Otočki v morju pod mehkim večernim nebom
Otočki v morju pod mehkim večernim nebom
In this article
  1. An ending nobody announces
  2. The relief you are not allowed to say
  3. Grief that began long before
  4. Who am I when I’m no longer a carer?
  5. The body is still on duty
  6. The family after caring ends
  7. What emptiness sounds like
  8. Moving between loss and the new
  9. An exercise: give yourself back one day
  10. When emptiness is not just emptiness
  11. What to remember

“The first Monday after the funeral I got up at six, sorted out a week’s worth of pills into the box, and only realised at the door that there was no one to take them to.”

People who have spent years caring for a parent describe sentences like this in countless versions. The phone you keep taking into the bathroom for weeks, in case she calls. The car that turns towards your mother’s block of flats by itself after work. The shopping list that still has her yoghurt on it. And then Sunday afternoon, which was spoken for for ten years and now stretches out in front of you, empty and impossibly long.

There is a lot of talk about grief after a parent’s death. But almost nothing is said about something else that comes along with it: the end of caring. About the fact that it is not only a person who has gone, but an entire way of life that revolved around them. In this post I want to describe what happens in the period when caring ends, why the emptiness that follows can take you by surprise, and what can help you not to stay stuck in it for too long.

An ending nobody announces

When you start caring for a parent, nobody tells you how long it will last. At first it is a few visits a week, the shopping, going with them to the doctor. Then bathing, medication, nights when the phone rings. Caring grows slowly and gradually takes you over, until it becomes the backbone of your day.

The ending, though, is often sudden. One day you are still arranging the community nurse, agreeing with your sister who goes on Saturday, and wondering whether it is time to look into a care home. The next day all of that is gone. What remains is the funeral, some paperwork, a flat that needs clearing — and then silence.

Researchers call this period post-caregiving, the time after caring. For a long time it was treated mainly as grief. Over recent decades, however, more and more authors have pointed out that it is a transition in its own right, with its own tasks: not only saying goodbye to a person, but also to a role, a rhythm and an identity that have become tightly woven into your life during the years of care.

The relief you are not allowed to say

One of the most interesting studies of this period was published in 2003 in the New England Journal of Medicine. Richard Schulz and colleagues followed family members caring for someone with dementia and kept asking them questions after that person died. As many as 72 per cent said the death had been a relief to them. What is more, their symptoms of depression on average decreased in the months after the death — for many, the hardest period was the caring itself, not what came after.

Relief, then, is a common, almost expected response. Yet people rarely say it out loud. Because it feels as if saying it would mean they had wanted the death. As if they were betraying someone they loved.

Relief is not betrayal. It is the response of a body and mind that have lived under strain for years. Relief that they are no longer suffering. Relief that you no longer have to sleep with the phone by your ear. Relief that you can once again be something other than a carer. All of this can exist alongside deep sadness, love and longing.

The problem arises when relief triggers guilt. “What kind of person am I, to feel relieved?” This guilt easily becomes entangled with the guilt the carer was already carrying — that they never did enough. I wrote about that in Caregiver guilt: when it never feels like enough, and about the guilt that comes after a death in Guilt after a loss: “I could have done more”. You will find a short explanation of when guilt is telling you something and when it simply torments you in the knowledge base under guilt.

Grief that began long before

Many carers are surprised to find that when their parent dies, they do not feel what they “should”. There are not the tears others expect. Or there are tears, but not like those after a sudden loss. Often the reason is simple: they started grieving long ago.

When a parent declines slowly — through dementia, a long illness or old age — a child says goodbye to them piece by piece. First to the parent who drove the car. Then to the parent who cooked for themselves. Then to the one who recognised you. This is called anticipatory grief, and I wrote about it in Anticipatory grief: grieving before the death. The American family therapist Pauline Boss coined the term ambiguous loss for losing someone who is still physically present but psychologically no longer there. How painful this is is also the subject of Grieving someone who is still alive: dementia, addiction, estrangement.

So by the time of the actual death, part of the grieving has already been done. That is not a sign of coldness. It is a sign that you have been saying goodbye for longer than anyone around you knows. The opposite also happens: some carers had no time for a single feeling while caring, and grief opens up only weeks or months later, once the external pressure eases. Both are normal.

Who am I when I’m no longer a carer?

The American researchers Marilyn Skaff and Leonard Pearlin described a phenomenon in carers they called role engulfment — a role that swallows you up. The longer and more intensive the caring, the more likely a person is to lose other parts of themselves: hobbies, friendships, career ambitions, even a sense of what they enjoy. What is left is mainly “the one who cares”.

While caring lasts, this is exhausting, but it has a clear meaning. Every morning you know why you get up. Someone needs you, and what you do has direct consequences. When caring ends, that clarity goes too. What remains is a question many people cannot answer: who am I now? You can read more about how a sense of self is built and how it changes in the knowledge base under identity.

When caring ends, more than one part of life shiftsFive areas carers most often describe after a parent’s death.while caringafter it endsTimesplit into visits, pills, phone callssuddenly empty, no timetableBodyalways on standbystill on duty; tiredness comes laterRole“the one who cares”who am I now?Relationshipssiblings, doctors, nursescontacts break off or changeMeaningclear: someone needs mehas to be found againWhy the emptiness surprises you:you grieve not only for the person, but for the life that revolved around them.

It often helps simply to name this part of the loss. It is not unusual for an empty Tuesday — the day you drove your mother to her check-up every week — to hurt more than a memory of her. You are grieving for that Tuesday too. People go through something similar when they retire — I wrote about losing a role and searching for meaning in Retirement, the loss of a role and the question of meaning.

The body is still on duty

Something people do not expect: the tiredness often does not come during caring, but after it. While caring lasts, the body works in a kind of state of readiness. You sleep lightly, because they might call. You eat on the run. You put off your own medical check-ups. When the pressure eases, all of this shows up at once — as exhaustion, aches, more frequent colds, sleeplessness.

Some people still jump at every ring of the phone months after their parent’s death. There is nothing strange about that. A nervous system that has spent years learning to be alert needs time to learn that the danger has passed. I wrote about why we fall ill more often after a loss in Grief and the body: why we fall ill more often after a loss.

If you have spent years putting your own health on hold, now is the time to book an appointment with your GP. Not because something is wrong, but because you have looked after everyone except yourself.

The family after caring ends

When caring ends, the family shifts too. A family works as a system — when one part changes, all the others have to adjust. You can read more about this in the knowledge base under the family as a system.

During the caring, it was clear who did what and where everyone stood. The sister who ran everything was the centre. The brother who lived far away rang every Sunday. Once the parent is gone, these roles lose their purpose. Some siblings grow closer, because the shared experience has bound them together. Others drift apart, because the parent was the only thing connecting them. Unspoken resentments from the years of caring often surface at this point as well — who did more, who was there at the end, who did not come.

Your own home changes too. Your partner and children spent years adjusting to your absence. Now you are “here” again, but you may no longer know where your place is. That takes time and conversation, not just a return to how things were.

Alongside all this remain the things that were never said or finished — with the parent who died, and with others. I wrote about them in When a parent dies: what is left unfinished.

What emptiness sounds like

This is how a conversation might sound between a daughter who cared for her father for five years and her friend (composite, not a real person):

“Everyone keeps telling me to finally get some rest. But I don’t know how.”
“What do you do on a day off?”
“I tidy. And then I tidy again. Yesterday I wiped the same worktop three times.”
“Are you afraid to sit down?”
A long silence. “Yes. Because if I sit down, I’ll have to feel that he’s gone. And that I’m … a bit relieved. That’s the worst part.”
“Feeling relieved doesn’t mean you didn’t love him. You loved him every single day for five years.”

Overactivity after caring ends is common. People throw themselves into work, renovations, sorting paperwork. Partly because they are used to functioning. And partly because silence opens up room for feelings that frighten them.

Moving between loss and the new

The Dutch researchers Margaret Stroebe and Henk Schut developed a model that changed how we understand grief. They argue that healthy grieving is not a gradual “working through” of loss, but a movement back and forth between two orientations. One is oriented towards the loss: memories, tears, thoughts of the person who died. The other is oriented towards restoration: new habits, new relationships, finding out who I am without this person.

Oscillation, not a straight lineIn the dual process model, grief moves between two orientations (Stroebe and Schut).Loss orientationfacing what wastears, memories, visiting the gravethinking of the last years of careguilt and reliefmissing the routineRestoration orientationfacing what is cominga new timetable and habitsfriendships put on holdlooking after your own healthwho I am without this roleoscillationFor a former carer this means:a day you don’t think of them is not betrayal. A day you cry again is not going backwards.

For former carers this model is especially valuable, because many get stuck on one side. Some shut themselves away with their memories and cannot do anything new, because it feels as if that would mean forgetting. Others throw themselves into restoration — work, renovation, a new commitment — and never get close to the loss at all. Both are understandable, but both wear you out in the long run. What helps is permission to move between the two: sorting papers in the morning, looking at old photographs in the afternoon, going for a walk with a friend in the evening.

Dealing with the things your parent left behind is part of this movement too. I wrote about when and how to approach them in What to do with his belongings.

Low clouds over a valley in morning light
You grieve not only for the person, but for the life that revolved around them.

An exercise: give yourself back one day

You can do this exercise today, with a pen and paper. Its aim is to help you start slowly filling the space that caring has left behind — not by rushing, but by choosing.

  1. Draw your old week. Write down an ordinary week from the time of caring: when you went to your parent, when you phoned, when you sorted out medication or paperwork. Don’t prettify it and don’t shorten it.
  2. Mark what is now empty. In a different colour, circle the hours that are now free. Beside each, write one word for how that hour feels now — empty, quiet, heavy, free.
  3. Choose one old slot and keep it. Do not fill one of your former slots — say, Tuesday afternoon — with new tasks. Set it aside for remembering: a walk where the two of you used to go, or a quiet coffee from their cup.
  4. Choose one slot and give it back to yourself. Deliberately do not devote another former slot to anyone else. Return to something you once loved and gave up, or try something small and new.
  5. Check in after a week. Write down how you felt in each slot. There is no right answer — the point is simply to notice that you can move between remembering and something new.

The exercise will not fill the emptiness. But it helps the emptiness become not only something that happens to you, but also a space you have some say over.

When emptiness is not just emptiness

I want to be careful here, because not every emptiness after caring is part of an ordinary transition.

Not everyone feels it. Some people feel mainly relief after caring ends and quickly get on with their lives. That is not coldness, nor a sign that “it hasn’t hit yet”. Perhaps they said goodbye earlier; perhaps their relationship with the parent was such that the end brought, above all, peace. There is no right way for a former carer to feel.

Sometimes the emptiness is older than the caring. For some people, caring for a parent filled a space that was already empty — in a marriage, at work, in their sense of their own worth. When the caring disappears, what was underneath it shows. That is not necessarily bad: it is a chance to look at that too. But then the answer does not lie only in grieving for the parent.

Sometimes it is depression. If after several months you feel nothing, or only heaviness, if you are not sleeping or eating, are withdrawing from everyone and cannot see the point, it is right to talk to your GP. Long-term caring is a known risk factor for depression, and it may show only once the pressure eases. I wrote about the difference between grief and depression in After a major loss: when grief turns into depression, and about the signs that help makes sense in When loss needs professional help: the signs and where to turn.

If you have thoughts of not wanting to live, do not wait. In Slovenia, call the crisis line Klic v duševni stiski on 01 520 99 00 (every day from 7 pm to 7 am) or the Samaritans helpline (Zaupni telefon Samarijan) on 116 123 (24 hours a day). In an emergency in Slovenia, call 112.

And if you feel you need a space where you can talk about all of this — the years of caring, the relief, who you are now — that space can also be therapy. Not because something is wrong with you, but because you have carried something big for years and now need someone to carry it with you for a while. I wrote about what the first year after a loss brings in The first year after a death: what to expect, month by month, and about the particular weight of losing a parent in adulthood in The death of a parent in adulthood: the loss everyone underrates.

What to remember

  • When caring for a parent ends, you grieve not only for the person but also for the role, rhythm and meaning that caring brought.
  • Relief is common and does not mean you did not love your parent — in one study nearly three quarters of carers described it.
  • Grief often began during the caring; but it may also open up only once the pressure eases.
  • Tiredness and illness often come after caring — look after yourself now too, and see your GP.
  • It is healthy to move between remembering and the new; if after months there is only heaviness, seek help.
Sources
  1. Schulz, R., Mendelsohn, A. B., Haley, W. E., Mahoney, D., Allen, R. S., Zhang, S., Thompson, L., & Belle, S. H. (2003). End-of-life care and the effects of bereavement on family caregivers of persons with dementia. New England Journal of Medicine, 349(20), 1936–1942. PubMed
  2. Skaff, M. M., & Pearlin, L. I. (1992). Caregiving: Role engulfment and the loss of self. The Gerontologist, 32(5), 656–664. PubMed
  3. Larkin, M. (2009). Life after caring: The post-caring experiences of former carers. British Journal of Social Work, 39(6), 1026–1042.
  4. Orzeck, P., & Silverman, M. (2008). Recognizing post-caregiving as part of the caregiving career: Implications for practice. Journal of Social Work Practice, 22(2), 211–220.
  5. Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197–224. PubMed
  6. Boss, P. (1999). Ambiguous Loss: Learning to Live with Unresolved Grief. Cambridge, MA: Harvard University Press.
Veronika Železnik

About the author

Veronika Železnik

Sem stažistka iz zakonske in družinske terapije pod supervizijo in diplomirana dramska igralka (AGRFT). Leta na odru so me naučila pozorno opazovati ljudi, izkušnja s kronično nespečnostjo pa me je pripeljala v terapijo in do odločitve, da človeka ne raziskujem skozi vloge, ampak v živem odnosu. Verjamem, da se sprememba zgodi v varnem in spoštljivem odnosu — o tem pišem tukaj. Več najdeš na strani My Approach.

Contact

Not sure who you are now that you no longer have to care?

If the end of caring for a parent has left you with emptiness, relief or guilt that surprises you, write to me. Together we can look at what this transition is opening up for you.

Write to me