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The Three Phases of Caregiving Transitions

Writer's picture: Health Projects CenterHealth Projects Center
Cynthia Zavala

William Bridges’ model of transition—comprising the phases of Ending, Neutral Zone, and New Beginning—offers valuable insight into the emotional journey of caregiving.


The first phase, Ending, is when caregivers realize that their previous lives and routines are no longer sustainable. For example, our mother is starting to experience cognitive decline and no longer remembers to throw away spoiled food. It is not about her eating spoiled food; it is her declining abilities that saddens us. This phase is often marked by a sense of loss or grief. Caregivers may feel disconnected from their former identities, as their time, energy, and priorities shift. The familiar sense of control and freedom fades as new responsibilities take center stage. We now must let go of the old image we had of her, as a caregiver to us, and now be there for her.


The second phase, the Neutral Zone, or what Bridges refers to as the "wilderness period," can feel overwhelming and disorienting. Caregivers may experience confusion, fatigue, and emotional strain as they adjust to their new reality. In this phase, it’s common for caregivers to struggle with feelings of isolation or doubt, as they try to make sense of their role while navigating day-to-day challenges. Though the neutral zone can feel uncertain, it can also be a time of contemplation, as caregivers reflect on their identity and what caregiving means to them.


Finally, the New Beginning occurs when caregivers adjust and find meaning in their role. They may develop new coping strategies, gain confidence, and experience a sense of purpose with time. This phase is marked by a greater sense of clarity and empowerment as caregivers recognize their resilience and ability to navigate the ongoing challenges of caregiving.


Throughout all these phases, support groups and community connections are important.


The Importance of Connection and Caregiver Support Groups

Remember that seeking support is not a sign of weakness, but a critical step in maintaining your well-being. Support groups can reduce isolation and help caregivers gain emotional strength, develop coping strategies, and receive validation for their efforts.


At Del Mar Caregiver Resource Center we are offering new in-person support groups in Aptos at the Cabrillo College Stroke and Disability Center and in Hollister at the Pauline Valdiva Memorial Community Center, along with virtual sessions. For more information about joining a support group, please call 1-800-624-8304 or visit the services tab on our website.


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