Are You a Member of the Sandwich Generation?

If you are among the large and growing number of adults squeezed between the needs of an aging parent, relative or friend; and the demands of children, spouses and careers; you are a member of the Sandwich Generation – and you are not alone. Surveys estimate 22.4 million U.S. households – nearly one in four – now are providing some form of elder care. Baby boomers (those born between 1946 and 1965) are likely to spend more years caring for a parent than raising children; and for the first time in history, many families have more parents to care for than children to raise.

Fortunately, family ties are strong and studies show that most adult children feel very close to their parents. It is this love and a sense of responsibility that compels us to care for those who once cared for us. While we accept the responsibility for elder care, there is a multitude of issues and concerns associated with the Sandwich Generation and its conflicting care giving demands.

Today, most people live into their seventies and eighties, and many live into their nineties. Just as toddlers and teenagers cause certain kinds of family crises, so do aging and ill parents. Elders face unique challenges and concerns. As people age they may need help with anything from finances to driving. Elders move from the “young-old” stage where reasonable good health is enjoyed and basic needs can be independently met, to the “old-old” stage with serious illness where the need for help is critical. At times assistance with household tasks, transportation and shopping allows elders to live independently. However, as the needs progress due to illness or frailty, the care giving tasks become more demanding.

The greatest challenge for many elders is learning to accept vulnerability and ask for help. Mary Pipher, Ph.D. suggests in her powerful book: Another Country: Navigating the Emotional Terrain of Our Elders, it is helpful to view life as a time line. She writes: “we realize that all of us are sometimes more and sometimes less dependent on others. At certain stages we are caretakers, and at other stages we are cared for. Neither state is superior to the other. Neither implies pathology or weakness. Both are just the result of life having seasons and circumstances. In fact, good mental health is not a matter of dependent or independent, but of being able to accept the stage one is in with grace and dignity. It’s an awareness of being, over the course of one’s lifetime, continually interdependent.”

There are wonderful benefits to intergenerational family experiences. Caring for parents often means that children have more time with grandparents, which is good for children at any age but especially important for teenagers. Grandparents tend to be wiser and kinder than adolescent peers. They are less busy than parents. When children assist and participate in the lives of elders they have an opportunity to appreciate the value of being truly helpful and grow in their understanding of other generations.

Members of the Sandwich Generation need practical help balancing family obligations. Too many caregivers think they are failures if they don’t successfully keep all needs met. It’s not realistic to think one person can know or do everything. Take advantage of outside services, allow yourself a break from continual care, and enlist the support of family and friends. Most communities offer a variety of helpful resources that provide everything from day care for the elderly to opportunities for socialization and enjoyable activities.

Assisting in the care of elder parents while still raising children is a rewarding, important, but daunting task. It is most helpful to define this care as a family shared joyful responsibility where each generation has its own gifts to share with the other generations.

Families Coping with Serious Mental Illness

A serious mental illness is a disease that causes moderate to severe disturbances in thought and/or behavior, resulting in an inability to cope with life’s ordinary demands and routines. Most people believe that mental disorders are rare and “happen to someone else”. In fact, mental disorders are common and an estimated 54 million Americans suffer from some form of mental disorder.

Mental illnesses may be caused by a reaction to environmental stresses, genetic factors, biochemical imbalances, or a combination of these. Mental illnesses cannot be overcome through “will power” and are not related to a person’s character or intelligence. With appropriate care and treatment, which typically includes both medications and behavioral interventions, between 70 and 90 percent of individuals have significant reductions of symptoms and improved quality of life. Early identification and treatment is vitally important.

The mental illness of one member affects the entire family. Most families are not prepared to cope with the physical and emotional demands a diagnosis of serious mental illness such as major depression, bipolar disorder, schizophrenia, obsessive-compulsive disorder, or borderline personality disorder brings. Constant stress and difficulty can create profound family problems.

There are many myths and misconceptions surrounding mental illness. When someone you love is diagnosed with a serious mental illness, you may experience feelings of denial, shock, sadness, anger, guilt, resentment or even shame. You may worry about what other people will think because of the negative associations to mental illness in our society. It is helpful to accept your feelings as normal and common among families going through similar situations.

One of the greatest difficulties for families in accepting any life altering illness of a loved one is dealing with a changed future and expectations. Families grieve for what might have been and for their loved one. The loss of the person we knew is deeply felt.

Some basic suggestions for family members of a seriously mentally ill person:

• Accept the illness and its difficult consequences – denial or pretending “this is not really serious” or “this will pass” delays finding needed help
• Learn about your loved one’s illness by reading and talking with mental health professionals
• Develop realistic expectations for the ill person and yourself
• Recognize that it may take time to find the proper medications that work
• Accept all the help and support you can get
• Keep a sense of humor
• Join a support group
• Take physical and emotional care of yourself
• Stay optimistic

Family acceptance of mental illness includes an understanding that it’s nobody’s fault and that while the illness is a sad and difficult life experience, it can be survived. There are resources to help. The National Alliance for the Mentally Ill (NAMI) is a non-profit organization that provides education, support and advocacy for those with mental illness and their family members. NAMI sponsors a free 12-week course for family caregiver of individuals with severe mental illness that discusses the clinical treatment of illnesses and teaches the knowledge and skills that family members need to cope more effectively. To obtain information on this or other services offered by NAMI go to www.nami.org.