Caring for a loved one who has Alzheimer's disease (AD) means that each new day brings a unique set of challenges. Coping with changing levels of ability and new patterns of behavior can become overwhelming at times.

Not surprisingly, research has shown that caregivers often are at increased risk for depression and illness, especially if they do not receive adequate support from family, friends, and the community.

Fortunately, there are strategies to help caregivers deal with the diagnosis and cope with the holidays. Follow these tips from the National Institute on Aging's Caregiver Guide.

Dealing With the Diagnosis


  • Finding out that a loved one has Alzheimer's disease can be stressful, frightening, and overwhelming. As you begin to take stock of the situation, here are some tips that may help:
  • Ask the doctor any questions you have about AD. Find out which treatments might work best to alleviate symptoms or address behavior problems.
  • Contact organizations, such as the Alzheimer's Association and the Alzheimer's Disease Education and Referral (ADEAR) Center, for more information about the disease, treatment options, and caregiving resources. Some community groups may offer classes to teach caregiving, problem-solving, and management skills.
  • Find a support group where you can share your feelings and concerns. Members of support groups often have helpful ideas or know of useful resources based on their own experiences. Online support groups make it possible for caregivers to receive support without having to leave home.
  • Study your day to see if you can develop a routine that makes things go more smoothly. If there are times of day when the person with AD is less confused or more cooperative, plan your routine to make the most of those moments. Keep in mind that the way the person functions may change from day to day, so try to be flexible and adapt your routine as needed.
  • Consider using adult day care or respite services to ease the day-to-day demands of caregiving. These services allow you to have a break while knowing that the person with AD is being well cared for.
  • Begin to plan for the future. This may include getting financial and legal documents in order, investigating long-term care options, and determining what services are covered by health insurance and Medicare.

Coping with Holidays


Holidays are bittersweet for many AD caregivers. The happy memories of the past contrast with the difficulties of the present, and extra demands on time and energy can seem overwhelming. Try to find a balance between rest and activity, and follow these rules of thumb:

  • Keep or adapt family traditions that are important to you. Include the person with AD as much as possible.
  • Recognize that things will be different, and have realistic expectations about what you can do.
  • Encourage friends and family to visit. Limit the number of visitors at one time, and try to schedule visits during the time of day when the person is at his or her best.
  • Avoid crowds, changes in routine, and strange surroundings that may cause confusion or agitation.
  • Do your best to enjoy yourself. Try to find time for the holiday things you like to do, even if it means asking a friend or family member to spend time with the person while you are out.

For more caregiving strategies from the National Institute on Aging, check out the Caregiver Guide.