When a caregiver expresses feeling overwhelmed by taking care of a family member with dementia, how should the therapist initially proceed?

In the scenario where a caregiver is expressing feelings of being overwhelmed due to caring for a family member with dementia, it is essential for the therapist to approach the situation with sensitivity and an understanding of the caregiver's emotional state. The correct initial response is to normalize her reactions and refer her for a medication evaluation.

Normalizing the caregiver's feelings acknowledges the common challenges faced by those caring for individuals with dementia, which can often lead to feelings of stress, anxiety, and burnout. This validation can help the caregiver feel understood and supported, reducing any potential stigma around their feelings.

Referring for a medication evaluation may be appropriate if the therapist assesses that the caregiver's emotional distress is significant and could benefit from medical intervention. Caregiving for someone with dementia can be incredibly demanding, and addressing the mental health needs of the caregiver is crucial for their well-being.

The other potential responses are less appropriate as initial steps. Filing an elder abuse report may not be warranted without evidence of abuse and could create unnecessary distress for the caregiver. Determining who is caring for the family member when the client is away is less focused on addressing the caregiver's immediate emotional needs. Identifying family support and providing referrals for respite care are also important processes that could follow, but the immediate concern is