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How Faith and Spirituality Can Play an Important Role in Family Caregiving

Many say it provides strength, community and a bigger purpose to their role


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Photo Collage: AARP (Source: Getty Images(4))

Six months into my husband’s recovery from traumatic brain injury, he was gradually regaining words and strength. Caring for him and our four children, working part-time and running the household left me utterly exhausted. One morning, I’d gotten the children to school, my husband off to rehab and I collapsed, sobbing, worried about our family’s uncertain future.  

I saw a sudden flash of light behind my eyes and a voice inside my head said, “It’s going to be OK.” I was infused with an immediate sense of calm and peace. 

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Over the years, I’ve thought a lot about that moment. I was raised in the Christian faith, and there are things I believe and others that, to me, feel more like tradition. But in that moment, my fear and worry dissolving, I was exercising a combination of faith and spirituality. And it had stopped me from falling into a place of darkness. 

Faith vs. spirituality

The simplest way people have described the difference between faith and spirituality is that faith is the “religion piece” that’s lived out in community, such as places of worship. Spirituality is more of an individual journey, an opportunity to deepen one’s sense of containment, wholeness and ability to find peace and purpose, especially when it comes to caregiving. 

I was curious about how faith and spirituality help other caregivers so I posed that question in the AARP Family Caregivers Discussion Group on Facebook. I received many thoughtful replies. Some credited the power of prayer and belief in God to creating a greater sense of well-being and calm; others relied on deep breathing, meditation and mindfulness exercises. Many spoke to how practicing the art of gratitude, feeling a sense of purpose, the love of friends and family and looking for small moments in each day — from lightning bugs to sunsets — help them navigate tough times.

Angela Grubbs Jindra, 52, from Chattanooga, Tennessee, writes, “I listen to books on mindfulness over and over again.” Vicki McHugh, 66, from Bayhead, New Jersey, comments she “couldn’t have kept the stamina and positive attitude caring for daughter [with] 24/7 health challenges at a young age, then my mom’s last 12 years of life, if I didn’t have faith, coupled with a dear friend, [that] was my secret sauce.”

Robin Brown*, 67, from Cleveland, leans into her faith and also wrestles with it while caregiving loved ones. “Although I am agnostic, I embrace much of the Jewish faith and custom in which I was raised. In spite of hoping for something better, I have trouble believing a God filled with love would inflict our loved ones, and consequently us, with what we’re dealing with.” 

Providing structure around caregiving

Joy Miller, 73, from Peoria, Illinois, is a licensed clinical professional counselor with a specialty in trauma and the Holocaust. She is also a caregiver to her husband, John Miller, 74, who has Parkinson’s disease and dementia

“Caregiving puts us in a situation where you have no experience and a lot rides on you,” says Miller. “For many caregivers the faith perspective helps them cope, gives them a listening ear to a higher power and in some way becomes the structure that provides the ‘why’ or the purpose behind it.” 

Miller has witnessed how people without a strong faith often need to find other coping techniques as caregivers. “That’s when spirituality can help people access that higher power in a more personal way, with things that bring meaning and joy,” she adds.  

At one point, when Miller was caring for both parents, her husband was diagnosed with cancer. “What got me through was the spiritual belief that the greatest gift you could give someone you love is to be there and walk with them at the scariest point of their life. For some people it’s religious; others faith-based. And for me it was spiritual. I describe that as being in the flow of the universe, perhaps more of a Buddhist way of looking at things.”

When she thinks of caregiving, she envisions a glass of water and constantly taking from your own glass to give to the other person. “The reality is if you don’t find a mechanism for refilling the glass of water, you will go emotionally and physically dry,” says Miller. “That’s when reframing is so powerful … to discover what helps you look at the glass not as something that is depleting, but something beautiful that’s refilled by things that are meaningful to you.” 

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A link to mental health

David H. Rosmarin, 45, Ph.D., an associate professor of psychology at Harvard Medical School, approaches spirituality and religion as a clinician and scientist, looking at ways these beliefs can be linked to mental health in positive and negative ways. “Spirituality is a powerful domain of life, which has often been ignored by health care,” he says. “Scientists and clinicians view the world through the secular lens they were trained in, but that can miss the mark in the hearts, minds and souls of individuals who are struggling. Caregivers, in particular, often gravitate toward spiritual resources along their challenging journey.”

Throughout his career as a minister and co-pastor of the Rye Presbyterian Church, Dan Love, 60, from Rye, New York, has counseled caregivers and care recipients. Last year, he was diagnosed with multiple myeloma, and his wife, Carol, 58, became his caregiver.

“It’s so valuable to be part of a community where the faith piece, belief in God, was lived out by people in their interactions with me,” Dan says. “When people are asking deep questions about life, that’s an opportunity to look at God and faith in different ways. We’ve been so grateful for people, some we don’t know, touching base, providing meals, or the flowers that just show up. That’s the power of people in community, to be part of the supportive circle.”   

Carol agrees. “There’s a source of wisdom and discernment available when showing up to offer someone support,” she says. “One can spot when caregivers are tangled up in finding a solution to another’s problem. ‘I’m just trying to help’ can be a loaded way caregivers explain a desire to fix the situation. You’re the caregiver; God is the curegiver. Part of being a caregiver is being willing to admit we don’t have this all figured out and we need some help ourselves.” 

Carol is also grateful for the friends that have shown up in her life to help her “name the dark side, but facilitate the bright side.” 

“When it’s lonely, and you are hanging out there by yourself, it’s critical to be able to talk about scary moments and have a memory that primes that pump of how God will show up,” she says.

As a minister and now a care recipient, Love has seen faith in every aspect of his diagnosis and treatment. “I don’t know how people walk this journey without faith,” he says. “I’ve gotten tired of the ‘just stay positive’ kind of language. My faith is more about authenticity than it is about positivity. It allows space for the inevitable anger, sadness and questions to get out. If we’re stuffing all that down, we’re clogging the tubes that allow grace to flow.” 

Finding purpose, soothing for the soul

Ralph Patrick, 62, from Allenspark, Colorado, is a dementia consultant and spiritual director who views spirituality as critical to the caregiving journey. “I see spirituality as a spectrum, and people can practice it in a variety of different ways,” says Patrick. “Some people need more than the dogma and rituals of religion. Spirituality can also help caregivers be gracious to themselves, because there’s an awful lot of guilt with the role.”

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Patrick asks what feeds a person’s soul or spirit, and that can include nature, music, art, poetry, community, children, gardening, animals or simply holding someone’s hand when they need comforting. “My own ‘God time’ is sometimes as simple as having my infant granddaughter fall asleep in my arms,” he notes.

“As a caregiver, you often don’t feel like you’re accomplishing much,” Patrick says. “Most people don’t recognize that in the small acts of the day. For caregivers, the key is how do you not lose yourself in that process, and faith and spirituality help with that. It’s a matter of focusing on the being, not just the doing, because you are always doing for others.” 

Helping us be “whole”

Retired chaplain, Bruce Tamlyn, 72, of Silver Bay, New York, who has battled non-Hodgkin’s Lymphoma, believes that each person has the opportunity to influence their own healing and the healing and caregiving of others.

“I had to let go of so many things that I used to worry about when I was diagnosed,” Tamlyn says. “For me, it was an opportunity to deepen my life journey and ask what it means to love, to be present for people, how will I spend my time, and what’s important in my life?”

Tamlyn worries that today’s society doesn’t encourage us to be whole.

“There is so much emphasis on the external and on ‘stuff’ but that doesn’t make us feel whole. The word ‘shalom’ means peace in the Jewish culture, and it’s a wholeness and richness to our life, a mind-body-spirit way of understanding. If we don’t find that within us, we’re never going to find it externally.”

He views mindfulness as a beautiful part of caregiving; the ability to pray or quiet the mind to do the inner work and look at caregiving as an opportunity to be with the person and reframe the experience. “I’ve watched caregivers who talk about ‘one more bitter hour’ to stay and be a loving presence for the person who needs us. Mindfulness helps you try to look at this as an opportunity to be there for the person,” says Tamlyn. “People who say they have no faith or belief are on their own journey, and we have to respect and honor that. There is no judgment, especially in caregiving.”  

Amy Goyer, 63, AARP’s family and caregiving expert and moderator of the AARP Family Caregivers Discussion Group on Facebook, sums up the importance of faith and spirituality in caregiving in the work of the author Anne Lamott, who writes frequently on faith. “When I was caregiving for my parents and sister, I would often use the prayer Anne wrote, which is perfect when you don’t have the words or energy,” she said. “It’s simply ‘HELP!’ ” Goyer still uses the simple prayer and finds it comforting. “I believe in a greater love that is always here to help. And it helps to ask!”

*Last name changed to protect privacy.

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