Aging Parents & Sibling Relationships: Navigating the Complexities of Caregiving Together

Aging Parents and Sibling Relationships: Navigating the Complexities of Caregiving Together

By Barbara Sparacino, MD

As adult children, the process of caring for aging parents is challenging enough on its own. But throw in the dynamics of sibling relationships, and things can become even more complicated—sometimes messy, often emotional, and always deeply personal.

When parents begin to need more help, siblings often find themselves facing not only the logistics of care, but also the unspoken roles and expectations that have been carried forward from childhood. Maybe you were the "responsible one" while your brother was the "free spirit." Maybe you live closer to your parents, or maybe you’re the only one without young children at home. Whatever the circumstances, these factors can lead to one sibling taking on more—sometimes a lot more—of the caregiving burden.

Why Is It So Complicated?

Sibling relationships are layered, built over decades of shared experiences, both good and bad. And when caregiving enters the mix, it can bring up old wounds and resentments—things that might not have been talked about in years. A sibling who wasn’t as involved in family matters might continue to step back, leaving the more "reliable" sibling to shoulder the responsibility. Sometimes, it’s not about unwillingness—it’s about fear. Fear of seeing a parent decline, fear of not knowing how to help, or fear of messing things up.

It’s also worth remembering that caregiving is incredibly emotional. The way each sibling processes that—whether they cope by diving in or by pulling away—is unique. Understanding that everyone is navigating this with their own emotional toolkit can make it a bit easier to approach the situation with empathy.

How to Improve Communication with Siblings

The key to navigating caregiving as siblings is open, honest communication. Here are a few tips to help ease the tension:

1. Be Clear About What You Need: It’s easy to assume that your siblings know how overwhelmed you are, but that’s not always the case. Be direct. If you need help with appointments, groceries, or just a break, say it plainly.
2. Acknowledge Their Strengths: Maybe your sibling isn’t great at the day-to-day care, but they’re good at managing finances or organizing paperwork. Encourage them to contribute in a way that plays to their strengths—it can take a load off your shoulders, too.
3. Hold Family Meetings: Regular check-ins—whether in person or virtually—can be a way to keep everyone on the same page. It also gives space for siblings to express concerns, ask questions, and make decisions together.
4. Let Go of Perfection: You don’t have to get it all right, and neither do your siblings. It’s okay if things don’t go perfectly. What’s most important is that everyone is trying—even if it looks different for each person.

Finding Peace in the Dynamics

At the end of the day, navigating sibling relationships while caregiving for an aging parent can be emotionally charged. You may feel angry, frustrated, or even hurt by what seems like a lack of effort from your siblings. But try to remember that everyone is doing what they can, given their own emotional capacity and life circumstances.

If you’re finding yourself constantly taking on too much, feeling resentful, or simply exhausted, reach out. Ask for help—from siblings, from friends, from professionals. You are not alone in this journey, and you don’t have to carry the weight by yourself.

Caregiving isn’t about being perfect, and it certainly isn’t about doing it all alone. It’s about showing up, doing what you can, and finding ways to support each other along the way—even if that means navigating a few bumps in the sibling relationship along the road.