The Caregivers Podcast

Can a caregiver heal while still caregiving? What does recovery look like when daily responsibilities may continue for years?

This week, Dr. Mark is rejoined by trauma-informed coach Greg Fougere to explore the deeper layers of caregiver burnout, nervous system survival mode, and self-abandonment. Together, they discuss why high competence can become a trap, why having free time often fails to bring rest, and how self-curiosity serves as the foundation for staying connected to yourself without letting caregiving consume your identity.

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Creators and Guests

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Graeme Tobias

What is The Caregivers Podcast?

The cost & courage of caring - stories that spark resilience.

Can a caregiver actually heal

while they're still caregiving?

And what does healing even look

like when the stress of caregiving

is still happening every day and

may continue for years?

Welcome back to the Caregivers

Podcast.

I'm your host, Dr.

Mark Ropolesky.

A few months ago, Greg Fugere

joined us to talk about how the

roles we learn inside our families

can follow us into caregiving,

shaping who becomes the person

everybody depends on, and why some

caregivers end up abandoning

themselves in the process.

So today, we want to take that

conversation one step further.

What happens once you recognize

those patterns, but the caregiving

still isn't going anywhere?

Can being good at caregiving

actually become part of the trap?

Because the more capable you are,

the more everyone expects you to

carry?

Why can a caregiver finally get a

few hours completely to themselves

and still be unable to relax?

What happens when you desperately

want help, but then find yourself

resisting it when someone finally

steps in?

And when does telling an

overwhelmed caregiver to regulate

their nervous system

become another way of asking them

to tolerate a caregiving situation

that actually needs to just

change?

Understanding how you became the

caregiver is one thing.

Learning how to stop disappearing

inside the role is another.

Greg Fugere is a trauma-informed

coach whose work focuses on

nervous system patterns,

self-abandonment, and the survival

strategies people can learn inside

difficult family systems.

Greg, welcome back to the

Caregivers Podcast.

Before we begin, please take a

moment to subscribe or follow the

Caregivers Podcast wherever you're

watching or listening.

It's completely free and it's one

of the easiest ways to support the

show

and help these conversations reach

more caregivers who may need them.

We have our returning guest, Greg

Fugere.

Greg, it's great to have you here.

Greetings from Kingston, Ontario,

Canada.

Great to see you, Mark.

Thanks for having me back.

Well, we had an amazing first

episode with you and we're excited

to jump in today, so let's go for

it.

You know, Greg, have you noticed

how in some families one person

always seems to become almost

automatically the caregiver?

And what is it about the role they

were already playing in that

family that makes them everybody's

default caregiver?

That's a great question.

It's a big question.

Hmm.

So, one of the kind of underlying

kind of programs that people take

on when they kind of step into the

caregiver role that I see

is it's a way to maintain

connection in these types of

families.

And a lot of these dysfunctional

family systems, you know, one of

the ways to maintain connection in

those types of families

is to prioritize other people and

to deprioritize ourselves.

And it's also often a very common

program that people run to stay

safe in these types of systems.

is if I can prioritize someone

else's emotional needs over mine,

I can maintain some connection

and I can remain somewhat safe.

Does it have to be dysfunctional

family systems or does this sort

of theme overlie most families?

It does.

It does.

It's, again, any one of us,

regardless of the system that

we're growing up in, we have two

primal needs when we're growing

up, right?

It is to stay safe and to, again,

maintain connection.

And so, we all learn different

ways to satisfy those two needs.

And for a lot of people, again,

deprioritizing ourselves and

prioritizing someone else can be a

way to do that and to step into

that role.

Well, feelings of safety and

connection are powerful driving

forces.

So, Greg, when a caregiver says, I

know caregiving is hurting me, but

I still can't stop, what makes

stepping back feel almost

impossible?

Well, again, if that's how you

learn to, your nervous system

learned to stay safe in the world.

When you ask someone to just

relinquish that control, of

course, it's going to be

terrifying and the system's going

to resist.

That's the way it, that's the way

it learned to show up.

And when we put all this pressure

on it to suddenly let go of that,

it feels impossible.

It feels impossible.

Is it that you can't stop or your

body feels like it can't stop?

It's your body feeling like you

can't stop.

That's what I believe.

So, then, in those circumstances,

can being good at caregiving

actually become part of the trap?

And that the more capable you

come, does everyone around you

just start expecting you to carry

even more and more?

Absolutely.

Absolutely.

And this is, again, this happens

as we grow up, right?

That the world kind of reflects

back.

We play this role and the world

then accepts us for it and we get

lodged into this kind of pattern

even more.

That we need to show up this way

in order to be accepted and to

feel loved and to be worthy.

And those systems around us expect

that of us.

From your experience, then, if

we're seeking safety and

connection as we embark on

caregiving or perhaps

reconnection,

does the absence of those in

earlier parts of our life

reemphasize how important those

feelings are when caregiving

starts?

And is that the fuel that sort of

gets the snowball rolling when it

comes to inability to take care of

oneself?

Sure.

Do you mind repeating the

beginning of that question again?

Well, there's something, you know,

very powerful about feelings of

connection and safety.

But does how a caregiver embarks

on that in part depend on perhaps

even the lack of safety and

connection they may have

experienced during the first 30 or

40 years of their life?

And then as they take on the role

of caregiving, for example, for an

elder parent, the rediscovery of

some feeling of safety and

connection just sort of snowballs

forward and almost like precludes

them from being able to step down

once caregiving really takes over.

And so, you know, that feeling

that, you know, that feeling of

being needed or wanted or finally

kind of chosen or worthy of some

affection and love and to be

accepted, those are, you know, for

us to, you know, just try to shut

those feelings off and walk away

from them.

So, you know, that's, you know,

again, those are really

fundamental things that we're all

looking for.

And so, when we do get a taste of

something that many of us have

been going through our lives

yearning for, you know, that

becomes something that's really

hard to walk away from.

Absolutely.

So, can being needed as a

caregiver become so tied then to

someone's identity that stepping

back almost feels like losing part

of who they are?

Absolutely.

Absolutely.

It's, it's, again, it's a role

that we took on and to step out of

that role, we are stepping out of

our identity, right?

And, and, and, and, and our, and

our nervous systems and our egos,

they don't like that.

And they're going to fight that.

I wanted to change gears a little

bit thinking to the caregiver who

is well entrenched.

I really need to understand why

can an overwhelmed caregiver

finally get four free hours

completely free away from

caregiving but still be unable to

relax?

Well, I think it's, again,

there's, there could be a lot of

factors under there.

Again, the belief system about how

they relate to themselves is

important here, right?

How, do they feel worthy?

How, do they feel like they've

earned it, right?

Are they, do they feel like

they're enough?

They're also still, you know, no

matter what, they're still

stepping out of that identity.

And that doesn't feel safe for a

lot of people.

You know, I, I look at, again,

it's something that a lot of us do

where we're, we're always working

towards something.

And, um, and always feel like we

have to earn something and, um, it

doesn't feel safe to kind of turn

that off, um, and to be working

towards something.

So even, um, even four hours, even

choosing yourself in a small way

like that can feel like betrayal

and it feels unsafe to the system

and their guilt comes up.

Yeah.

And those emotions that we've been

looking to avoid surface.

Yeah.

Yet we hear so much about

caregiver burnout and losing

oneself in caregiving, not just

from observing, but from the words

and mouths of caregivers

themselves.

I mean, if nobody needs them in

that moment, why does their body

still feel like it's on duty?

That's where, you know, again,

the, our system remembers, and

this is, you know, this is a

relationship we have with

ourselves.

This is a way that we learn to

show up and navigate the world

with for, for so much of our lives

or, um, this chapter of our life.

And, um, um, and, um, and we're

in, you know, the other part here,

we start to kind of transition

into a little bit too, is a lot of

times when we're in those

positions and roles, we're in a

form of survival.

So, um, how does a caregiver then

know whether something's actually

helping them heal or just helping

them survive caregiving for

another day?

Hmm.

That's a great question.

Um, you mean a caregiver who is

actively trying to kind of center

themselves in their own life?

How do they know that's starting

to be effective?

Well, it seems like there's so

much of our identity can be

invested in the assumption of the

caregiver role, and then it feeds

forward in a very dynamic way with

reinforcement.

But we are witnessing among

caregivers, despite resource

issues and health infrastructure

issues, the increasing imposing

demands of caregiving.

And while it could provide

connection and safety, we're

hearing calls everywhere about

burnout, depersonalization, loss

of self in the whole process.

And if we're actually trying to

take a step back and refocus as a

caregiving population or a

community of caregivers, part of

that probably involves healing.

And so I'd like to understand if

we are embarking on a process to

ease the caregiving experience for

the caregiver.

How does a caregiver know whether

something they've initiated is

actually helping them heal in the

process, or it's just kind of

getting them by to take and

survive through another day?

How do we know?

I mean, it would be, again, it's

kind of hard to say because

that's, I mean, this isn't

ultimately doing something right

or wrong.

It's about your internal

experience and how you're relating

to the world.

So, again, that's how are they

experiencing life?

Are they able to relax and start

to, you know, prioritize

themselves in a certain way and

take care of themselves and to,

you know, do some things they

enjoy?

Are they able to do that without

the guilt and the overwhelming,

you know, burnout and the

exhaustion and then the turning on

themselves and, you know, beating

up on themselves?

And, yeah, so it's, I guess it

comes down to their internal

experience of how they're relating

to the world.

So, it seems like there are

potentially lots of life

experiences that truly shape their

internal experience and how they

relate to the outer world.

And being thrust into the role of

caregiving can really sort of

reinforce not only perhaps special

but pathological interpretations

of the world around them and their

place in it and their needs, etc.

So, when we use the word healing

here in relation to caregiving,

because we're hearing that more

and more, what exactly are we

saying has been injured?

I believe it's a relationship we

have with ourselves.

I believe that it's really,

instead of looking outward, I

really believe that healing is

looking inward.

And to me, what healing really

means is starting to, and for many

of us, it's the first time in our

lives where we start to prioritize

ourselves.

And I think this is a tricky place

because I think a lot of what I've

seen with people in those types of

situations and roles is they think

it's trying to turn off some of

their caregiver role, right?

It's trying to kind of shut it

down or step away from it or

they're looking at it as bad

rather than trying to, you know,

raise their priority for

themselves, right?

And I think it's, to me, healing

is, it starts with getting really

curious about oneself and starting

to learn to improve the

relationship we have with

ourselves and start to give

ourselves the same thing that we

are so freely giving other people.

So to me, healing is, is really

the improvement of relationship

with self.

So, so considering that definition

then, when we find a community of

caregivers who are struggling and

who are burned out, who are

unhealed, leading up to that, what

tends to do the most damage over

time?

Leading up to the burnout?

Yeah, I mean, is it just, is it

the feed forward effects of just

not having any place for yourself

or total neglect of the

relationship with yourself?

And is that just compound over

time and damage you to a point

where you can't no longer function

with the demands of caregiving and

at the same time finding space for

yourself?

Yeah, I mean, I think it, I think

what often happens is people get

to the point where they can't go

on, you know, with any part of

their life.

And at a certain point, they can't

keep functioning from the same

programming and patterning that

they find themselves in.

And that becomes the, the

opportunity to start to engage

ourselves differently, right?

And it's hard to do that before we

get to the place of kind of

burnouts or, you know, becoming

so, you know, there's no choice

but to do something different.

You know, and again, there's, what

I find a lot of is when people are

in these roles, this goes back to,

again, the way we learn to show up

in the world for a long time,

right?

That this goes back to a lot of

childhood patterning and

programming and belief systems.

And it be, it gets really pulled

into the spotlight when we can get

into these positions and roles in

life where we're really

responsible for someone else that

way.

And it becomes really apparent how

much we do deprioritize ourselves

for other people.

It almost sounds like maybe

through the early years of life,

we get away with that strategy.

But when caregiving emerges, it's

more, more all-encompassing than

anything we've ever faced.

Yeah.

I'll take it a step further too,

Mark, that I think it's more than

just getting away with.

I think we can successfully

navigate life with those

qualities, right?

That they actually work to be

assets.

I mean, when we're talking about

any of these different qualities

and patterning, we're talking

about at one time in our life,

these things really served a

function.

And they did make sense.

And they were the way we navigated

the world successfully in certain

chapters of our life.

So, not only were we kind of

getting away with it, they were

working, right?

And that's what makes this even

more difficult, is these things do

work, right?

I was recently reading Arthur

Brooks, and, you know, those same

strategies we're talking about may

have actually, through the early

years, decades of our life,

provided us a sense of purpose and

meaning.

And the formula worked.

But then everything changes.

Yes.

So, when does telling an

overwhelmed caregiver that they

need to regulate their nervous

system become another way of just

asking them to tolerate a

caregiving situation that's

actually unacceptable?

Yeah, I mean, that can be, again,

you know, for many people who are

in that position, right, that can

be another task that they have to

do, you know, perfectly and

completely.

And, you know, it can really, can

hurt the situation even more,

right?

Because it becomes this thing

where, all right, I have to learn

to, you know, regulate my nervous

system.

And it becomes this thing where we

can't do it successfully.

And then we turn on ourselves even

more, and we get even more down on

ourselves.

And we kind of revert back to the

old patterning that we, you know,

we know how to feel okay or feel

okay about ourselves.

Because we feel even worse about

ourselves that, here we go, I

can't even heal correctly, or I

can't even do my, you know,

regulate my nervous system

correctly.

So, it's hard to just put that

pressure onto someone just to say,

oh, you need to fix yourself, or

you need to just, you need to just

learn how to regulate your nervous

system.

That's your problem, you know.

So then, how does a caregiver know

when the problem isn't their

ability to cope, but the amount

they're being asked to cope with?

Hmm.

You know, I'm not sure the, again,

I think it's beyond coping, right?

I think it's, it's, to me, the

issue is more not just the load of

the responsibility on someone.

It's the, it's the fundamental

kind of wiring or system

underneath it that becomes the

issue, that is the issue.

So, it's, it's, um, I'm, do you

know what I mean by that?

Do you see where I'm kind of

getting held up here a little bit?

Absolutely.

It's, like, it's interesting

because we're really called to

question ourselves as caregivers

in different moments and facing

different situations.

And, you know, most might be

inclined to say, I can't cope with

this, as opposed to taking a step

back and saying, well, this whole

situation has, it's not grounded

in reality to expect anyone to be

able to cope with it.

Yeah, why am I putting all this

pressure on myself to just try and

cope as opposed to calling things

out?

And, well, it's interesting

because, you mentioned it

yourself, healing probably takes

on different proportions and

different characteristics for

every individual.

And maybe in a circumstance like

this, healing is partly calling

out the forces behind the

imbalances in their caregiving

role.

You know, there are all kinds of

steps involved.

And, um, I think what we've

learned very closely from a lot of

the comments where we're getting

feedback on our social posts is

that there's no one-size-fits-all

here.

But yet a caregiving community of

individuals, each individual needs

to somehow navigate that.

And maybe actually in a more

prescribed way as caregiving

starts, embark on a series of

exercises, auto-reflective

exercises that ask themselves,

well, how am I going to position

myself as things get more

difficult?

And how is the past going to

inform how successful I am at that

and where I'm going to end up

being burned out, disappeared?

All of those things that people

are fearing now and maybe future

caregivers are fearing for their

own futures.

Yeah.

Yeah, I think it also, and this

goes against, you know, this goes

against the wiring and it creates

a lot of discomfort too at the

same time.

But I think, you know, one of the

places to start there is to, you

know, again, this goes

counterintuitive, but to get to a

place where we could slow down a

little bit.

And even prior to looking to how

to kind of manage oneself or what

to implement or what to do is, to

me, a lot of this starts with, you

know, being able to get curious

about ourselves.

You're right.

And this is all such an individual

thing.

And it starts with getting

curious, you know, starting to,

you know, put some effort towards,

you know, deeply understanding

ourselves.

And what is the belief system?

What is the programming?

What is the, you know,

infrastructure there that's

running the show right now?

Because a lot of us look to just

keep overriding it, right?

And we're presented a lot of

things in this world that lend

itself to just overriding

ourselves even more, right?

And framing ourselves as some type

of a problem or an issue that we

have to find a solution for and

fix where, you know, maybe the key

here is to, you know, understand

ourselves and our uniqueness.

Like you said, right, we are all

unique.

There's no one size fits all here.

There's no perfect thing to hand

everyone just to kind of manage

these types of scenarios.

Well, Greg, before we move on, I

want to pause for something we're

calling the big caregiving

questions.

These are some of the questions

that keep coming up again and

again for caregivers asked by

caregivers.

And I want to put a few of them

out directly to you.

First, what is caregiver survival

mode and how does someone know

they're in it?

Hmm.

Yeah, it's a great question.

You know, with so much of this,

when we're looking at any of these

kind of states, right, it's really

hard to understand them when we're

inside of them because we're

blind.

And so everything's kind of like

the hand in front of our eyes that

we can't tell it's a hand, right?

Or we're so enmeshed with it.

But, you know, I think a lot of

the common signs that someone's in

survival mode is, you know,

they're, again, when we kind of

look at those external, you know,

indicators, how's one's sleep?

How's their social life?

How is their health?

How's their eating?

How's their diet, right?

How is, again, what's their,

what's their, what's their thought

process like?

What's the communication they have

with themselves, right?

How do they talk to themselves?

Are they, you know, do they feel

like they're on all the time?

Are they, are they have this

inability to relax?

Can they not sit with themselves?

I mean, there's, there's so many

different things to start to point

to a system being really

hypervigilant and unable to, to

settle.

Right.

I mean, survival mode is a system

to me that is just, it's on high

alert over all the time, right?

It's always scanning.

It's always looking.

It's always ruminating.

It's always trying to create

certainty.

It's always on.

And so if you're starting to get

glimpses of that, though, you're

likely in feeling some of that,

you're likely in some type of

survival mode.

And, you know, the other thing I

will add to that is, you know, a

fair amount of us live a decent

chunk of our lives caught in

survival mode from a very early

age.

And we're really not aware of it,

you know?

So I think there's survival mode

level one, level two, level three,

level four, and then working its

way to collapse.

And, you know, you gave us a

really good example of different

manifestations of survival mode

that could very rationally appear

in an overwhelmed caregiver.

And I think the important thing

about that is actually taking an

inventory periodically.

And I think part of, and we always

talk about self-care and all of

these things, but maybe the most

important part is actually just

being mindful of an inventory of

signs to watch out for.

And that sort of is the wake-up

call to rebalance a little bit as

opposed to doing something massive

and drastic.

But just sort of checking in with

yourself on your caregiving

journey in terms of what survival

features are you demonstrating?

Because you're right, we all have

to survive life and life has a

curveball around every corner or a

turn of events or what have you.

But there's something about that

survival mode inventory that

perhaps caregivers need to check

in with objectively, but also then

reflectively on themselves.

So what are the signs then that

caregiving is truly crushing you?

When as a caregiver, do you even

know it's time to ask for help, or

could you just be blind to it?

I think, you know, it both can

happen, right?

You can be blind to it and you

also become aware of it and,

again, get to this place depending

on, again, the belief system and

the structure underneath things

with you that, you know, asking

for help becomes something that

somehow means that you failed or

you're not enough or you're not

good enough or you're not worthy.

Or somehow, you know, less than

kind of, again, the very things

that we were trying to run away

from, it means those things are,

you know, are still there.

And so, you know, asking for help

is going to be terrifying for

certain people, for sure.

I think, you know, what you said a

minute ago, just to go back to

that for a second, again, I think

so much of this, and I'm learning

this more and more in my work and

about how simple, how simple, how

simple, excuse me, how simply this

could be about getting curious

with ourselves, right?

Is taking the time to get curious

with ourselves and checking in

with ourselves and asking

ourselves just a simple question

of, like, looking in the mirror

and asking yourself, how are you,

right?

So, when you experienced your

burnout, what were the crushing

signs that you witnessed in

yourself and were you listening to

them then?

No.

Again, the signs were, I mean, it

got to the place where, you know,

literally brushing my teeth turned

into a Herculean effort, right?

That everything was just

exhausting in my life.

Everything was exhausting in my

life.

And my instincts, and this is why

my, you know, my story went to

such an extreme example, is my

instincts were continuing to try

to override it, is to push harder,

is to push harder, is to push

harder, is to push harder, is to

show up, is to override it.

And a lot of old belief systems

about worthiness and being a man

and being strong and all these

different ideas, you know, just

got heavier and stronger inside of

me.

So, it got to the point where I

had to collapse to a certain

degree in order to start to wake

up to it.

And that's what happens is, you

know, oftentimes when the harder

things get and the closer we get

to burnout, we employ the same

patterns in programming that we've

been relying on for so long, which

actually just kind of propels

things forward at a faster degree

for many of us.

And if we can, if we can become

aware of that, if we can get

curious with ourselves and step in

before that happens, that's a real

win.

But for many folks who are kind of

left to navigate this on their

own, it's a very natural thing to

happen that, again, the harder

life gets, the worse things start

to feel.

So, the harder, the more these

patterns are going to try to

protect us and to do something for

us, right?

Well, we call, we call on tested

patterns that have proven their

worth in the past, but perhaps not

at as high a cost.

Well, one of the hardest questions

I'd like to just ask you here is,

you know, some caregivers reach a

point where they start thinking,

the only way out of this is when

one of us dies.

What does that tell you about a

caregiver when they feel like

death is the only way out?

They're desperate.

They're desperate.

They're already in burnout, right?

You're already there.

And that's a, again, when we're

inside of it, it's really hard to

see.

But if it gets to that point,

yeah, it's, you're in it.

That's for sure.

Well, there's something very

unique about caregiving.

And as we hear about new ways to

take care of ourselves or how we

need to heed the call to reflect

and introspect and embark on some

process of self-care.

And I think self-care is a word

that's been used a lot, and people

are starting to hold that word

accountable to why it's being used

and what it's expected to deliver.

But if we are going to embark on a

process of healing, we may be

doing so while we're still in the

fire.

So can a caregiver actually heal

while they're still caregiving?

I absolutely think so.

Tell me about it.

Yeah, again, it's not about, you

know, and that's a place a lot of

people get stuck in, that they

think they can't heal unless they,

you know, completely step away

from the environment and the

situation that they're in.

And that becomes, again, this

thing where it becomes impossible.

That's not something people can

do, right?

So many people are in a scenario

where that just can't happen

logistically.

Again, it's about being able to

start to center ourselves.

It doesn't mean we have to walk

away from the people around us who

kind of need us at that point in

their lives.

But we have to start to make

ourselves a center of some way of

our own life.

And that doesn't, that's not

contingent upon, you know,

shutting the door on others,

right?

And we often feel that, that like

one is at the expense of the

other.

And it doesn't have to be that

way.

So what does healing look like

practically then for a caregiver

when the stress of caregiving is

still happening every day and may

be forecast to continue for years?

Well, again, I think that's a very

individual thing, right?

Are there some guideposts that

caregivers can sort of?

Yeah, I mean, it's, you know,

being able to, are people able to

start to carve some time of their

day to kind of be with themselves,

right?

And to support themselves, right?

And a lot of people look to

certain things to try to fix

themselves or try to get the

energy, you know, to be able to

show up better or to push harder.

But, you know, are you able to

start to do some simple things for

yourself that are supportive?

Is it, are you, again, able to

carve out some time of your day to

just get curious, to sit with

yourself, to be with yourself, to

breathe a little bit, to do

something nice, kind for yourself,

right?

I mean, it's, it doesn't, it

doesn't have to, again, we put so

much pressure on ourselves that it

has to be this major overhaul and

this huge undertaking.

And all that does is really keep

us stuck.

And it can start out really

simple, really simple.

And again, it's, and I know it's,

it's broad and is, it's, I'm not

being specific here, but it starts

with the mental shift of starting

to just prioritize ourselves.

And that doesn't mean we have to

deprioritize everything else

around us.

But can I start to make myself a

priority like I do other people?

And, and, and, yeah.

Do you think it's, I mean, at

times cliche is saying, here are

the top 10 things.

I mean, we're not, we're not going

to frame it that way, but sitting

down, I'm not going to use the

word journaling either, but taking

a pen and paper and writing down

the five things that make you feel

like you're you.

And seeing where you can

rediscover them with meaning and

purpose in the life that you have

before you.

What do you think?

What's a, I think that's great.

And I think, you know, one of the

things that a lot of people will

start to find there, and this can

be really terrifying,

is, you know, to be able to sit

down and get curious about like

that, Mark, and not be able to

really write anything down.

Right?

What, what, who, what is me?

Who is me?

I mean, that, that's, that's

something that I got to say that,

you know, 60, 70% of the people

that I end up working with, you

know, are, are, one of the first

things they say to me is, I don't

really know who I am.

Who am I?

I've felt that way before, for

sure.

Yeah.

Well, I think in the spirit of

what we just described, I'm not

implying that you need to arrive,

you need to write five things down

before you can go to bed.

No, it's about having a vision to

maybe, and as you said, it may

take time sitting with yourself

before you can realign with what

you remember is actually

foundational to you.

So we hear that caregivers often

believe that everything just

depends on them.

So how can we help them trust that

stepping back a bit may give them

the space to heal?

I don't know.

Is it a small reward system?

Like, is there a reward to look

out for?

Maybe we, you know, there's one

thing when you've got a tangible

reward, I'll use the analogy of a

cookie or some other token, but

there, there might actually be a

reward for engaging in the

process.

We just don't know how to

recognize it, but that might build

that trust that stepping back

could actually give them space to

heal.

It could, it could.

What have you noticed with your,

in your practice and when people

have had those moments where they

rediscovered self, what was that

sort of reward notion of self that

kind of gave them a bit of space

to relax and say, oh, this is

doable?

Explain that a little bit, go a

little deeper with that.

I'm a busy caregiver.

I really feel like if I don't do

it myself, nothing will ever get

done.

I'm swamped.

I'm burned out.

I don't know who I am.

I'm trying, I need, I'm aware that

things are a challenge to me.

I feel a little bit depersonalized

in this whole journey and don't

remember who I am, but I'm going

to try and think a little bit

about who I was and who I am, who

I want to be, and how I can pull

out those moments in my everyday

life to reinvigorate my

self-identity.

If someone actually engages in

that process, what do you think it

feels like when they've had their

first success?

What have you heard people speak

of?

Like, I did this and I realized

that blank.

Quietness.

A little bit of peace.

A little bit of space in their

thoughts.

Sound like precious rewards to me.

Yeah.

They certainly are.

Yeah.

So, then, why can a caregiver

desperately want help but still

resist it when someone finally

steps in?

Yeah, I mean, that's, again,

that's, to me, that really goes

back to the, you know, belief

system one holds about themself,

right?

And what they need to be in the

world.

And sometimes that, again, they,

people, you know, accepting help

for me was something that it meant

to me that I was failing, right?

That somehow I wasn't good enough.

Somehow I was supposed to handle

it all.

And, you know, accepting help or

asking for help was, you know,

admitting to myself that I wasn't

worthy.

I couldn't do it.

And that becomes more

uncomfortable for many people than

the discomfort of burning

themselves out at a certain point.

So, can accepting help actually

feel threatening when so much of

someone's identity has become

wrapped up in being the caregiver

that everyone depends on?

I think that's a fantastic way to

put it.

Yeah.

Absolutely.

So, then what happens when a

caregiver finally takes on that

risk of letting someone help them

and it doesn't go well?

And that seems to confirm what

they've always believed is that I

really have to do this myself.

Yeah, I mean, that's a, that's an

unfortunate thing.

That's an unfortunate experience,

right?

Because it's reinforcing the, the

loop.

And it's going to make it harder

next time.

That's for sure.

Do we have the ability or the

wherewithal to still rationally

assign how much impact we're going

to let that one negative

experience have on the whole

caregiver healing process?

I mean, it was an attempt.

It didn't go well.

But if you catastrophize the

result, you're never going to try

again.

But there is a way of approaching

it, I think, that might get you

ready as a caregiver to step up to

the plate.

And maybe take a second swing.

Again, I think it's, if we can, if

we use that word kind of survival

mode again, right?

If we can start to create a little

bit of safe and spacey in the

system, right?

We can start to see it from a

little bit of a different

perspective and, and sure.

And not, and not have the kind of

pressure urgency and be in that,

to me, survival mode, one of the

things that happens in survival

mode is we're living life, just

reacting to life.

It's all reactions.

We don't have time to contemplate

and to think and to consider.

Um, and so if we can create a

little bit of safety and space and

the ability to step out of

survival mode a little bit and be

able to kind of see a little bit

of a bigger picture here, sure.

But it's really hard to do that if

you're, if you're trapped in a, in

a place where you're literally

just reacting to life.

And you're going to react to that.

Yeah, that sort of mono,

monosynaptic approach, black and

white thinking, however, you sort

of reptilian, if you want to call

it, um, it's, uh, it can really

take over.

Do you think the discomfort of

giving up control sometimes feels

so strong that doing everything

yourself actually just feels

safer?

Mm-hmm.

Absolutely.

Absolutely.

It's, it's certainty, right?

I mean, you know, as, as

destructive as it can be at times,

it's still certainty.

You still under, your, your, your

brain craves certainty.

And it knows that I can, no matter

how I feel, I can still, it's

still safer for me to control

everything that it is to risk the

uncertainty of the, of not.

So.

Do you think burnout can actually

I don't know about never, I

certainly think that, you know, at

certain levels of burnout, it can

reinforce it, right?

But then, um, uh, taking that to

the extreme, I think burnout is

often what finally pushes people

to, it forces people, um, to start

to engage differently, right?

I think our listeners are looking

forward to feeling like they can

take something from this

conversation that provides a small

tool or a small strategy.

And I'd like to, I'd like to zero

in on, on a couple of things, uh,

Greg, I mean, can caregiving take

over someone's life so completely

that they eventually stop knowing

who they are completely outside

the caregiving role?

Absolutely.

Absolutely.

Oh, it becomes, you know, an

identity.

Um, yeah, I mean, absolutely.

I mean, that's, that's a lot of

what we've been talking about

today, right?

That it becomes, um, how they know

how to show up in the world to

feel a certain way about

themselves and to feel safe in the

world.

So if that has happened, can

deliberately rebuilding something

in their life that has nothing to

do about caregiving become part of

the healing?

Or is that the healing?

It's a fantastic, yes.

In many ways it, um, I wouldn't

necessarily call it the healing,

but it is a, a actual part of

healing for sure.

And again, it comes back to that

kind of simple thing about

starting to center ourselves and

what's important to you.

And what is, what is, it's, again,

it's not walking away from

caregiving, but what can I also

start to, you know, put some

energy and awareness towards in my

life that's meaningful to me?

Right.

So if that's one part of it, what

do you think a couple of other

parts are?

Well, it's all kind of

intertwined, right?

It's the, I look at the curiosity

piece and the, um, the learning to

stay with ourselves piece.

And this is a huge one.

This is a huge part of the work I

do with folks, right?

Is, is can I start to have some of

these emotions and start to

tolerate them and to stay with

myself through them and not just

give them the hand at the steering

wheel, right?

I mean, that's what we're doing so

much in survival mode is we take

these emotions and we're just by

default giving them the steering

wheel and let them kind of control

our lives.

And that's a big part of, of, of

healing to me is it's not trying

to remove all the difficult

emotions and things that we're

feeling and trying to manage it

correctly and, and process it

correctly.

It's, you know, can I allow these

parts of me to exist and still

stay with myself and to choose

myself despite the guilt, despite

the discomfort, despite all these

other emotions that may come up

throughout it.

So curiosity, the ability to start

to stay with ourselves, the

ability to start to, you know,

sink our energy and awareness into

something that's meaningful to us

is, are all really important

pieces of it.

Absolutely.

So if a caregiver is genuinely

beginning to heal, what starts to

feel different in their everyday

life?

Hmm.

I assume to what we, we talked

about earlier, I believe it's a

little more space, a little more

room, a little more, um, less of

your thoughts taking you on your,

on your ride and you being able

to,

to be kind of aware of what's

happening in real time around you,

I think that's a huge indicator

that something's starting to shift

and change is there's just a

little bit more space.

There's just a little bit more of

an ability to kind of check in

with yourself and to, um, notice

yourself, you know, that's, that's

a, that's a, it may seem minimal,

but it's, it really, um,

it's really indicative of

something much deeper starting to

happen.

And obviously that you don't want

to react to that realization with

a one-off, but rather in, I would

think that some repetitive

attempts and building even

towards, if I can use the word

habits, can actually grow that

space tremendously if we give it a

chance.

Yeah.

Yeah.

Probably a big challenge when

we're called back onto those

primordial habits that we learned

when it came to safety and

connection and everything else

that have a 30 year headstart, if

not longer.

Um, and the other, um, and the

other part that can be a little,

um, tricky there too, and this is,

we touched base on this earlier is

when we start looking at different

techniques or things that we can

incorporate in our lives to kind

of help us along that and create

that space.

Um, it's very easy to, um, it's

very easy to fall into the, um, I

have to do this right too.

I have to show up to this, right.

I can't, I can't get, can't get

this wrong.

Um, and to start, um, you know,

living inside of those kinds of

self-rejecting loops, um, without

even knowing it there too.

Right.

So we have to be careful there

too, that, um, you know, healing

in general can't become another

problem to be solved.

And I think that's a, that's

something that, a trap that a lot

of people can fall into.

I certainly did at different

chapters in my life where it was

healing was something I had to do

right.

Yep.

Yeah.

You need to get the A on your

healing report card.

It's not, it's the process, not

the, the grade caregivers spend

years feeling like they have no

choice.

And Greg, could you perhaps give

some hope to caregivers on the

front line?

What does it feel like on the

other side and what can they look

forward to?

I think, you know, a full

experience of life, right.

I think, you know, on the other

side of things and, you know, I,

I, I reflect on this often with

myself, you know, and I see this

with other people too, that I can

experience all of life and, and,

um, I don't have to override

myself.

I don't have to beat myself up.

I don't have to get hot, you know,

I don't have to run for myself.

Um, I think one of the most

beautiful parts of, of getting on

the other side of a lot of this is

I get to have a full emotional

experience of life.

And that comes with, you know,

feeling the grief and sadness and,

and frustration and, uh, the joy

and the peace and the happiness

and, and all of it.

Um, that, um, and I think that's

important that because it, it's

not about necessarily changing a

ton of things about ourselves.

It's, it's, it's, it's accepting a

lot of things in a lot of parts of

life, right.

It's not being able to, the only

way I can start to heal is if I

can, you know, you know, go to a

desert Island and, or go to a,

some cave in the Himalayas, right.

It's, it's, it's, I can experience

life, but I can stay with myself

and I can be okay in it.

Um, and I don't have to lose

myself in it.

And I think that's, uh, one of the

most, you know, beautiful parts of

this is it's still life, right.

So then as a caregiver starts

healing, what do they do with the

anger they carry towards siblings

or family members who left them

with all the responsibilities?

Do they have to forgive those

people in order to heal?

I don't believe so.

Um, I, I think anger is, um, a

very, um, natural emotion.

It makes sense.

Um, it's logical.

Um, I think what happens to so

many of us is we have this belief

that anger is something that's bad

and it's, it's in some form means

we're doing something wrong.

And we, we, over time just keep

pushing it down and running from

it and judging ourselves for it.

And we, we stay in conflict with

ourselves because we're feeling

this way.

Um, so I don't think it's, it's

something that, um, we want to

deny.

We don't want to let, we don't

want, again, like I, the, the

analogy I used earlier, we don't

want to hand it the steering

wheel, but we have to be able to

let it start to exist and give it

permission to, to be there.

And I think forgiveness,

forgiveness is a, is a, is a, is

a, is a big one here.

Um, forgiveness can turn into, you

know, part of this whole shame

rejection loop as well, where we

try to force ourselves to forgive.

And we're, we're, again, we're in

conflict with ourselves and we're

denying parts of ourselves and

we're, we're, we're, we're, we're,

we're betraying ourselves.

I think at a certain point when we

get this idea that we have to

forgive in order to move on,

forgiveness to me is something

that unfolds really naturally.

naturally when we start to deeply

understand ourselves and, um, and

forgiveness of our, you know,

understanding and forgiveness of

ourselves translates to

understanding and forgiveness of

others.

Once we understand ourselves and

understand how we became informed

in our patterns and programming,

we can easily start to see it in

other people.

And it doesn't mean we can forgive

or, or excuse behavior or tolerate

behavior, but we certainly can

start to understand it.

And to me, forgiveness is a

natural by-product of that.

Um, and I, I, you know, it's, it's

a, that's a big one for me because

forgiveness was something I felt a

lot of shame for, for many years

of my life that I couldn't just

forgive people.

Um, and I was in a lot of

different healing circles where,

um, and even, you know, religious

and cultural circles where it was

a tremendous amount of pressure to

forgive.

And, um, and that was really

detrimental in the long run to put

that kind of pressure on.

myself and to, you know, reinforce

that loop of, you know, reinforce

that loop of, I'm bad, I'm broken,

something's wrong with me because

I can't just turn that, turn this

anger off, suppress it and

forgive.

So.

Can telling a caregiver they need

to forgive become just one more

obligation piled onto someone who

already has too much to carry?

Yeah.

Yeah.

Perfectly put, right?

Just one more thing.

One more, one more item on the

list.

Yeah.

Well, Greg, for a caregiver who

may be doing this five years from

now, what would you tell them to

change today to start healing,

lessening their suffering, and set

them on the path forward?

Again, I think that the simplest

thing, it all starts with a

choice, right?

Everything starts with a choice.

And I think making the choice to,

I'm going to come back to the idea

of curiosity, is making the choice

to start to get curious about

yourself.

And to, in some form, start to

make the decision and choice to

move in a direction to start to

center yourself, right?

To start to prioritize yourself.

But again, I think so much of how

we get there starts to, you know,

emerge from understanding and

prioritizing ourself enough.

I mean, getting curious with

yourself means you matter, right?

That alone starts to create a

priority within yourself.

That I matter enough that I'm

going to spend the time and the

energy, I'm going to make the

effort just to start to get to

know myself and to see myself and

to understand myself.

And ironically, for many of us,

where a lot of these programs and

patterns began, it's really what

so many of us needed when we were

children, right?

It's someone to get curious and to

understand us and to take the time

to kind of get to know us and to

stay with us.

And if we can start there, I think

that's a pretty good start.

Self-awareness certainly doesn't

sound like a selfish activity to

me.

It can feel that way for a lot of

people, though, that's for sure.

Greg, you speak of having that

brute force approach to taking

more and more things on, and we

think of caregivers, we think of

broad shoulders.

But while perhaps instinctual, how

can that brute force approach go

wrong, and how is it not the right

fit to take on the challenges of

caregiving?

Well, I mean, the brute force

approach, again, we may have

touched base on a little bit

earlier, is we're just digging our

heels in and running the

programming and the patterning

that's not working, right?

So we try harder, and we live in a

world that tells us to try harder

and to work harder, but yet we're

using an infrastructure that is

demonstrated not to be working.

And so we lean into it even harder

and even harder and think that

somehow something's going to be

different if I just kind of follow

what the world kind of tells us to

do, which is just try harder.

Try harder, right?

And, you know, that's, again,

that's where burnout, you know, is

right around the corner, you know,

that we're getting to a place

where we're going to have to learn

at some point that that's not

going to work.

Do you think that brute force

approach actually almost fuels

isolation and that if we, as

caregivers, engage more communally

or in community amongst ourselves,

it would negate the effects of

that brute force taking it all on

my shoulders approach?

Yeah, I mean, there'd be a

tremendous amount of benefit from,

you know, caregiver community,

right?

Where people can start to, you

know, help you see things that you

can't really see about yourself,

right?

And to maybe start getting a

different message that, you know,

that the brute force attempt or

the brute force method is, it's

just not, it's, it has one

destination, right?

And that's, and that's going to be

burnout, right?

But yeah, I mean, community to

help you see those things is, it

would be invaluable.

It's the community we need to

build.

Greg, we speak a lot about taking

the time to be curious and looking

inward and rediscovering a little

bit about who we are, our

authenticity, and the things that

will allow us to be us in our

caregiving journey and keep having

that little bit apart.

Biggest fear I could see people

having is when they take that

time, they can't figure out who

they are anymore.

They don't know.

Perhaps not that it's been beaten

out of them, but it's been so

unreinforced over time that they

kind of forget how to see that

part of themselves.

That could be a pretty daunting

task.

And I can only imagine that

caregivers might choose to just

revert to caregiving and say, it's

too hard to go there.

How do we encourage them to stay

in that space and not turn their

back on themselves?

Yeah, that's a great question.

The uncertainty is brutal, right?

And, you know, we resist the

unknown.

It's so natural, right?

And it's easier, it feels so much

safer to go back to something, for

the nervous system to go back to

something that's at least known,

that it has some ability to

navigate, that it knows how to

navigate it.

And, you know, when folks get to

this place that, you know, they

look at themselves and they're not

sure who they are, who they

become.

It's often because they're at a

place where the old identity isn't

working anymore, right?

They're starting to, you know,

lose touch with or to, they can

see who they used to be is failing

them.

And, of course, it's going to be

that chapter of their journey, if

you will, of course, is going to

be, you know, turning back to

what's familiar.

And I don't think there's a way to

convince someone necessarily that

it's okay to go into the unknown.

I wish there was.

But I think it's, if someone is

finding themselves in that place

where they're asking themselves

that question, and then they find

themselves back into throwing

themselves into caregiving or

what's familiar, nothing is wrong

here.

Nothing is broken, and it's a very

normal part of this process, and

it's also something you can

interrupt.

But for many folks, it's something

that, you know, when the

discomfort of staying inside of

caregiving becomes greater than

the discomfort of kind of, you

know, getting curious and starting

to move into the direction that's

uncertain.

And that's when things can start

to change for people.

And I think the biggest thing I'd

like people to understand is if

they find themselves flip-flopping

and unable to really make that

step, there's nothing wrong here,

and that's okay.

It's not that you're incapable of

it or you're broken in some unique

way, that that is pretty normal.

It takes a couple of tries.

And we've all found ourselves

there in some place.

Yeah, absolutely.

And keep practicing it and keep

embracing the bits of uncertainty

that come with the exercise.

But, you know, each time you spend

in that separate circle just with

yourself and your curiosity is

time in the batter's box.

Oh, it's a win.

Absolutely.

Yeah.

Yeah.

Before we wrap up, I'd like to

sort of think a little bit about

healing and what it offers the

caregiver, but also what it offers

people at an earlier stage in

life.

And we may be called to care-give

two decades from today.

We may be entering a profession,

the allied health professions,

nursing, medicine, where we are

going to be caring and giving of

ourselves for a lifetime before

even perhaps taking on the next

steps and caring for our own

family members.

But this kind of introspection,

where we engage in growing our

self-awareness after a long litany

of things we had to do in life to

get where we are, may be the best

self-investment to ensure our

healthy longevity moving forward

as a professional caregiver, as a

family caregiver, or just someone

who cares.

Yeah, it's beautifully put, Mark.

I mean, that's how we really can

show up to the world, right?

That we can, you know, so many of

us want to be useful in the world,

and it starts with being useful to

ourselves, right?

It all starts with the

relationship we have with

ourselves and how we approach

ourselves.

And if we want to be effective

caregivers down the road, it

starts with being an effective

caregiver for ourself, 100%.

And again, that's uncomfortable

for a lot of people, based on a

lot of old beliefs and patterning

that they have, that it's in some

form selfish or wrong to

prioritize and to give to

ourselves.

And this is your life.

It's okay to be the center of it.

When we make ourselves the center

of our life, we can really,

really, really, really, truly be

there for others and in a much

more effective way and really a

true demonstration to other people

that it's okay.

I mean, if everyone, if everyone,

you know, think about the world,

if everyone really focused on

really taking care of themselves,

right?

Well, it all starts with that

curiosity.

I'd like to thank you for being

here and joining us again.

You bring a rich conversation and

a lot of meaning to all the areas

we explore.

And certainly today's conversation

is going to encourage me to wake

up curious every day.

Thanks for joining us.

That wraps up this week's episode

of the Caregivers Podcast.

I'm your host, Dr.

Mark Ropolesky, and we'll see you

next time.

Greg, thank you for coming back

and taking this conversation

further with us.

One of the things I'm taking away

from today is that there's a real

difference between surviving

caregiving and actually beginning

to heal while you're still doing

it.

That may mean discovering that

everything doesn't depend on you.

Sometimes it may mean learning to

accept help, getting some sense of

choice back, or rebuilding parts

of your life that have nothing to

do with being a caregiver.

It may mean taking the time to

actually sit with yourself and

look inside yourself as the first

step on your healing path.

It may mean recognizing that you

don't simply need to become better

at coping, but that something

about your caregiving just has to

change.

So if you heard yourself in this

conversation, especially if

caregiving may be still a part of

your life for years to come, I

think the question Greg leaves us

with is an important one.

What can you start changing now so

that you don't disappear inside

caregiving and can plant the seeds

of healing now?

Greg, thank you again for joining

us.

Before you go, please subscribe or

follow the Caregiver's Podcast

wherever you're listening.

It's completely free, and it

really does help support the show.

And if you're enjoying the podcast

and would like to support the

team, you can buy us a coffee

through the link in the show

notes, or a small independent

show.

And this really is a labor of love

that every bit of support helps us

keep making these conversations

possible.

If you know another caregiver who

could use this conversation,

please share the episode with

them.

Thank you for listening, and we'll

see you next time.

Before we wrap up, I wanted to

remind you of something important.

The conversations you hear on this

podcast are here to inform, to

support, to spark reflection.

We're not a substitute for

professional medical advice, care,

therapy, or crisis services.

Listening to this podcast does not

create a doctor-patient or

caregiver-client relationship

between us.

If you're facing a medical

concern, health challenge, a

mental health challenge, or a

caregiving situation that needs

guidance,

I encourage you to reach out to a

qualified professional who knows

your story.

If you're ever in crisis, please

don't wait.

Call your local emergency number

or recognize crisis hotline right

away.

You deserve real-time help and

support.

The views you hear on this show,

whether from me or my guests, are

our own.

They don't necessarily reflect any

organizations we work with, are

part of, or have worked with, or

been part of in the past.

This podcast is an independent

production.

It's not tied to any hospital,

university, or healthcare system.

Thank you for being here, for

listening, and most of all, for

taking the time to care for

yourself while you continue to

care for others.

I look forward to hearing from

you.