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How to Deal with Family Conflict Caused by Alzheimer’s

Senior man with Alzheimer's. Stressed caregiver in background is not speaking to him.
Only when families work together as a team can their loved ones with Alzheimer’s receive the best love and care possible.

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Shortly after her father passed away, Valerie’s mother was diagnosed with Alzheimer’s disease.

“When it became apparent that there was something wrong with my mother, my brother told me, ‘I’m sorry, but I’m done with her.’

I don’t know what happened between them, but he was true to his word. He was really scarce with his visits. I guess since I am her caregiver, I’m out too. He has no contact with me. I am really alone in this endeavor to take care of Mom. Alzheimer’s has broken up my family.”

Sadly, an ill loved one is the number one trigger for family conflict, according to a study conducted by the Home Instead® network. Coping with the reality of a loved one’s Alzheimer’s not only has its emotional difficulties, but logistical ones as well, especially in terms of decision-making and bearing the responsibility of caregiving. Despite these challenges, the following tips may help you unite your family around your loved one with Alzheimer’s when that person needs family support the most.

  • Communicate Regularly. Don’t allow weeks to turn into months and years of not communicating with family members you feel should take a vested interest in your parents’ condition and care. If you’ve fallen out of touch with a member of your family, reach out through a phone call, email, card or letter.
  • Empathize. Difficult situations affect everyone differently, so try to understand your sibling’s point of view before getting angry or upset. Approaching the issue this way will help you suggest an appropriate solution. Maybe your brother can’t emotionally deal with Mom “losing her mind.” If that’s the case, maybe he can help you by contributing financially to her care instead. Empathy was one main factor that helped keep the Hamilton sisters united. The stress of their mother’s illness affected every person in the family differently, but as you’ll learn from their family’s story, they persevered through the challenges to provide the loving care they felt their mother deserved.
  • Ask for Help. If you feel over-burdened by the responsibility of caregiving, inform the rest of your family (without complaining or blaming others). Your sibling(s) may assume you’re doing just fine handling everything on your own unless you tell them what challenges you’re facing and specific ways they can help. As the maxim goes, “a burden shared is a burden halved.”
  • Make Decisions Together. Even if you serve as the primary caregiver of your parents, involve your sibling(s) when you need to make a major care decision. Maybe you feel Dad’s Alzheimer’s has progressed to a point where he needs additional assistance, and you’re looking into hiring a professional in-home caregiver for him. Talk through the pros, cons, financial considerations and possible alternatives with your siblings before you make a decision. Taking their thoughts and opinions into account will help to eliminate any hard feelings, grudges or resentments.
  • Leave Childhood Rivalries Behind. Easier said than done, of course, but try to approach the issue as the adult you are now, not as the younger person your siblings may still see you as. Stepping back and realizing how unresolved issues from long ago influence your present relationships may put a helpful new perspective on your current situation.
  • Enlist the Help of a Mediator. Sometimes family issues become too complicated or emotionally charged to solve on your own. A third-party resource, particularly a professional such as a counselor, mediator or even a doctor or geriatric care manager, can provide an impartial voice of reason.

Only when families work together as a team can their loved ones with Alzheimer’s receive the best love and care possible. Remember that regardless of your past history or current situation, all relationships are a work-in-progress. Envisioning how efforts to make amends will ultimately benefit everyone and can help steer you and your family members on a path toward reconciliation.

For additional support managing family relationships and resolving family conflict, explore the resources in our 50-50 Rule® program.

The more you know, the better your loved one's care will be. Free online training and expert tips at

Last revised: February 6, 2012

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Thoughts and stories from others
  1. September 22, 2020 at 3:35 pm | Posted by Alysia Menton

    One thing is that if you are searching for a education loan you may find that you will want a co-signer. There are many cases where this is true because you should find that you do not employ a past credit ranking so the loan company will require that you've someone cosign the financial loan for you. Great post.


  2. September 13, 2020 at 1:04 pm | Posted by Sherri Monson

    My husband was dx with Lewy Body Dementia, September 2017. We’d been together for 38 years. During that time, his brother was basically absent. A shadow in the background. Our children didn’t know him. When we told his family about the dx, after a long and heartbreaking search for answer, His brother says, “Well, I’ll go talk to the doctor and get thing straightened out.” Big talk. So begins 18 months of me keeping my honey home and doing the best I can. Oh yeah, in May of 2018, he was dx with throat cancer and it had spread to his lymph nodes. The solution was very aggressive radiation and chemo. It wreaked havoc on his brain and his body. I asked for help a number of times, but his brother told me,”I don’t need to know or deal with that shit.” November 2018 I had to call 911. I didn’t want to, but if I hadn’t... He had to be assessed and a place with a memory care unit needed to be found. I forgot to mention right after my husband was dx and we did the POA, he told me he only wanted me making his health care decisions. The brother in law has harrassedworkers at the facility,taken thing from our property lying how it was given to him by my husband. The whole family has been horrid. I had to cut ties because it was affecting chronic conditions I live with I’ve been updated for the last 6 months and even though there’s a mandate of no visitors. My husband’s brother has tried to force his way in and find out how he’s being cared fore. I am the only one authorized for this. Our children are next if something happens. I know this is long, but I needed to lay out background to ask for any suggestions. I’m open to anything, but being yelled at. That’s been going on since 09/2017


  3. June 30, 2020 at 10:52 am | Posted by Anna

    My mom has dementia and during this pandemic (covid), things seem to be getting worse for me mentally. When I call or visit with her; she is in an Assisted Living Facility, the conversation turns to her wanting to live with me. And this is not possible, I can't leave her alone in my house when I am at work because I don't trust that she will stay in the house, I have steps she may have a fall, etc. She has taken to calling my oldest sister to enlist her help in convincing me to let mom live with me. Sister and I are in agreement that mom is getting the best care possible in ALF. How do we resolve this conversation with mom? It's a difficult, emotionally charged conversation with mom threatening that she will find someone outside the family to live with and take care of her.


  4. October 31, 2019 at 11:28 am | Posted by Joseph

    My father in law was diagnosed with Alzheimers over a year ago (he is now 64). Its been progressing rather fast lately (can't drive, can't remember once simple things). Obviously I hate what its doing to him, but I hate what its doing to my wife and family as well. For various reasons her siblings are unable to help. My wife and her mother's relationship has been strained at best since we've been together and it has only gotten worse. I offer to help to relieve the stress from my wife, but my MIL doesn't want me helping, which only stresses my wife more. Since I can't be as much assistance on that front, I've tried being more helpful in our lives, taking over duties that she regularly took on, to free her from those so she can exert more focus where I can't help. Also, lots of listening and hugging and reassurance can go a long way.


  5. August 29, 2014 at 11:23 pm | Posted by Lynne

    I have been taking care of my mother for four years. I have a brother who has done absolutely nothing to help out, nor does he call to check on her. He flies into town for a couple of days every year and spends about an hour with her. He and I are estranged because of his abandonment and this will not change. I have tried to reach out.nothing changed. I have made peace that I alone am all my mother has and I will be with her to the end. She and I were not close as I grew up, but this is my opportunity to offer love and compassion to my mother as she takes her long walk home. I hope someone will love me enough to do the same for me should I need it one day. I do know that what caretakers do is many blessings for those who are sick.


    • September 5, 2014 at 10:08 am | Posted by Rosalie French

      I know exactly what you're talking about...I have a son who has suddenly decided that his father was terrible and he doesn't want to have anything to do with us...the first declaration came the winter after my husband was diagnosed...I tried to counsel him and we seemed to have everything taken care of; then, the following winter he decided that I was a lousy mother too because I wouldn't apologize for the actions of his father that were totally because, his siblings won't validate his assumptions, he isn't in communication with them's very sad when you need all the support you can get and your children make things worse...thank god for my other four children...I am truely blessed...


    • April 14, 2019 at 2:20 pm | Posted by Mother of Dragons

      This is exactly what I am experiencing. My brother visits when he is in town on business, but only sleeps at home and we don't see much of him at all. He has called to speak to mother once in a year. He only calls to speak to me when he wants to discuss selling my parents properties etc I can't understand why he is like this. When he here on holiday, he doesn't help take care of my mother. But leaves early with his family and comes back very late. My mother loves him - I sometimes lie to her and tell her he asked how she is :(


  6. February 16, 2014 at 11:00 pm | Posted by Debbie

    My sibling passed away several years ago. He was disabled and kinda always thought I would be taking care of him in my golden years. Instead it happens to be my mom. Her second husband who is 81 years old shares the care taking responsibilities with me. I fear that the last 4 years has taken a toll on each of us and physical problems are plaguing us. I have no family to turn to for help. We have hired a part time caretaker so we can get things done . Mother needs constant supervision.i so wish I had family to share the good times and make the tough times a little more bearable. Keep the faith out there y'all !


  7. February 15, 2014 at 12:21 pm | Posted by Pam

    I agree about the lawyers! I paid $350 for two hours of counsel. The counsel was that we were screwed legally and I went home depressed and broke. Living in Alabama, there is no light at the end of the proverbial tunnel. There are no books or magazines that tell you how to go about handling their finances or getting help. There are phone numbers and information but at the end they have their hands out waiting for some kind of payment.


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