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Sixty-three million Americans are now family caregivers, and the numbers on their own health are not good. About one in five report fair or poor health themselves, and nearly a quarter say they struggle to take care of their own basic needs while caring for someone else.

That's roughly one in four adults, and the number has jumped by nearly half since 2015. Behind that growth is a quieter statistic that matters more: caregivers themselves are running out of road.
The most recent national numbers come from AARP and the National Alliance for Caregiving's 2025 report, a long-running survey that's tracked family caregiving since 1997. It found 63 million family caregivers in the US, up from roughly 43 million a decade earlier. Fifty-nine million of them are caring for an adult, most often a parent.
That growth isn't just about an aging population. Caregiving has also gotten more demanding. The same report found 44% of caregivers are now providing high-intensity care, and 55% are handling actual medical or nursing tasks β wound care, medication management, injections β the kind of work that used to happen in a hospital, now happening at someone's kitchen table with no formal training.
Nearly one in four caregivers is putting in 40 or more hours a week. That's a full-time job, stacked on top of whatever job already pays the bills.
Here's where it gets uncomfortable. One in five caregivers describe their own health as fair or poor β worse than the general population at the same age. Nearly a quarter say they have difficulty taking care of their own health needs because caregiving takes priority.
That's not a small side effect. Caregiving is now recognized as its own health risk factor, separate from whatever condition the person being cared for actually has. Chronic stress from long-term caregiving has been linked to higher rates of depression, disrupted sleep, and worse cardiovascular outcomes for the caregiver themselves.
In clinical practice, this is often missed because caregivers rarely bring it up on their own. Someone comes in for their own blood pressure check and never mentions they haven't slept properly in eight months because they're up twice a night with a parent. The caregiving isn't the reason for the visit, so it doesn't come up unless someone asks directly.
Nearly one in three caregivers is also raising children under 18 while caring for an adult loved one at the same time. Among caregivers under 50, that number climbs to almost half.
This dual load is a specific kind of exhausting. There's no real off-switch between the two roles, and the financial and emotional math gets complicated fast. Nearly half of all caregivers report at least one significant financial hit from caregiving β going into debt, stopping retirement savings, or in some cases being unable to afford food.
Is it any wonder burnout rates look the way they do? Add a full-time job on top (six in ten family caregivers are employed), and you get a group of people who are managing three overlapping full-time responsibilities with almost no formal support built around any of them.
Caregiver burnout doesn't usually announce itself. It builds slowly, and a lot of people in the middle of it don't recognize the pattern until someone else points it out.
A few signs worth naming directly: persistent exhaustion that sleep doesn't fix, irritability that feels out of character, skipping your own doctor's appointments, withdrawing from friends, or feeling resentment toward the person you're caring for and then feeling guilty about that resentment. That last one trips people up the most β it's a completely normal response to an unsustainable situation, not a character flaw.
Only about 11% of caregivers report having received any formal training for the medical tasks they're doing. That gap alone explains a lot of the stress. Nobody hands you a manual for managing a feeding tube or tracking a dozen medications, and figuring it out under pressure, alone, at 2am, wears a person down.
Respite care, support groups, and a proper conversation with a geriatric specialist about the care plan aren't luxuries. They're part of managing a chronic, demanding situation responsibly, the same way you'd manage any other long-term health risk. A geriatrician or geriatric care team can also help build a realistic care plan that doesn't rely entirely on one exhausted family member doing everything. If cost is part of what's stopping you from getting help, it's worth checking what Medicare or assistance programs might actually cover before assuming there's no option.
If you're a caregiver reading this and recognizing yourself in these numbers, that recognition is worth acting on, not just noting. Talk to your own doctor about how you're doing, not just the person you're caring for.
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