood, and pain that had payoffs for me (sad as that is to say now I somehow wanted to live as a victim so I at least get some sympathy from others).

I can only suggest that you do counseling, and if you have someone who doesn't shake your world, move on to another counselor.
I know I already recommended to you the book by Liz Scheier called Never Simple, the memoir of her enmeshment and helplessness trying to deal with a troubled mentally challenged mom for decades.

You seem still to expect mom to change; she won't. Only you can make change FOR YOURSELF, and it will be hard and uncomforable work. If NEITHER of you is to change, then we will hear this long post again. We will feel sorry for you. But then we will move on, and you will still be stuck there.

I surely do wish you the best. You--we ALL--deserve a decent, quality, content life. Will there still be problems? Sure, but they won't be the all of your life.

Only yesterday, another poster we haven't heard from in a long time came to us in "discussion threads". She had been literally STUCK in grief. It had become her entire life. She was able to get help and to move on and now does the most marvelous work. She's had even further losses, so that wasn't cured; but she now has used her own losses to help others with all she has learned, to help those still walking in the maze. She is justly PROUD of herself.
You can do the same with all you have learned. I hope that you will.
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PsalmsTestimony May 2023
Thank you for your post. I almost mentioned my counseling in the OP but did not. I have been with my current therapist for ~2 years. So she was there pre-stroke. Honestly I'm a bit lost as to what I'm seeking to achieve with her right now. I'd mentioned this over a month ago stating that I felt I was mostly venting in every session and asked her where she thought I could focus on moving forward. She stated that focusing on grieving would be a good place and she'd mentioned to me before. My response was that I remember her mentioning it more than once, but each time it was mentioned I asked 'how do I grieve my mom when she is still here'...meaning, what are the actual 'steps' I need to take and what does it truly mean to grieve the loss? I admit I am still unclear of actually what I'm supposed to be doing and I'm not blaming the therapist for that; I'm just stating that I get the ask but I don't understand the steps to take to reach said ask as I personally feel it hasn't been explained. Perhaps I'm missing it. I definitely don't want to go through the rest of this year just venting in each session.

After reading your post I realized I do have things I want to do at some point. My job is supposed to be moving me abroad to Europe (my 'dream come true' so to speak). Now the company is doing layoffs and the move may or may not happen. I want to start working in the field of either coaching or counseling 'one day' as I feel like my experiences could help others as I've dealt with a family member with NPD impacting my life, I've had my own social anxiety and depression, I have a mom with mental health issues who I now caretake for and a myriad of other things that have really only strengthened my empathy for others. I want to transition from my current corporate job into maybe some type of counseling and I could see myself doing that all through my retirement years. However I admittedly have not put any work into researching that; I spend all of my non-work time taking mom out, checking up on disability paperwork, Medicaid paperwork, now cleaning out her entire storage unit, obtaining documents since all were lost during the loss of her house (i.e., social security card, birth certificate, med records, etc.). I have only recently just started to try to put way more priority on my health (i.e., working out again, got a FitBit, meal prep healthy things at home, implementing better sleep habits slowly, practicing gratitude, etc.).

I want to say that I'm likely going to have to come back to your post and read it again and again. Back to the whole therapist thing, I can't say I'm seeing someone that 'shakes up my world'..I honestly do feel quite a bit 'stuck'. And I'm not sure (although I think I'm fairly self aware) which thought patterns exactly that I need to get 'unstuck' from - and knowing that is key to me being able to express that in order to ask for help to be delivered from it through therapy.
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@AlvaDeer -

I did actually have a sort of sit down with my therapist. I told her that I felt I was doing quite a bit of 'venting' and that I wanted to understand where she thought I could focus on in order to improve my quality of life, and any areas she felt would be currently priority for me to focus on. Her 'angle' was that I have not grieved the loss of my mom ever and that I haven't done the work to grieve the loss of her which is the reason I am not able to move forward. In other words, she has stated that she and I both recognize the need to be future-focused, but in her opinion in order for me to do that I need to take steps to grieve this important loss first. That was her side of things and why I stated I feel a bit stuck because it is not clear to me (yet) in therapy, the 'how' behind what I'm supposed to do to grieve so I can indeed move forward according to her.

I will give all of this some deeper thought. My next session is tomorrow actually so you've inspired me to ask some more detailed questions surrounding what my goals are here and her intentions to support in getting me there.

I am indeed aware of my mom's limitations not being my fault. However I do recognize that I am perhaps enmeshed a bit with her which could be leading me to unnecessarily sacrifice certain things to my own detriment that do not add a sensible ROI or enough value so to speak to either one of our lives. I'm honestly just coming to this understanding very recently and am therefore trying to work through what all of this means for me (and her). Things like setting more or different boundaries and learning to separate my feelings from hers because I have always 'absorbed' the feelings of those around me. Again, things I'm just coming to awareness about.
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lisatrevor May 2023
Thank you. I was planning on living for 6 months in the UK but I have come to the realization now that everyday being near my father is much more important. Every day counts now. I have lived overseas for years and I know the joys. It was a different time then for everyone in my life. It's now the time when I need to be where I am. In the future I plan to move, for sure.

There have been some good things that have come out in the last year, but it's not the things I can control that are the issue. I can stand all the stresses without consciously breaking down but it feels like physically something is going to give and I have no control over that. Like I'm going to wake up and find that the stress has caused my bile ducts to disintegrate or whatever. That's kind of funny but I think you get my point.

I'm literally taking it hour by hour. Like I said, I did very well in the the past. I don't know why this happening to me now but at least I have something that gives me hope. Thanks again.
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@funkygrandma59 -

Regarding your response to AlvaDeer, you are correct in your interpretation of what my therapist is getting at. I just mentioned this in another response a few minutes ago, but my therapist and I started working together prior to my mother's stroke. Back in those days I was casually considering moving my mom in with me but I had a lot of reservations for many reasons. Then my mom lost her house and I was considering it even more strongly..then the stroke happened right after the foreclosure/official eviction and..well, here we are now.

I do have a lot of conversations with my therapist expressing frustrations/upset, hurt, negativity, indecision, fear etc. etc. that all began prior to my mom's stroke that often surround my relationship with my mom. Clearly my therapist believes that perhaps I'd be experiencing less of these things should I focus on mourning the loss of 'never ever having had a normal...maybe even nurturing or healthy mother-daughter relationship' as she believes healing from that by realizing/understanding and mourning would help me to move forward in certain ways such as by getting me closer to acceptance of certain things, 'letting go' in certain areas, learning how to have better boundaries which could perhaps help on the 'enmeshment' side of things, etc. etc. Just giving some clarity regarding the therapist's rationale; both you and AlvaDeer make good points.
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Way2tired May 2023
Psalms , in my own experience the therapist wanted me to spend too much time on grieving the fact that I did not have a normal mother daughter relationship my whole life , I felt that was making me get stuck. I told her I wanted to focus more on now so I could move forward. I actually did not last very long in therapy . I found my own way , reading articles published by psychologists , therapists etc. I did improve .

However , I have been recently thinking of trying a new therapist as I am having more difficulties again since helping my husband deal with his father with dementia , which is how I found this forum . I’m thinking if I went maybe I can get hubby to go as well . He did not have a great relationship with his mostly absent father and is now feeling stuck . If you are stuck , I would not stay with that therapist .
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This is how I look at it. Mom is in NH for a reason. You have to fit a certain criteria to get into a NH especially if Medicaid is paying for it. Mom needs to be 24/7 care for one thing so this stroke must have done a number on her. The continually say "She KEEPS saying I can't do a, b or c because I didn't have kids" If this is something knew and she seems like she is in a loop, she could have Dementia caused by brain damage from the stroke. It will be very hard caring for her 24/7. You will have no life. It will be hard working from home because she may want all ur attn. I would talk to those who care for her if its wise to take her into ur home. At 64 you may be caring for her another 10, 20 yrs.
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PsalmsTestimony May 2023
The stroke did take away her ability to walk (her left side is paralyzed) or stand and she has urinary incontinence now. She has somehow found her way to recently being able to transfer in/out of the bed alone from her wheelchair and sometimes uses the restroom alone (even learning how to change her own incontinence pads at night over the past few weeks which I am still unsure of how she does). These things did not happen until after rehab was discontinued for her; I guess she realized that the nursing staff would not do these things for her (it's just rare they actually come when the call button is pushed; it sometimes stays on from morning until night) so I guess she found her way to do a few things on her own which is good on one hand but bad on the other because doing all of the things I mentioned, in my opinion, may not actually be safe for her to be attempting alone. She is a clear fall risk.

I get it. She needs support. A lot of it. You may already know my story which is that I won't bring her home unless I can get a live-in caretaker for her. Even if I find one, by that time there is no guarantee I will go that route as I am focusing on also just simply finding a better NH or an ALF for her. I have read a lottttt of caregiving posts here and elsewhere and I understand the reality that her care needs would likely increase over time meaning a limited amount of time in the home with me anyway, as well as a costly waiting period if she were to decline and need to go back into a facility. All very very real considerations.
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I will add: you said "I can't think of really anything I 'want' to do anymore." But you also said that you don't want to be living where you are now in 2 years. You have a goal/want-make a plan to achieve it.

Someone mentioned long distance caregiving. It is possible. I'm taking care of my mom from WA and she lives in CO. I am 44 and mom is 75. I'm doing this solo. You are currently near your mom so you can get everything setup to facilitate long distance care and then go back to where you had joy in life.

My mom and I had conversations about what she wanted, what I could/would be able to provide. We set up a living trust years ago with me as successor trustee (although this hasn't been as helpful as I thought), I'm her MDPOA. I found her a good AL and moved her in within a 2 week period after an emergency. I'm now working through the frustration of trying to sell her house/stuff while in WA with a trip back planned for late June.

Get your mom settled into a new NH that you like, find a trusted caregiver for extra visits if you need it. Set up the legal paperwork if it hasn't already been done and mom is willing/competent to do it. Then MOVE. Set a date and go.

I know it's easier said than done but it CAN be done. Make a new to do list and work at it a bit each week.

Good luck.
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Your mother is blessed to have a daughter like you. Perhaps your mother is frustrated that she is ill and because of her frustration she said those words to you. You should not take it personally because I don’t think she meant it the way you interpreted it about not having children.

You are so young and you need to take control of your health because if you get sick there won’t be anyone to take care of you and her. If you continue down this path with your hypertension you will end up like your mother with a stroke. You are so young, and you have many, many years ahead of you. Please take care of your health first so you can be there for your mother.
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