The Six Dementia Caregiving Stages | The Caregiving Years Training Academy
The Caregiving Years Training Academy

The Six Dementia
Caregiving Stages

Understanding your journey as a family caregiver — not the disease process, but your emotional experience.

Find Your Caregiving Stage →

This journey belongs to you.

When your caree receives a dementia diagnosis, the focus often shifts entirely to the disease. But the Six Dementia Caregiving Stages center something different: your experience as a family caregiver. These stages are a fluid, flexible guide — not a rigid checklist — to help you understand where you are, what you're feeling, and how to cope at every point along the way.


Each stage introduces a keyword — a coping strategy you carry forward. As you move through the stages, those keywords accumulate, giving you a growing toolkit for the hardest moments.

The Six Stages

Stage I
The Expectant Caregiver
Your Keyword
Ask
Barbara's Story Barbara checks the bank account she shares with her husband. The account is overdrawn. She asks her husband, who manages their finances, about the overdraft. He's unclear how the error happened.
"I'm asking. I'm worrying."
Your Purpose

To prepare and to take care of yourself.

Stumbles
  • Forcing conversations
  • Making assumptions
  • Backing down when you hit an obstacle
  • Underestimating the warning signs
Steadies
  • Start, then give time
  • Information now is power later
  • Work within your obstacles, but don't give up
  • The more clearly you see now, the better you handle the future
You can Ask for: Time · Space · Ideas · Information · Help · History · Values · Wishes
Stage II
The Freshman Caregiver
Your Keyword
Find
Barbara's Story Barbara's husband receives a diagnosis — Alzheimer's. As Barbara considers what's ahead, she wonders how she can manage their home on 10 acres and her husband's future care needs.
"I'm dreading, adjusting, worrying and feeling for two."
Your Purpose

To experiment, to get your feet wet and see what works. To create a habit of enjoying your life.

Stumbles
  • Miscommunications with health care professionals
  • Overlooking your caree's suggestions
  • Family members say they'll help but then don't
Steadies
  • Ask for clarification
  • Value your caree's insights
  • Rather than waiting for offers of help, be specific in requests
  • Let go of resentments of family who won't/can't/don't help
You can Find: Solutions · Rituals · Possibilities · A Way Forward · Success · Resilience
Stage III
The Entrenched Caregiver
Your Keyword
Receive
Barbara's Story Barbara's husband continues to decline. He no longer drives, so she provides transportation to his weekly art classes and doctor's appointments. She's also clearing out the house, readying it for sale. She has difficulty sleeping and spends time alone in tears.
"I'm dreading, adjusting, worrying, feeling, thinking and often doing for two."
Your Purpose

To develop a routine, create a schedule for yourself and your caree.

Stumbles
  • Believing only you can provide the care needed
  • Forgetting how helpful it can be to share about your day
  • Moving from crisis to crisis without a break
  • Deciding you can't burden others
  • Giving up too much of yourself
Steadies
  • You are the best caregiver, but not the only one
  • Discuss your concerns, your stresses, your burdens
  • Give yourself a Recovery Plan
  • It's an opportunity for others to be involved
  • Keep what you can; your quality of life matters, too
You can Receive: Support · Understanding · Connections · Breaks · Acceptance · Routine · Healing
Stage IV
The Pragmatic Caregiver
Your Keyword
Welcome
Barbara's Story Barbara and her husband have settled into a smaller home. He sometimes wanders and asks the same questions over and over. Barbara found an online support group she participates in daily. She no longer cries and can celebrate good days.
"I'm dreading, adjusting, worrying, feeling, thinking and doing for two. I'm also okay."
Your Purpose

To gain a better understanding of yourself and your caree.

Stumbles
  • You judge how you feel about your day and your experiences
  • You decide it's best to put your future on hold
Steadies
  • Your emotions reflect your challenges — feel so you can heal
  • Use your time now to plan and prepare for your future
You can Welcome: Opportunities · Wisdom · A Vision · Dreams · Celebrations · Peace · Pride
Stage V
The Transitioning Caregiver
Your Keyword
Allow
Barbara's Story Barbara moved her husband into Memory Care because of concerns for his safety. She sees his daily declines now and realizes time is limited.
"We're transitioning. I'm transitioning."
Your Purpose

To walk with your caree during his or her last months and weeks.

Stumbles
  • You continue to 'do' when being present is enough
  • You feel guilty for not wanting to take a break
  • You feel guilty because your caree dies during your break
  • You struggle to mesh your old life with a new life
  • Moving on seems to be taking too long
Steadies
  • Being with your caree is your best act of doing
  • Time with your caree is limited; you decide when a break is needed
  • Your caree may need solitude to transition
  • Find support that reflects your right-now life
  • What changes are needed to begin the next chapter?
You can Allow: Endings · Beginnings · Perspective · Memories · Being · Releasing · Grief
Stage VI
The Godspeed Caregiver
Your Keyword
Treasure
Barbara's Story Barbara's husband died two years earlier. She moved to an independent living community to avoid the possibility of a move because of a crisis. She enjoys the community, the friendships and her time spent with her crafts. Barbara moved through each stage and arrived at her own "I healed."
"I healed."
Your Purpose

To implement and share your lessons learned from your role as family caregiver.

Stumbles
  • Underestimating the importance of your journey
Steadies
  • Review your journals and diaries and ask: How am I different today?
You can Treasure: Memories · Health · Relationships · Love · Wisdom · Courage · Purpose · Wellness

Your Ongoing Questions

These four questions remain with you at every stage of your dementia caregiving journey.

What will keep us safe?
What will add to our quality of life?
What are our priorities?
What are our values?

You Will Be Okay When…

You document your experience.
You limit the self-pity.
You receive support.
You keep a life.
You redefine hope as often as you need.
You remain realistic.
You do what you can and let others do the rest.

Interactive Tools for Your Journey

These free tools are built around real caregiving needs. Use them at any point in your dementia caregiving journey — whether you're just beginning or navigating the end of the road.

Get Support for Your Dementia Caregiving Journey

Our Dementia Care Family Caregiver Support Program connects you with a Certified Caregiving Consultant™ who understands your stage and can help you build a care plan tailored to your caree's needs — and your own.

Explore the Dementia Care Support Program

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