Long-term care isn't just a health crisis. It's a wealth transfer crisis. A few years of paid care can erase decades of savings — and most families never see it coming.
Caregiving is shifting from a private family burden to a public reality with real economic and healthcare consequences—and that shift gives you leverage. This post lays out a strategic, no-fluff action plan for what to do right now: stabilize medical and coverage risk, create leverage through documentation and tracking, and protect your future with benefits and retirement moves (even if you’re exhausted). You’ll get a clear decision tree for the four most common scenarios—coverage changes/denials, reduced work or leave, active crisis, and slow-burn burnout—plus two simple trackers that change the game fast. It also includes ready-to-use scripts for HR, insurers/providers, and family boundaries so you can stop getting the runaround and start getting traction.
UnitedHealthcare has announced it's dropping ABA therapy coverage — and for autism families, this isn't just a policy change. It's a crisis. As Ben's mom and a 28-year financial services and insurance professional, Shelly Grimm breaks down exactly what this means for your family and walks you through 7 concrete action steps you can take right now — from filing appeals and invoking your ACA rights, to state insurance mandates, Medicaid waivers, and more. You are not powerless. And you don't have to figure this out alone.
In caregiving, so much of our emotional weight comes from what we silently carry—our expectations of others and our lack of boundaries with ourselves. This two-part reflection explores the shift from unmet expectations to intentional boundaries, offering caregivers a path toward greater peace, resilience, and self-preservation. Together, these posts remind us that while we can’t control who shows up, we can choose how we protect our energy—and continue showing up with strength, clarity, and love.
In caregiving, disappointment often doesn’t come from others—it comes from the expectations we quietly carry. This post explores how those unspoken “shoulds” can weigh us down, and what it looks like to release them without losing our capacity to love. A gentle reflection on finding peace, reclaiming your energy, and continuing to show up—even when others don’t.
If you've ever rolled your eyes at "just take a bath and relax" advice, this one's for you. Traditional self-care assumes you have free time, a quiet mind, and a clear separation between your role and your identity. Caregivers have none of those things. These 5 micro-wellness practices are designed to live inside your caregiving day — anchored to moments you're already in, taking under 5 minutes each, and built for the hard days, not just the good ones.
Many 35-year-olds—especially caregivers—are being left behind by today’s economy. Watch this short video and read our post to learn practical steps advisors and families can use to rebuild retirement momentum.
Want a quick guide before the retreat? Reply to this post or email shelly@theperpetualcaregiver.com and I’ll send a short checklist you can start today: three documents to gather and one question to answer that will make your first draft easier.
Growing up as my mother’s caregiver—when she was among the very first women ever documented with Crohn’s disease—shaped every part of my life: the childhood I missed, the strength I gained, and the advocacy I eventually embraced. On this episode, I share the untold realities of living in the shadow of chronic illness, the loneliness of uncharted diagnosis, and how I turned silent support into purpose. I hope our conversation helps others feel less alone, and encourages both caregivers and those they care for to claim their stories.
As the parent of an adult son who is neurodivergent and disabled by it, I felt the truth in this story. The worries, the arguments, the small triumphs — they echo in my own life. Caregiving in adulthood is a landscape few talk about, but stories like this remind us we are not walking it alone.
The Perpetual Caregiver is no longer just a vision — it’s a living, breathing space for caregivers who deserve to be seen, supported, and celebrated. In this post, I share the launch of the official website, my upcoming book Some Asses Just Need Wiping, and my new speaking work with the Family Love Letter. If you’ve ever been a caregiver — or loved one — this is for you.
In 1956, my mother became the first woman diagnosed with Crohn’s disease. At the time, What I do remember now is her silent suffering—the way she carried an invisible illness with dignity, even as it slowly consumed her strength.
Caring for a parent or child is a journey filled with a myriad of emotions, from joy and frustration to heartache and deep love. Regardless of whether you support an aging parent or nurture a child, the bond that develops can be transformative.