Dementia affects millions of individuals in the United States, and the number continues to grow. For military families, veterans, and federal employees, the impact of dementia often unfolds alongside the demands of service, relocation, deployment, or high-stress public service roles. Behind every diagnosis is a caregiver who provides daily support, often without formal training or adequate resources. Nearly 12 million Americans are caring for people living with Alzheimer’s disease or other dementias without being compensated, representing an economic value of more than 400 billion dollars. The emotional and physical cost, however, is far more difficult to measure. 

At Magellan Federal, we see the profound physical and emotional impact dementia has not only on those diagnosed but on the caregivers who walk beside them. This includes caregivers across military and federal communities who may already be navigating demanding missions, workforce pressures, or limited access to consistent support. As the population ages, the need to support caregivers becomes a national priority that directly affects family stability, workforce readiness, and long‑term wellbeing. 

The Changing Reality of Dementia Caregiving 

Caregivers today face increasing demands. 30% are 65 or older, 2/3 are women, and 1 in 4 is part of the sandwich generation, caring for both aging parents and children. Among military and federal families, caregiving responsibilities are often layered onto careers that require flexibility, mobility, and sustained performance. Their support allows individuals with dementia to remain at home longer and maintain a sense of dignity and independence. 

Caregiving can strengthen relationships and build resilience, yet it also brings emotional, physical, and financial strain. Compared to caregivers supporting individuals without dementia, dementia caregivers experience nearly double the rate of stress and health challenges. For caregivers in service-oriented environments, these risks can be compounded by operational demands and limited time for self-care. 

The Hidden Toll on Caregivers 

Dementia caregivers often report depression, anxiety, chronic stress, grief, and isolation. Many experience sleep disruption, weakened immune functioning, and increased risk of chronic illness. These challenges can be especially difficult for military families and federal employees who may be managing relocations, deployments, or high responsibility roles while providing care at home. 

The American Medical Association’s Caregiver Health Self‑Assessment Questionnaire highlights early signs of strain, such as irritability, fatigue, and difficulty concentrating. These symptoms are signals that caregivers need support, yet many caregivers, particularly those accustomed to prioritizing mission and service, push through until they reach burnout. 

Burnout and Compassion Fatigue 

Burnout reflects emotional, physical, and mental exhaustion caused by prolonged stress. Compassion fatigue develops when caregivers are repeatedly exposed to the suffering of someone they love. Both conditions can leave caregivers feeling numb, overwhelmed, or disconnected from their sense of purpose. 

These experiences are not personal shortcomings. They are predictable outcomes of a system that relies heavily on unpaid caregiving and limited support structures. For military and federal caregivers, cultural expectations around resilience and self-reliance can further delay help-seeking. 

Supporting Caregivers as Part of the Care System 

Magellan Federal advocates for a holistic approach that recognizes caregivers as essential partners in the dementia care journey. Federal agencies and military-connected systems have a unique opportunity to strengthen caregiver wellbeing across the populations they serve. 

1. Acknowledge the Emotional Experience: Caregivers often feel guilt, grief, fear, and self‑doubt. Understanding the stages of dementia and the changes that come with each stage can help caregivers feel more prepared and less alone. This awareness is especially important in military and federal communities where emotional strain may be underrecognized. Validating their emotions is an important first step. 

1. Strengthen Support Networks: Caregivers benefit from connection. National dementia organizations offer helplines, support groups, respite services, and educational resources that reduce isolation and help caregivers sustain their role over time. Ensuring these resources are accessible regardless of duty location or work schedule is critical for military and federal families. 

1. Prioritize Caregiver Health: Caregivers need routines that support physical and mental wellbeing. Encouraging preventive care, behavioral health support, and caregiver‑friendly policies can reduce burnout and improve long-term outcomes. Workplace flexibility and leadership awareness play a meaningful role in supporting caregivers who are also part of the federal workforce. 

1. Help Families Navigate Dementia Together: Families often struggle to talk about dementia, especially with children. Age‑appropriate resources and guidance can help normalize the experience and build resilience across generations. This support is particularly valuable for military children who may already be adapting to frequent change. 

Why Federal Leadership Matters 

Dementia caregiving is a public health challenge with far-reaching implications. Within military and federal populations, caregiver strain can directly affect readiness, retention, and overall workforce resilience. As the number of individuals living with dementia grows, so will the need for caregivers who are supported, trained, and emotionally equipped for the journey ahead. 

Federal agencies play a critical role in shaping the systems that support these caregivers. By investing in caregiver wellbeing, agencies strengthen workforce readiness, reduce long‑term healthcare costs, and enhance the stability of families who serve the nation. 

Magellan Federal is committed to advancing solutions that build caregiver resilience, expand access to behavioral health resources, and integrate caregiver support into federal programs. The cost of caring is high, but caregivers should not have to carry it alone. 

References:  

• Duke University Population Research Institute. (n.d.). Duke researchers point out error in U.S. estimates of dementia. https://dupri.duke.edu/news-events/news/duke-researchers-point-out-error-us-estimates-dementia  
• Alzheimer’s Association. (n.d.). What is dementia? https://www.alz.org/alzheimers-dementia/what-is-dementia  
• Alzheimer’s Association. (2025). Alzheimer’s disease facts and figures. https://www.alz.org/alzheimers-dementia/facts-figures  

• Caregiver Action Network. (n.d.). Dementia caregiver stress. https://www.caregiveraction.org/dementia-caregiver-stress/  

• American Psychological Association. (n.d.). Common problems faced by caregivers. https://www.apa.org/pi/about/publications/caregivers/practice-settings/common-problems  

• Health in Aging Foundation. (n.d.). Caregiver self‑assessment questionnaire. https://www.healthinaging.org/tools-and-tips/caregiver-self-assessment-questionnaire  

• Caregiver Action Network. (n.d.). Understanding caregiver burnout. https://www.caregiveraction.org/understanding-caregiver-burnout/  

• Caregiver Action Network. (n.d.). 10 tips for family caregivers. https://www.caregiveraction.org/10-tips-family-caregivers/  

• Alzheimer’s.gov. (n.d.). Tips for caregivers. https://www.alzheimers.gov/life-with-dementia/tips-caregivers  

• Caregiver Action Network. (n.d.). Caregiver help desk. https://www.caregiveraction.org/helpdesk/  

• Alzheimer’s Association. (n.d.). Alzheimer’s and dementia helpline. https://www.alz.org/help-support/resources/helpline  

• Family Caregiver Alliance. (n.d.). Support and resources for caregivers. https://www.caregiver.org/  

• ARCH National Respite Network. (n.d.). Respite provider locator. https://archrespite.org/#  

• Alzheimer’s Association. (n.d.). Support groups. https://www.alz.org/help-support/community/support-groups  

• AlzConnected. (n.d.). Online caregiver community. https://alzconnected.org/  

• Dementia Society of America. (n.d.). Education and resources. https://www.dementiasociety.org/  

• Alzheimer’s Association. (n.d.). Care and education resources. https://www.alz.org/help-support/resources/care-education-resources  

• Alzheimer’s Foundation of America. (n.d.). Talking to young children about Alzheimer’s. https://alzfdn.org/talking-to-young-children-about-alzheimers/  

• Alzheimer’s Association. (n.d.). Talking to kids about dementia. https://www.alz.org/help-support/resources/kids/talking-kids-about-dementia  

• Oliveros, J. (2018). The Remember Balloons. Simon & Schuster. 

• Fox, M. (1984). Wilfred Gordon McDonald Partridge. Kane/Miller Book Publishers. 

• Elizabeth, J. (n.d.). Will Grammy Remember Me? (Publisher varies by edition.) 

Feeling connected to others plays a significant role in mental health. If you’ve experienced loss, trauma or isolation, or felt marginalized or bullied, community can be especially important. While finding or building community may take time, it can make a real difference. Strong relationships reduce stress, support mental health and help make life more meaningful. 

How to engage with your community

Community can start with small, everyday actions that fit your time, comfort level and interests. It doesn’t have to be a lot. Choose what feels right for you.

• Support your neighborhood: Get to know neighbors, check in on someone nearby or take part in activities that bring people together.
• Practice active kindness: Simple gestures, like listening or offering help can strengthen relationships.
• Take part in local events: Attend community gatherings, fairs or activities to meet others and learn what’s happening in your area.
• Use shared spaces: Spend time in libraries, community centers, parks or other places people gather.
• Join a club or group (online or in person): Look for groups focused on your interests, culture or shared experiences.
• Get outside: Participate in walking groups, community gardens or outdoor activities.
• Care for your environment: Help keep shared spaces clean, safe and welcoming.
• Volunteer or give your time: Contribute your skills or help others through local organizations or causes.

Community takes many forms. One small action, online or in person, can build connection and support and create brighter days.

Workplace stress is not a new challenge, but its impact on mental wellness has never been more visible. Across all workplaces, employees can face mounting pressures from demanding workloads, complex organizational structures, and the expectation of constant availability. Over time, these stressors do not stay neatly contained within the workday. They affect sleep, relationships, physical health, and overall wellbeing.

When employees are supported in managing stress and setting healthy boundaries, organizations benefit through improved engagement, productivity, and resilience. Creating mentally healthy workplaces is not about eliminating stress entirely. It is about equipping people with the tools and environments they need to manage it effectively.

Rethinking Boundaries at Work

One of the most common contributors to workplace stress is the erosion of boundaries. Constant connectivity, blurred lines between professional and personal life, and difficulty saying no can all lead to burnout over time. Unhealthy boundaries may look like regularly working outside regular hours, taking on more responsibility than is sustainable, or navigating workplace relationships that negatively affect performance or wellbeing.

Healthy boundaries vary by role. Federal employees in mission-critical or on-call positions will naturally face different expectations than those in more structured schedules. Even so, regularly assessing whether boundaries are aligned with workload, capacity, and wellbeing can help employees leave work at work and maintain balance over time.

Managing Stress Before It Becomes Burnout

Not all stress is harmful. In fact, manageable levels of stress can enhance motivation and performance. When challenges are perceived as meaningful and achievable, stress can support growth and engagement. Problems arise when stress becomes chronic, unmanaged, and relentless.

Burnout is now formally recognized as a workplace phenomenon resulting from prolonged, unmanaged stress. It is often characterized by exhaustion, emotional detachment from work, and a reduced sense of effectiveness. Recovery from burnout can be difficult, which makes prevention essential.

Effective stress management begins with prioritization. Understanding what truly requires immediate attention and what can wait reduces unnecessary pressure. When priorities are unclear, open conversations between employees and supervisors can prevent misalignment and overload.

Equally important is focusing on what is within one’s control. While it is easy to become consumed by factors beyond personal influence, such as others’ decisions or behaviors, stress is reduced when attention is redirected toward actions, responses, and communication choices that can be managed directly.

Perspective also matters. Viewing challenges as opportunities to learn or grow can significantly reduce the adverse effects of stress. While not every situation will feel positive, reframing stressors where possible can improve both performance and wellbeing.

The Power of Taking a Break

One of the simplest and most overlooked strategies for improving mental wellness at work is taking regular breaks. Many employees skip lunch or work through breaks due to heavy workloads or the belief that stepping away will reduce productivity. Research consistently shows the opposite.

Routine breaks help prevent decision fatigue, improve concentration, and support emotional regulation. Stepping away allows the brain to rest and reset, which is essential for sustained performance. Short breaks throughout the day can be just as valuable as longer ones.

Breaks do not need to be elaborate. A brief walk, stretching, breathing exercises, or even a few moments of quiet reflection can restore focus and reduce stress. Encouraging a culture that supports breaks rather than discourages them sends a clear message that mental wellness is valued.

Creating a Personal Mental Wellness Plan

There is no single approach that works for everyone. Mental wellness strategies must be tailored to individual roles, responsibilities, and personal circumstances. What matters most is intentionality. Small, consistent changes can lead to meaningful improvements over time. Support resources such as Employee Assistance Programs and wellness coaching can help employees identify practical strategies, set realistic goals, and address barriers to change. These resources also provide a confidential space to reflect, problem solve, and build resilience.

Healthy workplaces are built through a combination of individual action, supportive leadership, and organizational commitment. When mental wellness is prioritized, employees are better equipped to meet the demands of their roles and sustain long-term success in the service of their missions.

Sources:

– Charles, Susan T et al. “The mixed benefits of a stressor-free life.” Emotion (Washington, D.C.) vol. 21,5 (2021): 962-971. doi:10.1037/emo0000958

– Jabr, Ferris. “Why Your Brain Needs More Downtime.” Scientific American, 15 Oct. 2013, www.scientificamerican.com/article/mental-downtime/. Accessed 15 Jan. 2026.

– Selig, Meg. “How Do Work Breaks Help Your Brain? 5 Surprising Answers.” Psychology Today, 17 Apr. 2018, www.psychologytoday.com/gb/blog/changepower/201704/how-do-work-breaks-help-your-brain-5-surprising-answers. Accessed 15 Jan. 2026.

– World Health Organization. “Burn-out ‘as an “Occupational Phenomenon’: International Classification of Diseases.” World Health Organization, World Health Organization, 28 May 2019, www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases. Accessed 15 Jan. 2026.

Building your confidence – starting today.

Self-esteem is how you feel about yourself. When it’s healthy, you recognize your strengths and appreciate the good in life. The great news? You can strengthen it. Here’s how:

• Flip the script on self-criticism. Replace harsh inner voices with kinder ones. Celebrate wins, big and small, and own what you’re good at.
• Show your compassion. Everyone is a work in progress. Treat yourself like you’d treat a good friend, with kindness and understanding.
• Stop the comparison game. Social media shows highlight reels, not reality. Focus on your path and progress, not someone else’s.
• Find growth in every experience. When things don’t go as planned, ask what you learned instead of dwelling on the disappointment. Turn obstacles into stepping stones.
• Build your crew. Surround yourself with people who uplift you. A positive circle makes a real difference in how you see yourself.

Visit the Mind Your Mental Health page on your member website or call your program for confidential mental health resources.

Mental Wellbeing Month asserts that being mentally healthy is a vital part of your overall wellness. Just as it’s important to monitor markers of your physical health such as blood pressure or cholesterol levels, you should keep careful track of your emotional wellbeing. This can include your moods, ability to function socially, energy levels and ability to respond to challenges.

• Practice mindfulness by slowing down during your day to fully experience the present moment. Take stock of how you’re feeling and let go of stress.
• Seek professional help if you experience ongoing feelings of sadness or hopelessness, loss of energy, insomnia, early awakening, oversleeping or restlessness and irritability.
• Schedule meaningful activities each day, such as creative hobbies, that are important to you. Identify and work into your routine the activities that reliably help you relax and recharge.

Visit the Mind Your Mental Health page on your member website or call your program for confidential mental health resources.

Working on physical health

Never underestimate the importance of nurturing your physical wellbeing. It’s never too late to work on improving your health.

• Physical health forms the foundation for mental and emotional resilience—allowing you to meet the challenges of the day, manage your relationships and succeed in your work.
• The connection is clear—prioritize regular movement, a healthy diet, quality sleep and you’ll likely experience increased energy, improved mood, enhanced appearance and greater capacity to pursue what matters most to you.

Gifting presence: Making time for self-care

The holiday season often comes wrapped in ribbons of joy—but also tangled in stress, unrealistic expectations and exhaustion. This year, focus on reducing seasonal stressors and prioritizing wellbeing, connection and quality time.

Slow down and approach the holidays with more heart and less hustle, remembering that the most valuable gift you can give is your full, present self.

Self-care is essential, not selfish

Too often, we put ourselves last on the to-do list. But remember, your emotional wellbeing is the foundation for being able to truly show up for those you love. Here are five simple ways to nurture yourself each day:

1. Start each day with intention. Even 10 minutes of quiet can shift your energy.
2. Say no, gracefully. Boundaries are a beautiful act of self-respect.
3. Establish tech-free time. Be authentically there. Listen fully and laugh freely.
4. Move your body mindfully. Stretch. Walk. Breathe.
5. Rest unapologetically. Renewal comes through sleep, stillness and true downtime.

Choose peace over perfection

You don’t need a perfect dinner or fancy decorations to make the holidays special. Focus on connection, laughter and shared moments. Order takeout, wear comfy clothes and do what nourishes you, not what drains you. The holiday season can be joyful, but it can also bring stress. Here are some tips to help you enjoy a calmer, happier holiday:

• Be realistic about what you can accomplish. Don’t aim for perfection; simplify and downsize wherever possible.
• Avoid heavy debates. If someone brings up an uncomfortable topic, stay calm and politely change the subject.
• Try new traditions. If old holiday rituals feel burdensome, experiment with new ways to celebrate.
• Stay active. Physical activity is a strong stress reliever and helps burn extra holiday calories. Consider going for a walk before or after meals.
• Moderate alcohol consumption. Alternate alcoholic drinks with water, or choose non-alcoholic beverages.
• Take breaks during events. Step outside for a few minutes to reset if social situations feel stressful.

Working on emotional wellbeing

An important part of emotional wellbeing is being able to regulate our moods, thoughts, impulses and choices in
all kinds of situations. People with high emotional wellbeing actively manage their feelings when confronted with
change, uncertainty and even hardship.

To better control your emotions, try mindfulness techniques like meditation or deep breathing. When you experience
upsetting emotions, remind yourself to calm down, breathe and think clearly. Don’t react until you feel like you have
your emotions under control.

In a season full of noise, choose presence. Give yourself permission to rest, breathe and just be, so you can show up fully for the ones who matter most. Take care of yourself this season. You deserve a stress-free holiday!

Visit MagellanHealthcare.com/2025-Holidays for more information and helpful resources.

Family caregivers are the unsung heroes who provide vital support to older adults and people with disabilities. In the U.S., over 53 million family caregivers (up from 43.5 million in 2015) give unpaid care to loved ones—often while juggling jobs, family and their own wellbeing.

• 61% manage caregiving while working full- or part-time.
• 60 – 70% are women.
• 72% skip regular doctor visits because of their responsibilities.
• 41% report low overall wellbeing, and nearly half (47%) have experienced anxiety, depression or other mental health challenges in the past year.
• 45% have faced at least one financial hardship due to caregiving.

Experts remind caregivers: you don’t need to be perfect. Focus on what you can control, take one day at a time and make space for your own care. Visit MagellanHealthcare.com/about/bh-resources/mymh or call your program for confidential mental health resources.

Working on Social Wellbeing

• Those people with social wellbeing have strong interpersonal relationships and have love in their lives that gives them positive energy. It helps to maintain multiple close relationships that encourage you to achieve, be healthy and enjoy life.
• It’s wise to cultivate your existing relationships: strengthen your family bonds and nurture your friendships. Always seek out new connections and participate in your community. Share your talents for the benefit of those around you.

Practical strategies to prevent burnout, sustain resilience, and enhance wellbeing in today’s evolving workplace.

For those working in mental health and counseling, the concept of balance is more than a buzzword. It is a professional necessity. Clinicians are tasked with bringing empathy, presence, and emotional resilience to every session. But without proper attention to their own wellbeing, even the most dedicated professionals risk burnout or compassion fatigue. 

Recent insights (Krishnan, 2025) highlight practical strategies that help therapists and professionals in other high-stress fields maintain balance while sustaining their ability to deliver meaningful, high-quality care. 

The Role of Compartmentalization  

While it may be impossible to completely separate work from personal life, establishing clear mental transitions is key. For therapists, preparing intentionally for each session helps protect emotional bandwidth. For professionals outside of healthcare, similar rituals such as closing the laptop at a set time or creating a “commute” routine when working from home can signal to the brain that it is time to shift gears. 

The Power of Self-Care 

We often encourage clients, colleagues, or employees to invest in self-care. But do we practice what we preach? Prioritizing small but consistent habits such as a healthy diet, regular movement, hobbies, or simply time with loved ones can replenish energy reserves and keep stress from becoming chronic. 

Seeking Support  

Another powerful tool for preventing burnout is therapy itself. For clinicians, engaging in their own counseling provides a safe space to process the emotional challenges of the work. For professionals in any field, peer support, mentorship, or coaching can offer fresh perspectives and reduce feelings of isolation. 

Setting Boundaries  

Boundaries are more than time management. They are a declaration of value for both work and personal life. Protecting time off, saying no when necessary, and designating physical spaces for work and rest can help ensure that neither domain overshadows the other. 

Leveraging Professional Growth & Technology   

Continuous learning keeps work engaging and prevents stagnation. Structured professional development or specialized training can renew a sense of purpose. Meanwhile, technology such as calendar reminders, efficient case management tools, or project platforms can streamline tasks and free up valuable mental energy for meaningful work. 

Why This Matters Now  

In today’s post-pandemic world, where remote and hybrid work have blurred the boundaries between professional and personal life, intentional balance is not optional—it is essential. Creating structures that support wellbeing does more than benefit individuals; it sustains the overall health of organizations by reducing turnover, improving performance, and fostering resilience across teams. 

Work-life balance is not a one-time achievement. It is an ongoing practice. For mental health professionals and leaders alike, modeling and encouraging balance is one of the most powerful ways to sustain both personal wellbeing and professional excellence. 

Reference:  

• Krishnan, R. (2025). Maintaining Work-Life Balance as a Therapist. Behavioralhealthnews.org. Accessed 8/2/2025. 

About the Author 

Dr. Trina Hammonds is a field consultant with the Federal Occupational Health Employee Assistance Program. As a licensed professional counselor (LPC) and Certified Employee Assistance Professional (CEAP), she counsels and consults federal employees. Since joining Federal Occupational Health in 2020, Dr. Hammonds has worked with over 40 agencies based in Atlanta, Georgia. Recently recognized by the Atlanta Federal Executive Board for her outstanding collaborative efforts with the Department of Labor, Dr. Hammonds has worked hard to establish relationships between federal agencies and Magellan’s Employee Assistance Program. With over 20 years of experience in the public and private sectors, Dr. Hammonds has devoted her career to helping others. Dr. Hammonds resides in the suburban Atlanta area, where she enjoys spending time with her daughter and grandson.